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

• Published in: South African journal of obstetrics and gynaecology (1999) Vol. 28; no. 2; pp. 1 - 5
• Main Authors: Dawoud, M A M, Helal, O M, El Komy, R O, El Sherbini, M M, Awad, M O, Moussa, M A
• Format: Journal Article
• Language: English; Portuguese
• Published: South African Medical Association NPC 01-06-2023; South African Medical Association
• Subjects: Obstetrics & Gynecology
• ISSN: 0038-2329; 2305-8862; 2078-5135
• DOI: 10.7196/SAJOG.2023.v29i1.883

\r\nObjective\r\nTo assess the safety and efficacy of immediate intrauterine contraceptive copper device (IUD) insertion following delivery of the placenta in women undergoing caesarean delivery.\r\n\r\nMethods\r\nIn this randomised clinical trial, 66 women were evenly divided into two arms, with 33 patients in each arm. The first group had an IUD inserted 10 minutes after delivery of the placenta (post-placental group), while the second group had their IUD inserted at 6 weeks following delivery (interval group).\r\n\r\nResults\r\nThe complication rate for post-placental IUD insertion was comparable with that of interval insertion. The expulsion and displacement rates were similar for both post-placental and interval groups at the 6-week and 3-month follow-up.\r\n\r\nConclusion\r\nPost-placental IUD insertion is a safe and attractive option for postpartum contraception that should be offered to all women undergoing elective caesarean section after proper counselling.