More than 80% of women initiating an intrauterine device (IUD) or contraceptive implant prior to hospital discharge continued use at 6 months postpartum, a recent study found. This analysis examined in-hospital provision, expulsion, and 6-month continuation of immediate postpartum copper T380 IUDs (Cu IUD), levonorgestrel (LNG) IUDs, and contraceptive implants from October 2013 to February 2016 among 638 patients who requested a postpartum IUD or implant, and 350 patients enrolled in prospective follow-up prior to hospital discharge. Researchers found:
- 325 (93%) women received their preferred contraceptive device prior to hospital discharge: 27% Cu IUD users, 38% LNG IUD users, and 35% implant users.
- At 6 months postpartum, 289/325 (89%) device recipients completed follow-up.
- There was no statistically significant difference in expulsions by delivery type or continuation by device type.
- 6-month device continuation was ≥80% for all device types.
Eggebroten JL, Sanders JN, Turok DK. Immediate postpartum intrauterine device and implant program outcomes: A prospective analysis. [Published online ahead of print March 22, 2017]. Am J Obstet Gynecol. doi:10.1016/j.ajog.2017.03.015.
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Bleeding and Spotting with the LNG 13.5 mg IUS, Contraception; ePub 2019 Mar 1; Shimoni, et al
Contraception and Chronic Opioid Prescriptions, Contraception; ePub 2019 Feb 11; Ray-Griffith, et al
Hormonal Contraception & Coexisting Medical Conditions, Obstet Gynecol; ePub 2019 Feb; Allen, et al
Contraceptive Switching & Discontinuation, Am J Obstet Gynecol; ePub 2018 Dec 18; Simmons, et al
Efficacy of a Levonorgestrel 52-mg IU System, Obstet Gynecol; ePub 2018 Dec 4; Teal, et al