Safety and convenience of post-partum intra-uterine contraceptive device insertion

ABSTRACT

This study included 240 patients for whom CuT 380 A was inserted in the immediate postpartum period. One hundred and forty women had their coils inserted post placental, while the remaining 100 had their coils inserted in the immediate postpartum period. In the post placental insertions group, there was a total of 22 discontinuations. Four women reported an irregular uterine bleeding in the form of spotting at six weeks follow up visit, two of them requested their coils to be removed at six months follow up visit. Misplaced intrauterine device was diagnosed in 11 cases by ultrasound examination including one case of abortion. Nine cases reported spontaneous expulsion during their puerperium. By the end of the first year, 118 women were still using their intrauterine devices and were satisfied with it