Copper Intrauterine Device (IUD) Insertion at Cesarean Delivery

Transcesarean IUD Insertion: A Prospective Cohort Study

The purpose of this study is to determine the expulsion rates of copper Intrauterine Devices (IUDs) placed at time of Cesarean Delivery.

This was a prospective clinical study with 90 patients undergoing cesarean section. After delivery of the placenta, a ParaGard® copper T380A IUD was inserted through the hysterotomy site. IUD placement was confirmed by visualization of the strings at the cervical os or via ultrasound at the 6 week postpartum visit. Subjects also received a phone call 6 months after IUD placement to ascertain physician follow-up and patient satisfaction. This telephone call was to ensure that each subject attended her postpartum visit, had an evaluation of IUD placement and then we performed a survey. This survey used a Likert Scale to measure each subject's satisfaction. The fields included very satisfied, satisfied, somewhat satisfied, neutral, somewhat unsatisfied, unsatisfied and very unsatisfied.

Inclusion Criteria:

• singleton gestation
• greater than 35 weeks gestation
• speaks English or Spanish
• desires IUD for contraception
• undergoing a cesarean delivery

Exclusion Criteria:

• evidence of chorioamnionitis
• history of chlamydia within this pregnancy