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Postpartum IUDS: keys for success.
Contraception 1992; 45(4):351-61C

Abstract

Intrauterine device (IUD) insertion is convenient and efficient in the postplacental and immediate postpartum periods. Insertion at these times is demonstrably safe, having a low incidence of infection, few bleeding problems, and low perforation rates. IUD expulsion rates can vary widely, and are a function of timing of insertion, type of IUD, and insertion technique. When a copper T device is inserted postplacentally or immediately postpartum by an experienced and trained clinician, expulsion rates of about 7-15 per 100 users at six months can be expected. Women must be told how to detect expulsions and instructed to return for reinsertion or for another method. Most investigators emphasize that high fundal IUD placement will reduce the expulsion rate. Unplanned pregnancy rates for postplacental IUD insertion range from 2.0-2.8 per 100 users at 24 months when using modern copper IUDs, correct insertion technique, careful postinsertion instructions and good follow-up. Postplacental insertions are performed manually or with a ring forceps. Immediate postpartum insertions (10 minutes to 48 hours after delivery) are performed with the ring forceps.

Authors+Show Affiliations

Association for Voluntary Surgical Contraception, New York.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

1516367

Citation

O'Hanley, K, and D H. Huber. "Postpartum IUDS: Keys for Success." Contraception, vol. 45, no. 4, 1992, pp. 351-61.
O'Hanley K, Huber DH. Postpartum IUDS: keys for success. Contraception. 1992;45(4):351-61.
O'Hanley, K., & Huber, D. H. (1992). Postpartum IUDS: keys for success. Contraception, 45(4), pp. 351-61.
O'Hanley K, Huber DH. Postpartum IUDS: Keys for Success. Contraception. 1992;45(4):351-61. PubMed PMID: 1516367.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Postpartum IUDS: keys for success. AU - O'Hanley,K, AU - Huber,D H, PY - 1992/4/1/pubmed PY - 1992/4/1/medline PY - 1992/4/1/entrez KW - Bleeding KW - Cesarean Section KW - Clinic Activities KW - Contraception KW - Contraception Continuation KW - Contraceptive Effectiveness KW - Contraceptive Methods--beneficial effects KW - Contraceptive Methods--contraindications KW - Contraceptive Methods--side effects KW - Contraceptive Prevalence KW - Contraceptive Usage KW - Counseling KW - Developed Countries KW - Developing Countries KW - Diseases KW - Family Planning KW - Infections KW - Insertion KW - Iud, Copper Releasing KW - Iud--beneficial effects KW - Iud--contraindications KW - Iud--side effects KW - Literature Review KW - Obstetrical Surgery KW - Organization And Administration KW - Pelvic Infections KW - Perforations KW - Postpartum Women KW - Program Activities KW - Programs KW - Puerperium KW - Reproduction KW - Signs And Symptoms KW - Surgery KW - Treatment KW - Uterine Perforation SP - 351 EP - 61 JF - Contraception JO - Contraception VL - 45 IS - 4 N2 - Intrauterine device (IUD) insertion is convenient and efficient in the postplacental and immediate postpartum periods. Insertion at these times is demonstrably safe, having a low incidence of infection, few bleeding problems, and low perforation rates. IUD expulsion rates can vary widely, and are a function of timing of insertion, type of IUD, and insertion technique. When a copper T device is inserted postplacentally or immediately postpartum by an experienced and trained clinician, expulsion rates of about 7-15 per 100 users at six months can be expected. Women must be told how to detect expulsions and instructed to return for reinsertion or for another method. Most investigators emphasize that high fundal IUD placement will reduce the expulsion rate. Unplanned pregnancy rates for postplacental IUD insertion range from 2.0-2.8 per 100 users at 24 months when using modern copper IUDs, correct insertion technique, careful postinsertion instructions and good follow-up. Postplacental insertions are performed manually or with a ring forceps. Immediate postpartum insertions (10 minutes to 48 hours after delivery) are performed with the ring forceps. SN - 0010-7824 UR - https://www.unboundmedicine.com/medline/citation/1516367/Postpartum_IUDS:_keys_for_success_ L2 - https://linkinghub.elsevier.com/retrieve/pii/0010-7824(92)90057-Z DB - PRIME DP - Unbound Medicine ER -