The safety of intrauterine devices during breastfeeding: an updated systematic review.

ABSTRACT:

Objectives

To update a 2016 review and answer three questions: (1) Among women using an intrauterine device (IUD), does breastfeeding increase the risk of adverse events? (2) Among breastfeeding women, does IUD use increase the risk of adverse events? (3) Among breastfeeding women, does copper (Cu)-IUD use increase risk of adverse breastfeeding or infant outcomes?

Methods

We searched multiple databases from inception to August 2023. We extracted prespecified data and assessed risk of bias (RoB) for each article and certainty of evidence for each outcome.

Results

Thirty-eight articles met the inclusion criteria; 16 were newly identified since the previous review, most with high RoB. Evidence suggested no effect of breastfeeding on IUD-related adverse events (ie, expuls

SUBMITTER: Ti A 

PROVIDER: S-EPMC12703274 | biostudies-literature | 2025 Nov

REPOSITORIES: biostudies-literature