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Post-partum bleeding and infection after post-placental IUD insertion.

S Welkovic¹, L O Costa, A Faúndes

¹Maternidade da Encruzilhada, Fundação de Ensino Superior de Pernambuco, Universidade de Pernambuco, Recife, PE, Brazil.

|May 23, 2001

Summary

Post-placental insertion of the copper T380A intrauterine device (IUD) is a convenient method for initiating contraception. This study found no increased risk of excessive bleeding or endometritis compared to non-IUD users.

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Area of Science:

Obstetrics and Gynecology
Reproductive Health
Contraception

Background:

Post-placental insertion of intrauterine devices (IUDs) offers a timely contraception option.
Assessing the safety of immediate postpartum IUD insertion is crucial for maternal health.

Purpose of the Study:

To compare the incidence of excessive bleeding and endometritis between women receiving immediate post-placental copper T380A IUD insertion and those who did not.
To evaluate the safety and feasibility of the copper T380A IUD inserted immediately after placental expulsion.

Main Methods:

A comparative study involving 145 women with post-placental IUD insertion and 157 controls.
Hemoglobin levels were measured pre-expulsion and 10 days postpartum.
Clinical diagnosis of endometritis was recorded for both groups.

Main Results:

No significant difference in excessive bleeding incidence between the IUD and control groups.
Mean hemoglobin concentrations showed no significant variation between groups at any time point.
The incidence of endometritis was similar, with 3.4% in the IUD group and 4.6% in the control group (p = 0.40).

Conclusions:

Post-placental insertion of the copper T380A IUD is a safe and convenient method for initiating contraception.
This approach does not increase the risk of excessive bleeding or endometritis in the postpartum period.