Intrauterine Contraceptive Device
Intrauterine Contraceptive Device
Intrauterine Contraceptive Device
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Intrauterine contraceptive
Device
Need for Spacing
Short BTP associated with
• Maternal deaths
• Induced abortion
• Spontaneous miscarriage
• Maternal anemia
• Preterm delivery
• SGA
• Neonatal & infant mortality
• malnutrition
Postpartum IUCD
• A potential answer to satisfactory postpartum contraception
• May be inserted
& at time of LSCS
& Immediate post placental
& Within 48 hrs of delivery
Timing of Postpartum IUCD Insertion
IUCDs can be inserted postpartum
• Right after birth = Postplacental (10 minutes after placenta)
• Soon after birth = Immediate postpartum (< 48 hours after delivery)
• During cesarean section = Intracesarean
• Four or more weeks postpartum
IUCDs should not be inserted between 48 hrs and 4 weeks
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Postplacental insertion
Long inserter PPIUD
Effectiveness
• Effectiveness: > 99% effective
• 6 – 8 pregnancies per 1 000 women in first year
• Effective immediately upon insertion
• Immediate return to fertility once removed
• Effective for 10+ years
• Can be used as short-term method
IUCDs: Who Should Not Use
(WHO Category 4)
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