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

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

Research output: Contribution to journalArticlepeer-review

52 Scopus citations

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 1 2012

Keywords

  • Cesarean delivery
  • Intrauterine device
  • Postpartum contraception

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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