Expulsion rates 12 months after early versus interval postpartum intrauterine device placement: a randomized trial.

ABSTRACT:

Objective

The early postpartum period, 2 to 4 weeks postpartum, is an optimal time for intrauterine device (IUD) initiation; placement can be co-located with early postpartum or infant visits. We aimed to compare expulsion rates at 12 months postpartum for IUDs placed early compared to the standard interval 6-week visit.

Study design

This is a randomized controlled trial conducted at four U.S. medical centers. Participants were randomly assigned to early (14-28 days) or interval (42-56 days) postpartum IUD placement after vaginal or cesarean birth. We used transvaginal ultrasound to confirm IUD presence and position at 6 months. Chart review and telephone surveys were used to verify IUD presence and position at 12 months.

Results

Between March 2018 and June 2021, 203

SUBMITTER: Averbach S 

PROVIDER: S-EPMC12391790 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature