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Postpartum IUCD Insertion

Effective and safe contraception placed within 10 minutes to 48 hours after delivery.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Postpartum IUCD Insertion?

PPIUD is performed in two timing categories: immediate (10 minutes to 48 hours) and post-placental (within the first 10 minutes after placental delivery). Different techniques are used for vaginal and cesarean deliveries.

Advantages include very high effectiveness (>99%), long duration (5-10 years), reversibility, compatibility with breastfeeding, no need for additional anesthesia, and immediate protection.

Expulsion rates are about 10% post-placental, 10-20% immediate, and 2-10% interval. With proper technique and follow-up, continuation rates are high. Infection risk has been shown to be similar to interval insertion.

Symptoms

Need for postpartum contraception
Preference for long-acting contraception
Desire for a non-hormonal option during breastfeeding
Patient group at risk of being lost to interval IUCD insertion

Risk Factors

Postpartum hemorrhage (relative contraindication)
Chorioamnionitis (contraindication)
Prolonged rupture of membranes with infection
Significant uterine anomaly

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Antenatal contraception counseling
  • Postpartum bleeding or pain
  • Change in IUCD string length
  • Routine follow-up visits

Treatment Methods

01
Antenatal counseling and informed consent
02
Post-placental or intracesarean placement
03
Correct fundal-placement technique
04
Follow-up at 6 weeks and 3 months
05
Confirmation by ultrasound
06
Reinsertion in case of expulsion

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.