Postpartum insertion of levonorgestrel--intrauterine system at three time periods: a prospective randomized pilot study
Dahlke, J.D.; Terpstra, E.R.; Ramseyer, A.M.; Busch, J.M.; Rieg, T.; Magann, E.F.
Contraception 84(3): 244-248
2011
ISSN/ISBN: 1879-0518 PMID: 21843688 DOI: 10.1016/j.contraception.2011.01.007Document Number: 226198
The study was conducted to determine the feasibility of levonorgestrel-intrauterine system (LNG-IUS) insertion at three different times postpartum. From August 2009 to January 2010, all women desiring LNG-IUS for postpartum contraception were offered enrollment into our study and randomized to three insertion times: immediate (within 10 min of placenta delivery), early (10 min to 48 h postpartum) or interval (≥6 weeks postpartum). Forty-six women met inclusion criteria and were analyzed. There was no difference in utilization rates at 3 and 6 months between groups (p=.931). Expulsion rates were significantly higher and pain during insertion was significantly lower in the immediate and early groups (p<.001) when compared to the interval group. Insertion of LNG-IUS ≤48 h postpartum is feasible in our institution and may be associated with similar utilization at 6 months, increased expulsion rates and decreased pain at insertion when compared to placement after 6 weeks.
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