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Immediate Postpartum Contraception: Intrauterine Device Insertion.

Melicia Escobar1, Stacey Shearin2

  • 1Department of Advanced Practice Nursing, Georgetown University, Washington, District of Columbia.

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|June 18, 2019
PubMed
Summary
This summary is machine-generated.

Immediate postpartum intrauterine device (IUD) insertion is safe and effective contraception. It improves birth spacing and contraceptive continuation, despite a slightly higher expulsion risk compared to interval insertion.

Keywords:
contraceptioncopperintrauterine devicelevonorgestrelpostpartum

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Area of Science:

  • Reproductive Health
  • Obstetrics & Gynecology
  • Family Planning

Background:

  • Immediate postpartum intrauterine device (IUD) insertion is a safe contraceptive method for most women.
  • While interval insertion has lower expulsion rates, postpartum insertion offers significant benefits.
  • Benefits include improved contraceptive continuation and reduced short-interval births.

Purpose of the Study:

  • To provide an overview of immediate postpartum IUD insertion.
  • To discuss the risks, benefits, and eligibility criteria for this method.
  • To describe preinsertion, insertion, and postinsertion care for midwives and clinicians.

Main Methods:

  • This article reviews existing evidence and clinical guidelines.
  • It focuses on shared decision-making principles.
  • It outlines practical steps for IUD insertion and patient care.

Main Results:

  • Immediate postpartum IUD insertion is safe and effective.
  • Contraceptive continuation rates are improved with this method.
  • Short-interval births are reduced.

Conclusions:

  • Immediate postpartum IUD insertion is an evidence-based contraceptive option.
  • Clinicians should discuss this method with patients to clarify reproductive goals.
  • Addressing knowledge gaps among providers can enhance uptake and proper technique.