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  • Title: [Early insertion of the IUD soon after childbirth].
    Author: Wajntraub G, Stark M, Pardo Y.
    Journal: Minerva Ginecol; 1981 Apr; 33(4):351-4. PubMed ID: 7243078.
    Abstract:
    400 women from the Outpatient Clinic had 5410 months of experience with the IUD following postpartum insertion. The earlier in the postpartum period that insertion is done, the longer was the menstrual flow and cycle length. The expulsion rate after the 1st IUD insertions was 8.0/100 women-years; following reinsertion, 5.4/100 women-years was the figure. Both have shown higher incidence of expulsion than in the 3rd group where insertion took place 6-8 weeks postpartum. Our results have shown that immediate postpartum insertion of an IUD is impractical and ineffective, a view which concurs with the views of Ishihama and Lippes. In comparison, insertions 6-8 weeks postpartum, when the puerperal period has ended and the uterus has returned to normal size, seems more beneficial. (author's)
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