Intrauterine Device Placement During Cesarean Delivery and Continued Use 6 Months Postpartum

Erika E. Levi, Gretchen S. Stuart, Matthew L. Zerden, Joanne M. Garrett, Amy G. Bryant

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objective: To compare intrauterine device (IUD) use at 6 months postpartum among women who underwent intracesarean delivery (during cesarean delivery) IUD placement compared with women who planned for interval IUD placement 6 or more weeks postpartum. Methods: In this nonblinded randomized trial, women who were undergoing a cesarean delivery and desired an IUD were randomized to intracesarean delivery or interval IUD placement. The primary outcome was IUD use at 6 months postpartum. A sample size of 112 (56 in each group) was planned to detect a 15% difference in IUD use at 6 months postpartum between groups. Results: From March 2012 to June 2014, 172 women were screened and 112 women were randomized into the trial. Baseline characteristics were similar between groups. Data regarding IUD use at 6 months postpartum were available for 98 women, 48 and 50 women in the intracesarean delivery and interval groups, respectively. A larger proportion of the women in the intracesarean delivery group were using an IUD at 6 months postpartum (40/48 [83%]) compared with those in the interval group (32/50 [64%], relative risk 1.3, 95% confidence interval 1.02-1.66). Among the 56 women randomized to interval IUD insertion, 22 (39%) of them never received an IUD; 14 (25%) never returned for IUD placement, five (9%) women declined an IUD, and three (5%) had a failed IUD placement. Conclusion: Intrauterine device placement at the time of cesarean delivery leads to a higher proportion of IUD use at 6 months postpartum when compared with interval IUD placement.

Original languageEnglish (US)
Pages (from-to)5-11
Number of pages7
JournalObstetrics and Gynecology
Volume126
Issue number1
DOIs
StatePublished - Jul 23 2015
Externally publishedYes

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Intrauterine Devices
Postpartum Period

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Intrauterine Device Placement During Cesarean Delivery and Continued Use 6 Months Postpartum. / Levi, Erika E.; Stuart, Gretchen S.; Zerden, Matthew L.; Garrett, Joanne M.; Bryant, Amy G.

In: Obstetrics and Gynecology, Vol. 126, No. 1, 23.07.2015, p. 5-11.

Research output: Contribution to journalArticle

Levi, Erika E. ; Stuart, Gretchen S. ; Zerden, Matthew L. ; Garrett, Joanne M. ; Bryant, Amy G. / Intrauterine Device Placement During Cesarean Delivery and Continued Use 6 Months Postpartum. In: Obstetrics and Gynecology. 2015 ; Vol. 126, No. 1. pp. 5-11.
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abstract = "Objective: To compare intrauterine device (IUD) use at 6 months postpartum among women who underwent intracesarean delivery (during cesarean delivery) IUD placement compared with women who planned for interval IUD placement 6 or more weeks postpartum. Methods: In this nonblinded randomized trial, women who were undergoing a cesarean delivery and desired an IUD were randomized to intracesarean delivery or interval IUD placement. The primary outcome was IUD use at 6 months postpartum. A sample size of 112 (56 in each group) was planned to detect a 15{\%} difference in IUD use at 6 months postpartum between groups. Results: From March 2012 to June 2014, 172 women were screened and 112 women were randomized into the trial. Baseline characteristics were similar between groups. Data regarding IUD use at 6 months postpartum were available for 98 women, 48 and 50 women in the intracesarean delivery and interval groups, respectively. A larger proportion of the women in the intracesarean delivery group were using an IUD at 6 months postpartum (40/48 [83{\%}]) compared with those in the interval group (32/50 [64{\%}], relative risk 1.3, 95{\%} confidence interval 1.02-1.66). Among the 56 women randomized to interval IUD insertion, 22 (39{\%}) of them never received an IUD; 14 (25{\%}) never returned for IUD placement, five (9{\%}) women declined an IUD, and three (5{\%}) had a failed IUD placement. Conclusion: Intrauterine device placement at the time of cesarean delivery leads to a higher proportion of IUD use at 6 months postpartum when compared with interval IUD placement.",
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