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  • Title: [Immediate postplacental insertion of intrauterine contraceptive devices (author's transl)].
    Author: Thiery M.
    Journal: Contracept Fertil Sex (Paris); 1980 Aug; 8(8):619-27. PubMed ID: 12309915.
    Abstract:
    Copper 250 IUDs were inserted post-partum in 600 women, who were observed for a total of 9843 women-months. The pregnancy rate after 6, 12, and 30 months was .6, 1.0, and 1.3, respectively. The rate of expulsion was 3.7, 5.0, and 6.0 after 6, 12, and 30 months, respectively. The rate of removals due to pain and bleeding was inversely proportional to the age of the patient. Interval insertions of the Copper T 200 were performed on 269 women: the pregnancy rate was .5 and 1.2 after 12 and 24 months, respectively; the expulsion rate was constant at 11.2. Interval insertions of the Copper T 250 were performed on 293 women: the pregnancy rate was 2.4 and the expulsion rate was 9.9 after 12 and 24 months. The technique for post-partum insertion of IUDs is described step by step. The position of the IUD is ascertained by radiographic examination or vaginal exploration just prior to release from the hospital. Post-partum insertion is technically simple, safe, and easily accepted. Research is now being done to improve the retention, effectiveness, and life span of IUDs, especially for post-partum insertion.
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