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Published on: January 17, 2019
[Intrauterine device placement during cesarean delivery: an immediate solution for postpartum contraception]
Chen Ben David1,2, Amir Wolfovitz3, Naphtali Justman1,2
1Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel, Ruth.
Introduction:
Contraception availability is a global challenge. For many women, intrauterine device (IUD) placement during cesarean delivery offers an effective solution. This procedure is highly recommended for women seeking long-term reversible contraception, particularly low-compliance patients or those with limited access to postpartum healthcare services. It is also an ideal option for women with contraindications to estrogen therapy, patients with a history of multiple cesarean sections, or those who have undergone previous uterine surgeries, such as myomectomy, which are risk factors for uterine perforation during intra uterine device insertion. We describe a method for intrauterine device placement during cesarean delivery. Intrauterine devices in general, and this specific technique in particular, are endorsed by leading professional societies as a strategy for safe postpartum immediate contraception. The purpose of this paper is to raise awareness and increase the clinical availability of this safe, convenient, effective, and affordable solution, ultimately empowering patients with better family planning options.
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