Continuation and satisfaction with intrauterine copper device inserted during caesarean delivery

Area of Science:

• Reproductive Health
• Obstetrics
• Contraception

Background:

• Copper intrauterine devices (IUDs) are a long-acting reversible contraception method.
• Insertion of IUDs during caesarean delivery offers a convenient opportunity for postpartum contraception.

Purpose of the Study:

• To evaluate the continuation and satisfaction rates of women using copper IUDs inserted immediately after caesarean delivery.
• To identify factors associated with copper IUD positioning after caesarean birth.

Main Methods:

• A prospective observational study included 158 women undergoing copper IUD insertion during caesarean delivery.
• Follow-up assessments at 6 weeks and 6 months included satisfaction questionnaires, speculum, and ultrasound examinations.

Main Results:

• Continuation rates were 92% at 6 weeks and 71.5% at 6 months.
• Satisfaction rates were approximately 85% at 6 weeks and 76% at 6 months.
• Poor IUD positioning occurred in 5% of cases, with no association with maternal or obstetric factors. Infection rate was 1.3%, with no perforations or pregnancies.

Conclusions:

• Immediate post-caesarean copper IUD insertion demonstrates favorable continuation and satisfaction.
• IUD malpositioning was not linked to maternal age, parity, gestational age, or labor status.