Immediate post-partum insertion of intrauterine devices: a Cochrane review

Abstract

Immediate post-partum insertion of IUDs appeared safe and effective, though direct comparisons with other insertion times were lacking. Advantages of immediate post-partum insertion include high motivation, assurance that the woman is not pregnant, and convenience. However, expulsion rates appear to be higher than with interval insertion. The popularity of immediate post-partum IUD insertion in countries as diverse as China, Mexico and Egypt support the feasibility of this approach. Early follow-up may be important in identifying spontaneous IUD expulsions.

Comparative evaluation of Postpartum versus post MTP insertion of intrauterine contraceptive device

“…Cochrane database 2010 concluded that PPIUCD appeared safe and effective, early follow-up may be important in identifying expulsion. 5 …”

Prospective study on outcomes of postpartum intrauterine contraceptive device including safety, efficacy and expulsion at GMERS Medical College, Dharpur-Patan, Gujarat, India

“…This is comparable to the study by Grimes et al where they found the same. 12 In the present study reproductive age 26-30 years patient comprise of about 48.66% opting PPIUCD with low socio-economic class about 72.66% of women opting PPIUCD this may be due to more number of lower socioeconomic class patients visiting our hospital.…”

“…2 A 2010 cochrane review concluded that PPIUCD are a safer and effective contraceptive method. 3 Healthy timing and spacing of pregnancies have a positive effect on maternal health and newborn outcome. 4 IUCD are used by only two percent of current users of contraception in India.…”

Immediate postpartum insertion of intrauterine devices: experience of maternity ward of the university and teaching hospital of Treichville, Abidjan

“…[2][3][4] In some places were this practice is older with a better managing system, some articles based on most important series were published. Thiery reported a publication based on 2000 patients receiving an immediate postpartum IUD.…”

“…2,4 But this labor room counseling approach is more suitable for developing countries where delivery is sometimes the only moment for a woman to be in contact with healthcare providers, and the chance of coming back for counseling on contraception method are very poor. 1 …”