The safety and efficacy of immediate post placental IUD insertion versus the post puerperal IUD insertion in women undergoing cesarean delivery

Abstract

Objective asses the safety and efficacy of immediate IUD insertion following delivery of the placenta in women undergoing cesarean delivery. Study: Randomized clinical trial that included 66 women, were divided equally in two arms, where each arm included 33 patients. The first group had IUD inserted 10 min after delivery of the placenta (post placental group) and the second group had their IUD inserted at 6weeks following delivery (interval group). Results The complication rate related to post placental IUD insertion was comparable to that of interval insertion. The expulsion and displacement rates were the same in both post placental and interval groups at 6 weeks and 3 months follow up. Conclusion Post placental IUD insertion is a safe and attractive option for postpartum contraception that should be offered to all women undergoing elective cesarean section after proper counseling.

Comparison between Intrauterine Contraceptive Device Insertion during Cesarean Section and Postpartum Insertion

“…Immediate post-placental IUD insertion, defined as placing the IUD within 10 minutes after delivery, offers several advantages including reduced discomfort, high acceptance, and overcoming significant barriers to long-term contraception, thereby increasing motivation for its use [15] . Inserting an IUD immediately after placental delivery during a cesarean section provides a reversible and effective long-term contraceptive option that does not interfere with lactation.…”