Malpositioned IUCD: the menace of postpartum IUCD insertion

Area of Science:

• Reproductive Health
• Contraception
• Obstetrics

Background:

• Postpartum intrauterine contraceptive devices (PPIUDs) are increasingly adopted globally for long-acting reversible contraception, particularly for lactating women.
• Over 65,000 PPIUDs have been inserted worldwide, with growing implementation in national family planning programs.
• Understanding complications associated with PPIUD insertion is crucial as usage expands.

Observation:

• A malpositioned PPIUD occurs when the intrauterine contraceptive device is eccentrically placed within the uterus, potentially embedding in the myometrium.
• Clinical presentations of malpositioned PPIUDs can include lost strings or difficulties during attempted removal.
• This condition represents a less-understood complication of PPIUD insertion.

Findings:

• This series presents cases of malpositioned postpartum intrauterine contraceptive devices.
• The management strategies for these specific cases are detailed.
• The findings contribute to a better understanding of PPIUD complications.

Implications:

• Improved recognition and diagnosis of malpositioned PPIUDs are needed.
• Effective management protocols for malpositioned PPIUDs can enhance patient safety and contraceptive continuation.
• Further research into the causes and prevention of malpositioned PPIUDs is warranted.