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Immediate postplacental IUD insertion at cesarean delivery: a prospective cohort study
Erika Levi1, Evelyn Cantillo, Veronica Ades
1Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, Chapel Hill, NC 27514, USA. Erika_levi@med.unc.edu
Immediate postplacental insertion of intrauterine devices (IUDs) during cesarean delivery is safe and effective. This approach to long-acting reversible contraception bypasses postpartum waiting periods and extra clinic visits.
Area of Science:
- Obstetrics and Gynecology
- Family Planning
- Reproductive Health
Background:
- Immediate postplacental insertion of intrauterine devices (IUDs) during cesarean delivery can overcome barriers to long-acting reversible contraception.
- This method eliminates the need for a postpartum waiting period and an additional clinic visit for IUD initiation.
Purpose of the Study:
- To evaluate the safety and acceptability of immediate postplacental insertion of the copper T380A IUD during cesarean delivery.
Main Methods:
- A prospective cohort study involving 90 patients undergoing cesarean delivery.
- Copper T380A IUDs were inserted into the endometrial cavity after placental delivery.
- Follow-up occurred at 6 weeks and 6 months postpartum.
Main Results:
- No IUD expulsions were recorded among the 43 (48%) women who returned for 6-week follow-up.
- At 6 months postpartum, 80% of the 42 (47%) women reached by phone reported satisfaction with their IUD.
Conclusions:
- Immediate postplacental IUD insertion during cesarean delivery is a safe and acceptable method for initiating long-acting reversible contraception.
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