title: Immediate postplacental IUD insertion at cesarean delivery: a prospective cohort study.
abstract: BACKGROUND
  Immediate postplacental insertion of intrauterine devices (IUDs) during cesarean delivery could reduce a substantial barrier to access to long-term effective contraception. Initiating IUD use prior to discharge from the hospital postpartum eliminates a 6-week postpartum waiting period and an additional office visit.
  
  
  METHODS
  This was a prospective cohort study of 90 patients undergoing cesarean delivery. After delivery of the placenta, a copper T380A IUD was inserted into the endometrial cavity through the incision. The study participants were followed up at 6 weeks and 6 months postpartum. This study was conducted at the Weiler Division of the Montefiore Medical Center and at the Jacobi Medical Center in the Bronx, NY.
  
  
  RESULTS
  Forty-three (48%) women returned for their 6-week follow-up visits, and among those, no expulsions were recorded. Forty-two (47%) women were reached for phone follow-up at 6 months postpartum, and 80% reported being "happy" or "very happy" with their IUD.
  
  
  CONCLUSIONS
  Immediate postplacental IUD insertion at the time of cesarean delivery is safe and acceptable.
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, Chapel Hill, NC 27514, USA. Erika_levi@med.unc.edu
authors.forename: Erika
authors.initials: E
authors.lastname: Levi
authors.forename: Evelyn
authors.initials: E
authors.lastname: Cantillo
authors.forename: Veronica
authors.initials: V
authors.lastname: Ades
authors.forename: Erika
authors.initials: E
authors.lastname: Banks
authors.forename: Amitasrigowri
authors.initials: A
authors.lastname: Murthy
mesh_terms: D000328:Adult; D001741:Black or African American; D002585:Cesarean Section; D015331:Cohort Studies; D005193:Family Planning Services / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006630:Hispanic or Latino; D006801:Humans; D007433:Intrauterine Device Expulsion; D007435:Intrauterine Devices, Copper / Q000009:adverse effects; D010353:Patient Education as Topic; D017060:Patient Satisfaction / Q000208:ethnology; D018743:Perinatal Care / Q000379:methods*; D011247:Pregnancy; D011446:Prospective Studies; D014481:United States; D055815:Young Adult