Abstract
Background: Immediate postplacental insertion of intrauterine devices (IUDs) during cesarean delivery could reduce a substantial barrier to access to long-term effective contraception. Initiating IUD use prior to discharge from the hospital postpartum eliminates a 6-week postpartum waiting period and an additional office visit. Study Design: This was a prospective cohort study of 90 patients undergoing cesarean delivery. After delivery of the placenta, a copper T380A IUD was inserted into the endometrial cavity through the incision. The study participants were followed up at 6 weeks and 6 months postpartum. This study was conducted at the Weiler Division of the Montefiore Medical Center and at the Jacobi Medical Center in the Bronx, NY. Results: Forty-three (48%) women returned for their 6-week follow-up visits, and among those, no expulsions were recorded. Forty-two (47%) women were reached for phone follow-up at 6 months postpartum, and 80% reported being happy or very happy with their IUD. Conclusions: Immediate postplacental IUD insertion at the time of cesarean delivery is safe and acceptable.
Original language | English (US) |
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Pages (from-to) | 102-105 |
Number of pages | 4 |
Journal | Contraception |
Volume | 86 |
Issue number | 2 |
DOIs | |
State | Published - Aug 2012 |
Keywords
- Cesarean delivery
- Intrauterine device
- Postpartum contraception
ASJC Scopus subject areas
- Reproductive Medicine
- Obstetrics and Gynecology