Postpartum intrauterine devices: clinical and programmatic review.

Abstract:

:The immediate postpartum period is a critical moment for contraceptive access and an opportunity to initiate long-acting reversible contraception, which includes the insertion of an intrauterine device. The use of the intrauterine device in the postpartum period is a safe practice with few contraindications and many benefits. Although an intrauterine device placed during the postpartum period is more likely to expel compared with one placed at the postpartum visit, women who initiate intrauterine devices at the time of delivery are also more likely to continue to use an intrauterine device compared with women who plan to follow up for an interval intrauterine device insertion. This review will focus on the most recent clinical and programmatic updates on postpartum intrauterine device practice. We discuss postpartum intrauterine device expulsion and continuation, eligibility criteria and contraindications, safety in regards to breastfeeding, and barriers to access. Our aim is to summarize evidence related to postpartum intrauterine devices and encourage those involved in the healthcare system to remove barriers to this worthwhile practice.

journal_name

Am J Obstet Gynecol

authors

Goldthwaite LM,Cahill EP,Voedisch AJ,Blumenthal PD

doi

10.1016/j.ajog.2018.07.013

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

235-241

issue

3

eissn

0002-9378

issn

1097-6868

pii

S0002-9378(18)30582-9

journal_volume

219

pub_type

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