Loading...
Immediate postpartum placement of an intrauterine device (IUD) is safe and highly effective, but placement <6 weeks after vaginal delivery generally has been discouraged because of high expulsion rates (JW Womens Health Dec 2 2010). But what about tolerability and expulsion rates of IUDs inserted after cesarean delivery? Investigators sought to determine feasibility of postcesarean IUDs in 90 women (median age, 30; 96% multiparous; 85% black or Latina) who planned to use contraception with copper-T IUDs and who had cesarean deliveries at ≥35 weeks' gestation in two New York City medical centers.
Most cesarean deliveries occurred before onset of labor. Participants underwent IUD placement just before hysterotomy closure. In the 43 women who r…