Key findings

- Changing intrauterine contraception design did not seem to affect intrauterine contraception stayed or whether it was used later on.

- Inserting intrauterine contraception by hand or with a holding instrument does not seem to make a difference.

- The use of intrauterine contraception at six months was more likely with insertion right after childbirth than weeks later.

Background

Women who want to start intrauterine contraception (IUC) during the postpartum period might benefit from IUC insertion immediately after delivery. Beginning IUC use right after childbirth and before hospital discharge can be good for many reasons. The woman knows she is not pregnant, and the time and place are convenient for starting a method that works well. However, it is uncertain if this approach should be taken to scale.