Early postpartum and immediate postabortion intrauterine contraceptive device insertion

Abstract

The use of intrauterine contraception has become increasingly popular throughout the world during the past decade. Although there have been a number of reports of the insertion of intrauterine contraceptive devices (IUD's) in the early postpartum and immediate postabortion periods, the potential benefits of these procedures have not been utilized fully. Obstetricians generally have been concerned about the possible dangers of postpartum and postabortion sepsis and perforation. Experiences at a large number of hospitals throughout the world have been reviewed, with the data showing that such early insertion is both safe and potentially most effective demographically. It is suggested that postpartum IUD insertion for women delivered of their infants in a hospital setting will increase significantly the practice of contraception. Further, insertion at the time of suction curettage for incomplete or induced abortion will decrease the incidence of repeat abortion, particularly among young unmarried women.