title: Postplacental intrauterine device insertion at a teaching hospital.
abstract: OBJECTIVE
  To determine whether postplacental intrauterine device (IUD) insertion can be safely and effectively performed within a teaching program.
  
  
  METHODS
  This was a prospective cohort of 177 subjects planning vaginal delivery enrolled antenatally who desired postplacental IUD insertion of either the copper T380A IUD or levonorgestrel IUS. Insertions were performed primarily by resident physicians following a training session. Follow-up included a 4- to 8-week visit and telephone calls at 3 and 6 months.
  
  
  RESULTS
  Ninety-nine subjects underwent successful postplacental IUD insertion of 100 attempts. Seventeen expulsions (17%) were noted: 10 complete and 7 partial. The study identified no differences in outcome by training level; however, the study lacked statistical power to evaluate anything other than large differences.
  
  
  CONCLUSIONS
  Postplacental IUD insertions can be safely and effectively performed within a training program.
  
  
  CONCLUSIONS
  A training protocol may safely and feasibly be initiated among physicians, advanced practice clinicians or trainees with no prior experience with postplacental IUD insertion. By initiating this practice, access to highly effective contraception may increase for patients who have difficulty returning for a visit or otherwise receiving effective methods.
authors.affiliation: Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA. Electronic address: tcleary@emory.edu.
authors.forename: Tara C
authors.initials: TC
authors.lastname: Jatlaoui
authors.affiliation: Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA 30322, USA.
authors.forename: Michele
authors.initials: M
authors.lastname: Marcus
authors.affiliation: Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Denise J
authors.initials: DJ
authors.lastname: Jamieson
authors.affiliation: Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Peggy
authors.initials: P
authors.lastname: Goedken
authors.affiliation: Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA.
authors.forename: Carrie
authors.initials: C
authors.lastname: Cwiak
mesh_terms: D000293:Adolescent; D000328:Adult; D002983:Clinical Competence; D015331:Cohort Studies; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D005845:Georgia / Q000453:epidemiology; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency; D007433:Intrauterine Device Expulsion / Q000209:etiology; D058736:Intrauterine Device Migration / Q000209:etiology; D007435:Intrauterine Devices, Copper / Q000009:adverse effects*; D007436:Intrauterine Devices, Medicated / Q000009:adverse effects*; D009775:Obstetrics and Gynecology Department, Hospital; D017060:Patient Satisfaction; D034161:Pelvic Infection / Q000453:epidemiology / Q000517:prevention & control; D011181:Postnatal Care; D011446:Prospective Studies; D012307:Risk Factors; D000078329:Workforce; D055815:Young Adult
keywords: Intrauterine device; Postpartum contraception; Vaginal delivery