Immediate postplacental IUD insertion at cesarean delivery: a prospective cohort study

Contraception. 2012 Aug;86(2):102-5. doi: 10.1016/j.contraception.2011.11.019. Epub 2012 Jan 20.

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.

Publication types

  • Multicenter Study

MeSH terms

  • Adult
  • African Americans
  • Cesarean Section*
  • Cohort Studies
  • Family Planning Services / methods*
  • Feasibility Studies
  • Female
  • Follow-Up Studies
  • Hispanic or Latino
  • Humans
  • Intrauterine Device Expulsion
  • Intrauterine Devices, Copper* / adverse effects
  • Patient Education as Topic
  • Patient Satisfaction / ethnology
  • Perinatal Care / methods*
  • Pregnancy
  • Prospective Studies
  • United States
  • Young Adult