The safety and efficacy of immediate post placental IUD insertion versus the post puerperal IUD insertion in women undergoing cesarean delivery
Article Sidebar
Main Article Content
Abstract
Objective. To assess the safety and efficacy of immediate intrauterine contraceptive copper device (IUD) insertion following delivery of the placenta in women undergoing caesarean delivery.
Methods. In 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).
Results. The 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.
Conclusion. Post-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.
Article Details
Issue
Section
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The SAJOG is published under an Attribution-Non Commercial International Creative Commons Attribution (CC-BY-NC 4.0) License. Under this license, authors agree to make articles available to users, without permission or fees, for any lawful, non-commercial purpose. Users may read, copy, or re-use published content as long as the author and original place of publication are properly cited.
Exceptions to this license model is allowed for UKRI and research funded by organisations requiring that research be published open-access without embargo, under a CC-BY licence. As per the journals archiving policy, authors are permitted to self-archive the author-accepted manuscript (AAM) in a repository.
How to Cite
References
Moore Z, Pfitzer A, Gubin R, Charurat E, Elliott L, Croft T. Missed opportunities for family planning: an analysis of pregnancy risk and contraceptive method use among postpartum women in 21 low- and middle-income countries. Contraception. 2015;92:31–39. doi: 10.1016/j.contraception.2015.03.007.
Tocce KM, Sheeder JL, Teal SB. Rapid repeat pregnancy in adolescents: do immediate postpartum contraceptive implants make a difference? Am J Obstet Gynecol 2012;206:481.e1–7
Long-acting reversible contraception: implants and intrauterine devices. Practice Bulletin No. 121. American College of Obstetricians and Gynecologists. Obstet Gynecol 2011;118:184–96
Hatcher RA, Trussell J, Nelson AL, Cates WJ, Kowal D, Policar MS. Contraceptive technology. 20th rev. ed. New York (NY): Ardent Media ; 2011.
American College of Obstetricians and Gynecologists Committee on Gynecologic Practice Long-Acting Reversible Contraception Working Group. Committee Opinion No. 642: increasing access to contraceptive implants and intrauterine devices to reduce unintended pregnancy. Obstet Gynecol. 2015;126:e44–e48.
Gurtcheff SE, Turok DK, Stoddard G, Murphy PA, Gibson M, Jones KP. Lactogenesis after early postpartum use of the contraceptive implant: a randomized controlled trial. Obstet Gynecol 2011;117:1114–21.
Kapp N, Curtis KM. Intrauterine device insertion during the postpartum period: a systematic review. Contraception. 2009;80:327–36.
Tara C. Jatlaoui, Maura K. Whiteman, , Gary Jeng, Naomi K. Tepper, Erin Berry-Bibee, Denise J. Jamieson, Polly A. Marchbanks, Kathryn M. Curtis. Intrauterine device expulsion after postpartum placement, A Systematic Review and Meta-analysis. Obstet Gynecol. 2018 Oct; 132(4): 895–905. doi: 10.1097/AOG.0000000000002822
Welkovic S, Costa LO, Faundes A, deAlencar Ximenes R, Costa CF. Post-partum bleeding and infection after post-placental IUD insertion. Contraception 2001;63:155–8.
Bhutta SZ, Butt IJ, Bano K. Insertion of intrauterine contraceptive device at caesarean section. J Coll Physicians Surg Pak. 2011;21:527–530.
Ahmed Abdel-Ghany 1, Eissa Khalifa 1, Mohamed Zeen El-Din 1, Emad Ibrahim 1, Ameer Abdallah 1, Mahmoud Abdel-Aziz 1, Mazen Abdel-Rasheed 2, Alaa Abdel-Azim 1 Intrapartum versus postpartum insertion of intrauterine device in women delivering by cesarean section. BMC Pregnancy Childbirth 2022 Apr 28;22(1):365. doi: 10.1186/s12884-022-04681-4
Eroğlu K, Akkuzu G, Vural G, Dilbaz B, Akın A, Taşkın L, et al. Comparison of efficacy and complications of IUD insertion in immediate postplacental/early postpartum period with interval period: 1 year follow-up. Contraception. 2006;74:376–381. doi: 10.1016/j.contraception.2006.07.003.
Yomna A. Bayoumi, Dina M. R. Dakhly, Yasmin A. Bassiouny, Hisham M. Gouda, Mohamed A. Hassan, Ayman A. Hassan. Post-placental intrauterine device insertion vs puerperal insertion in women undergoing caesarean delivery in Egypt: a 1 year randomized controlled trial, .European Journal of Contraception & Reproductive Health Care, Volume 25, 2020 ,02 Oct 2020,https://doi.org/10.1080/13625187.2020.1823366
Sonalkar S, Kapp N. Intrauterine device insertion in the postpartum period: a systematic review. Eur J Contracept Reprod Health Care. 2015;20:4–18. doi: 10.3109/13625187.2014.971454.
Çelen Ş, Sucak A, Yıldız Y, Danışman N. Immediate postplacental insertion of an intrauterine contraceptive device during cesarean section. Contraception. 2011;84:240–243. doi: 10.1016/j.contraception.2011.01.006.
Washington CI, Jamshidi R, Thung SF, Nayeri UA, Caughey AB, Werner EF. Timing of postpartum intrauterine device placement: a cost-effectiveness analysis. Fertil Steril. 2015;103:131–137. doi: 10.1016/j.fertnstert.2014.09.032.