The safety and efficacy of immediate post-placental IUD insertion versus the post-puerperal IUD insertion in women undergoing caesarean delivery

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.