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By Jennifer Mary Joy V. Chiu, MD and Mildred D. Torres, MD, FPOGS Department of Obstetrics and Gynecology, Baguio General Hospital
■ Postpartum IUD: Post Placental or Interval Period ■ Post Placental Intrauterine Contraceptive Device (PPIUCD) insertion
■ Small plastic device inserted into a woman’s uterine cavity to prevent pregnancy ■ Failure rates are well below 1 % and similar overall to those of tubal sterilization ■ Copper T 380 (TCu)
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Timing of IUD Insertion (The Philippine Clinical Standards Manual on Family Planning) ■ Copper IUD is not usually recommended for women more than 48 hours to less than four weeks postpartum, unless other more appropriate methods are available ■ IUD insertion is delayed until four weeks or more after giving birth ■ Special training is required for immediate postpartum insertion
Timing of IUD Insertion (The Philippine Clinical Standards Manual on Family Planning) ■ Evidence suggests that the immediate postpartum insertion of IUDs is generally safe and effective, although a recent trial has suggested that the occurrence rate of expulsion is higher in women who had immediate insertion than in those who had delayed insertion
■ The expulsion rate was 6. 25 % for Immediate and 5. 55 % for Early IUD insertion respectively. This data might indicate that there is no direct correlation either patient had early or immediate IUD insertion with regard to expulsion rate. Expulsion was observed during earlier periods of follow up and no expulsion was noted after 12 - week-period. ■ In general, recent programmatic experience demonstrated a lower expulsion rate of 2 to 6 %. In this study, expulsion rate is 5 to 6 % hence it is within the acceptable limits
■ In this study, there were no association of the expulsion rate for both immediate and early postpartum IUD insertion which could therefore equally achieve the benefits of this family planning method
