Immediate Postplacental Insertion of Copper Intrauterine Device and Evaluation of Expulsion Rate in Cesarean Section

Abstract
Background: Women who undergo a cesarean section (CS) are in a unique position to receive the intrauterine contraceptive device (IUD). They may also want to use the IUD as a long-acting reversible contraceptive method provided the IUD is safe and effective in the presence of a CS scar.
Aim of Study: We aimed to evaluate the efficacy, displace-ment and expulsion rates of immediate post placental insertion of IUD.
Patients and Methods: This prospective study was carried out at Obstetrics and Gynecology Department Tanta University Hospital on 60 patients for whom IUD was the chosen con-traceptive method.
Results: Mean age among 60 patients included in the present study was 25.10 years, as regard postinsertion com-plications expulsion in 6% of patients, endometritis in 8% and bleeding in 25%, complications occurred after 3 months was in form of expulsion in 2% of patients, bleeding in 4% of patients and PID in 2% and complications occurred after 6 months was in form of expulsion in 4% of patients bleeding in 5% of patients, PID in 4% of patients and pregnancy in 2% of patients.
Conclusion: The findings of the present study confirm previous data that immediate postplacental IUD placement is a viable contraceptive option.