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Related Experiment Videos

The effect of post-partum IUD insertion on post-partum bleeding.

N Pedrón, H Mondragón, B Marcushamer

    Contraception
    |April 1, 1987
    PubMed
    Summary

    Immediate postpartum insertion of an intrauterine device (IUD) did not affect postpartum bleeding or hemoglobin levels in healthy women. This study found no significant differences between the IUD group and the control group regarding blood loss or anemia indicators.

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    Area of Science:

    • Reproductive Health
    • Gynecology
    • Obstetrics

    Background:

    • Postpartum hemorrhage remains a significant concern in maternal health.
    • Intrauterine devices (IUDs) are a common form of contraception.
    • The safety and efficacy of immediate postpartum IUD insertion require ongoing investigation.

    Purpose of the Study:

    • To evaluate the impact of immediate postpartum insertion of a Copper T 220C IUD on postpartum bleeding.
    • To assess changes in hemoglobin levels following immediate postpartum IUD insertion.
    • To determine if immediate postpartum IUD placement alters the normal characteristics of the postpartum period.

    Main Methods:

    • A randomized controlled study involving 66 healthy women after normal term pregnancy and delivery.

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  • 33 women received a Copper T 220C IUD immediately after placenta expulsion (IUD group).
  • 33 women served as a control group without immediate IUD insertion.

    • Main Results:

    • Mean postpartum bleeding over 72 hours was 134.7 ± 16.3 ml for the IUD group and 155.9 ± 16.0 ml for the control group; no significant difference was detected.
    • Hemoglobin levels at 72 hours postpartum were similar between groups (11.9 ± 0.28 gm/ml for IUD group vs. 12.2 ± 0.36 gm/ml for control group).
    • No adverse changes in the normal postpartum period characteristics were observed in women with immediate IUD insertion.

    Conclusions:

    • Immediate postpartum insertion of a Copper T 220C IUD is safe and does not increase postpartum bleeding.
    • This method of IUD insertion does not negatively impact maternal hemoglobin levels.
    • Immediate postpartum IUD placement is a viable option without altering the typical postpartum recovery course.