Contraceptive Placement at Delivery Trumps Delayed Placement
Contraceptive Placement at Delivery Trumps Delayed Placement Two recent studies support the placement of IUD’s in the immediate postpartum period. A study published in the journal Obstetrics and Gynecology reported on a cohort of 112 women who underwent Cesarean Section and desired an IUD; approximately half had the device placement intraoperatively, while the remainder were scheduled for placement six or more weeks postpartum. It was reported that IUD use at 6 month interval, for all reasons, was greater in the immediate placement group, 83% to 64%.
A second study reports on a statistical model developed to compare the cost effectiveness of immediate vs interval postpartum IUD placement. The modelling attempted to control for such factors as costs of placement, removal and of unintended pregnancies. It concludes that immediate postpartum placement results in a net saving of approximately $2300 per pregnancy prevented.