title: Feasibility of postpartum placement of the levonorgestrel intrauterine system more than 6 h after vaginal birth.
abstract: BACKGROUND
  The objective of this study was to determine the feasibility of postpartum levonorgestrel intrauterine system (LNG-IUS) placement on the postpartum ward.
  
  
  METHODS
  This case-series study took place in a teaching hospital in North Carolina. Women were followed for 6 months, and data on method satisfaction, study design satisfaction and expulsion were collected. Descriptive statistics were used.
  
  
  RESULTS
  Forty women enrolled. Twenty-nine women (73%) received the LNG-IUS at a median of 20 h (range 7-48 h) after delivery, and all reported that they would recommend this method of contraception to a friend. Eleven women had a spontaneous expulsion (38%; 95% confidence interval 21, 58).
  
  
  CONCLUSIONS
  Placement of LNG-IUS more than 6 h postpartum was acceptable to women in this study. The expulsion rate of 38% had statistical instability and should be interpreted with caution. However, our report may assist with individual counseling of women interested in postpartum LNG-IUS placement, or in future study designs.
authors: Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. Gstuart@med.unc.edu
authors: Gretchen S
authors: GS
authors: Stuart
authors: Amy G
authors: AG
authors: Bryant
authors: Erica
authors: E
authors: O'Neill
authors: Irene A
authors: IA
authors: Doherty
mesh_terms: D000328:Adult; D003271:Contraceptive Agents, Female / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007433:Intrauterine Device Expulsion; D007436:Intrauterine Devices, Medicated; D016912:Levonorgestrel / Q000627:therapeutic use*; D017060:Patient Satisfaction; D049590:Postpartum Period
chemical_list: D003271:Contraceptive Agents, Female; D016912:Levonorgestrel