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Immediate Postpartum Intrauterine Contraception Insertion.

Sarah W Prager1, Erin E McCoy1

  • 1Department of Obstetrics and Gynecology, University of Washington, Box 356460, Seattle, WA 98195, USA.

Obstetrics and Gynecology Clinics of North America
|November 25, 2015
PubMed
Summary
This summary is machine-generated.

Immediate postpartum intrauterine contraception (IUC) insertion is safe and effective for women wanting birth control after childbirth. While expulsion rates are higher than delayed insertion, it offers a convenient opportunity for contraception.

Keywords:
Contraceptive agentsCopperFemaleIntrauterine devicesLevonorgestrelPostpartum period

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Area of Science:

  • Reproductive Health
  • Obstetrics & Gynecology
  • Family Planning

Background:

  • The postpartum period presents a unique opportunity for initiating contraception due to high patient motivation.
  • Hospital settings offer convenient access for both patients and healthcare providers to discuss and initiate postpartum contraception.
  • Ensuring effective contraception immediately postpartum can help prevent unintended pregnancies.

Purpose of the Study:

  • To review the safety and effectiveness of immediate postpartum intrauterine contraception (IUC) insertion.
  • To discuss the use of both copper and levonorgestrel IUC devices in the immediate postpartum period.
  • To compare immediate postpartum IUC insertion with delayed or interval insertion methods.

Main Methods:

  • Literature review on immediate postpartum IUC insertion.
  • Analysis of safety and efficacy data for copper and levonorgestrel IUC.
  • Comparison of retention rates and expulsion risks.

Main Results:

  • Immediate postpartum IUC insertion is a safe and effective method of contraception.
  • A majority of IUC devices inserted immediately postpartum demonstrate retention at 6 and 12 months.
  • Higher expulsion rates are observed with immediate postpartum IUC compared to delayed or interval insertion.

Conclusions:

  • Immediate postpartum IUC insertion is a viable contraceptive option.
  • The benefits of immediate postpartum IUC, including convenience and high motivation, should be considered alongside increased expulsion risks.
  • Weighing expulsion rates against the risk of patients not returning for postpartum follow-up is crucial for decision-making.