The Immediate Post-Partum Intrauterine Device at the University Hospital of Bouake: A Cross-Sectional Study of 396 Cases

Objective: Determine the frequency of IUD insertion in the immediate postpartum period, specify the side effects and/or complications of the PPIUD, and identify the reasons for abandoning the IUD. Methods: This was a descriptive cross-sectional study with prospective data collection conducted at the CHU of Bouaké over a period of 6 months. Results: Out of 728 sensitized clients, 396 accepted the postpartum IUD (DIUPPI), resulting in an acceptance rate of 54.40%. The age group of clients was between 35 - 39 years (30.5%), and the average age of the population was 33 years, with a range from 15 to 46 years. Most clients were married (84.09%), had no fixed income (49.5%), and were not educated (61.62%). Counseling for DIUPPI was mainly done during labor (60%). Follow-up after insertion at 6 weeks was effective in 70.94% of cases. Complications were observed in 12.63% of cases. The abandonment rate of DIUPPI was 25.50% due to the use of other contraceptive methods (90%). Conclusion: The IUD is a long-acting and effective contraceptive method. Improved client awareness would further enhance its utilization, contributing to the reduction of maternal mortality.