Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Obstet Gynecol. Feb 10, 2016; 5(1): 134-139
Published online Feb 10, 2016. doi: 10.5317/wjog.v5.i1.134
Published online Feb 10, 2016. doi: 10.5317/wjog.v5.i1.134
Postpartum intrauterine device contraception: A review
Shadi Rezai, Ray Mercado, Cassandra E Henderson, Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, Bronx, NY 10451, United States
Pameela Bisram, St. George’s University School of Medicine, Grenada, West Indies
Hasan Nezam, Department of Obstetrics and Gynecology, University of Toledo Medical Center, Toledo, OH 43614, United States
Author contributions: All of the authors contributed significantly to this investigation.
Conflict-of-interest statement: No author has any conflict of interest or financial disclosure to report.
Data sharing statement: Not applicable.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Cassandra E Henderson, MD, CDE, Director of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, NY 10451, United States. cassandra.henderson@nychhc.org
Telephone: +1-718-5795513 Fax: +1-718-5794469
Received: March 30, 2015
Peer-review started: March 31, 2015
First decision: July 10, 2015
Revised: November 2, 2015
Accepted: November 24, 2015
Article in press: November 25, 2015
Published online: February 10, 2016
Peer-review started: March 31, 2015
First decision: July 10, 2015
Revised: November 2, 2015
Accepted: November 24, 2015
Article in press: November 25, 2015
Published online: February 10, 2016
Core Tip
Core tip: Intrauterine device (IUD) insertion is safe and efficacious during the immediate postpartum, early postpartum and delayed postpartum periods. Expulsion rates are highest after vaginal delivery and when inserted during the immediate postpartum period. IUD associated infection rates were not increased by insertion during the postpartum period over interval insertion rates. Despite the concerns regarding expulsion, perforation and breastfeeding, current evidence indicates that a favorable risk benefit ratio in support of postpartum IUD insertion.