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After pregnancy, almost 50% of women have resumed intercourse prior to their 6-week postpartum visit, but we know little about the safety of placing IUDs during this period. In this study, researchers randomized 294 postpartum women who desired IUDs for contraception; participants were randomized to early IUD placement (2–4 weeks postpartum) or interval IUD placement (6–8 weeks postpartum).
Six-month follow-up visits included pelvic examinations and transvaginal ultrasonography to evaluate IUD position. Key findings were as follows:
Three complete expulsions occurred in the early group versus none in the interval group; this small difference was statistically noninferior for early placement.
Partial expulsion (i.e., IUD protruding from externa…