Levonorgestrel-Releasing Intrauterine System Insertion After Delivery: To Wait or Not to Wait?

Although expulsion rates associated with immediate postpartum insertion of LNG-IUS were high, this risk might be worth taking.

Intrauterine contraception is reliable and safe, but postpartum women who want intrauterine devices (IUDs) often do not receive them and thus are at excess risk for unintended or mistimed pregnancies. Comprehensive data are available for postpartum placement of the Copper-T IUD, but not for the levonorgestrel-releasing intrauterine system (LNG-IUS). To determine outcomes associated with planned placement of the LNG-IUS within 10 minutes of placental delivery (immediate insertion) versus placement at 6 to 8 weeks postpartum, researchers conducted a randomized controlled trial involving 163 women.

LNG-IUS placement was generally well tolerated and was successful in 98% of women in the immediate insertion group and all women in the delayed inse…

Reviewing Author

Allison Bryant, MD, MPH

Disclosures

RoyaltiesUpToDate

Leadership Positions in Professional SocietiesSociety for Maternal-Fetal Medicine (Board of Directors)

Allison Bryant, MD, MPH

Disclosures

RoyaltiesUpToDate

Leadership Positions in Professional SocietiesSociety for Maternal-Fetal Medicine (Board of Directors)

Levonorgestrel-Releasing Intrauterine System Insertion After Delivery: To Wait or Not to Wait?

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Reviewing Author