By Rebecca Bowers

EXECUTIVE SUMMARY

The American College of Obstetricians and Gynecologists now recognizes immediate postpartum placement of either the intrauterine device or the contraceptive implant as a best practice because of the long-acting reversible contraceptive methods’ role in preventing rapid repeat and unintended pregnancy.

  • Results of a just-released study of women who received a postplacental copper T-380A IUD within 10 minutes after vaginal or cesarean delivery suggest that women are more likely to retain the device after cesarean delivery.
  • The best practice for immediate postpartum IUD insertion is to place the device in the delivery room within 10 minutes of placental delivery in vaginal and cesarean births when possible. The contraceptive implant may be inserted in the delivery room or at any other time before hospital discharge.