Immediate postplacental IUD insertion at cesarean delivery: A prospective cohort study

Erika E. Levi, Evelyn Cantillo, Veronica Ades, Erika Banks, Amitasrigowri Murthy

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

Background: Immediate postplacental insertion of intrauterine devices (IUDs) during cesarean delivery could reduce a substantial barrier to access to long-term effective contraception. Initiating IUD use prior to discharge from the hospital postpartum eliminates a 6-week postpartum waiting period and an additional office visit. Study Design: This was a prospective cohort study of 90 patients undergoing cesarean delivery. After delivery of the placenta, a copper T380A IUD was inserted into the endometrial cavity through the incision. The study participants were followed up at 6 weeks and 6 months postpartum. This study was conducted at the Weiler Division of the Montefiore Medical Center and at the Jacobi Medical Center in the Bronx, NY. Results: Forty-three (48%) women returned for their 6-week follow-up visits, and among those, no expulsions were recorded. Forty-two (47%) women were reached for phone follow-up at 6 months postpartum, and 80% reported being happy or very happy with their IUD. Conclusions: Immediate postplacental IUD insertion at the time of cesarean delivery is safe and acceptable.

Original languageEnglish (US)
Pages (from-to)102-105
Number of pages4
JournalContraception
Volume86
Issue number2
DOIs
StatePublished - Aug 2012

Fingerprint

Intrauterine Devices
Postpartum Period
Cohort Studies
Prospective Studies
Copper Intrauterine Devices
Office Visits
Contraception
Placenta

Keywords

  • Cesarean delivery
  • Intrauterine device
  • Postpartum contraception

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

Cite this

Immediate postplacental IUD insertion at cesarean delivery : A prospective cohort study. / Levi, Erika E.; Cantillo, Evelyn; Ades, Veronica; Banks, Erika; Murthy, Amitasrigowri.

In: Contraception, Vol. 86, No. 2, 08.2012, p. 102-105.

Research output: Contribution to journalArticle

Levi, Erika E. ; Cantillo, Evelyn ; Ades, Veronica ; Banks, Erika ; Murthy, Amitasrigowri. / Immediate postplacental IUD insertion at cesarean delivery : A prospective cohort study. In: Contraception. 2012 ; Vol. 86, No. 2. pp. 102-105.
@article{5bad55593fa744319f88a17f7d0f6804,
title = "Immediate postplacental IUD insertion at cesarean delivery: A prospective cohort study",
abstract = "Background: Immediate postplacental insertion of intrauterine devices (IUDs) during cesarean delivery could reduce a substantial barrier to access to long-term effective contraception. Initiating IUD use prior to discharge from the hospital postpartum eliminates a 6-week postpartum waiting period and an additional office visit. Study Design: This was a prospective cohort study of 90 patients undergoing cesarean delivery. After delivery of the placenta, a copper T380A IUD was inserted into the endometrial cavity through the incision. The study participants were followed up at 6 weeks and 6 months postpartum. This study was conducted at the Weiler Division of the Montefiore Medical Center and at the Jacobi Medical Center in the Bronx, NY. Results: Forty-three (48{\%}) women returned for their 6-week follow-up visits, and among those, no expulsions were recorded. Forty-two (47{\%}) women were reached for phone follow-up at 6 months postpartum, and 80{\%} reported being happy or very happy with their IUD. Conclusions: Immediate postplacental IUD insertion at the time of cesarean delivery is safe and acceptable.",
keywords = "Cesarean delivery, Intrauterine device, Postpartum contraception",
author = "Levi, {Erika E.} and Evelyn Cantillo and Veronica Ades and Erika Banks and Amitasrigowri Murthy",
year = "2012",
month = "8",
doi = "10.1016/j.contraception.2011.11.019",
language = "English (US)",
volume = "86",
pages = "102--105",
journal = "Contraception",
issn = "0010-7824",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - Immediate postplacental IUD insertion at cesarean delivery

T2 - A prospective cohort study

AU - Levi, Erika E.

AU - Cantillo, Evelyn

AU - Ades, Veronica

AU - Banks, Erika

AU - Murthy, Amitasrigowri

PY - 2012/8

Y1 - 2012/8

N2 - Background: Immediate postplacental insertion of intrauterine devices (IUDs) during cesarean delivery could reduce a substantial barrier to access to long-term effective contraception. Initiating IUD use prior to discharge from the hospital postpartum eliminates a 6-week postpartum waiting period and an additional office visit. Study Design: This was a prospective cohort study of 90 patients undergoing cesarean delivery. After delivery of the placenta, a copper T380A IUD was inserted into the endometrial cavity through the incision. The study participants were followed up at 6 weeks and 6 months postpartum. This study was conducted at the Weiler Division of the Montefiore Medical Center and at the Jacobi Medical Center in the Bronx, NY. Results: Forty-three (48%) women returned for their 6-week follow-up visits, and among those, no expulsions were recorded. Forty-two (47%) women were reached for phone follow-up at 6 months postpartum, and 80% reported being happy or very happy with their IUD. Conclusions: Immediate postplacental IUD insertion at the time of cesarean delivery is safe and acceptable.

AB - Background: Immediate postplacental insertion of intrauterine devices (IUDs) during cesarean delivery could reduce a substantial barrier to access to long-term effective contraception. Initiating IUD use prior to discharge from the hospital postpartum eliminates a 6-week postpartum waiting period and an additional office visit. Study Design: This was a prospective cohort study of 90 patients undergoing cesarean delivery. After delivery of the placenta, a copper T380A IUD was inserted into the endometrial cavity through the incision. The study participants were followed up at 6 weeks and 6 months postpartum. This study was conducted at the Weiler Division of the Montefiore Medical Center and at the Jacobi Medical Center in the Bronx, NY. Results: Forty-three (48%) women returned for their 6-week follow-up visits, and among those, no expulsions were recorded. Forty-two (47%) women were reached for phone follow-up at 6 months postpartum, and 80% reported being happy or very happy with their IUD. Conclusions: Immediate postplacental IUD insertion at the time of cesarean delivery is safe and acceptable.

KW - Cesarean delivery

KW - Intrauterine device

KW - Postpartum contraception

UR - http://www.scopus.com/inward/record.url?scp=84863716531&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84863716531&partnerID=8YFLogxK

U2 - 10.1016/j.contraception.2011.11.019

DO - 10.1016/j.contraception.2011.11.019

M3 - Article

C2 - 22264666

AN - SCOPUS:84863716531

VL - 86

SP - 102

EP - 105

JO - Contraception

JF - Contraception

SN - 0010-7824

IS - 2

ER -