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Initiating effective reversible contraception promptly after birth reduces risk for another pregnancy within the first year. Placing an intrauterine device (IUD) immediately after delivery of the placenta represents a highly effective contraceptive strategy that is becoming more common but is still underutilized. Factors affecting uptake include likelihood of expulsion and degree of pain associated with placement.
To study risk for postpartum expulsion after copper IUD placement within 10 minutes of delivery, investigators conducted a retrospective study involving 169 women who received IUDs after cesarean or vaginal delivery. Expulsion rates at 6 weeks were 11% (overall), 0% (cesarean, 0/56), and 16% (vaginal, 18/113). IUD strings were more…