Effect of instructional guidelines on pregnant women's knowledge regarding immediate insertion of an intrauterine contraceptive device during cesarean section versus late insertion after the puerperium

Postpartum intrauterine contraception (PPIUC) should be made more widely available because it can decrease unplanned pregnancies and short inter-pregnancy intervals. The aim was to evaluate the effect of instructional guidelines on Pregnant Women's Knowledge regarding immediate insertion of an intrauterine contraceptive device during cesarean section versus late insertion after the puerperium. Subjects and method: Design: To accomplish the goal of this study, a quasi-experimental research design was used. Setting: the study was carried out antenatal clinic at Beni-Suef University Hospital. Subjects: A purposive sample of 100 pregnant women was included in this study. Tools for data collection: A structured interview questionnaire which consisted of three parts; part (I) pregnant women's personal data; part (II) pregnant women's current obstetric history, part (III) pregnant women's knowledge regarding immediate versus late insertion of the intrauterine contraceptive device (pre/post). Results: The study's findings showed that pregnant women's knowledge regarding early vs late placement of an intrauterine contraceptive device after cesarean section showed highly significant improvements post-instructional guidelines (P<0.001). Conclusion: The results of the current study showed that the application of instructional guidelines improved pregnant women's knowledge of early vs late placement of an intrauterine contraceptive device during cesarean section.