Patient’s Compliance to Intrauterine Device: Immediate Postplacental Insertion versus Delayed Insertion in Women Undergoing Planned Cesarean Section

Abstract

gypt’s population reached about 100 million people in the early 2020s. The population of Egypt has increased by about 30 million in the last 15 years. Contraceptive options should be discussed during antenatal care and if desired should be initiated as soon as possible postpartum, because repeat pregnancy within the first year postpartum can be as high as 10–44%, with higher rates in high-risk adolescents. Unintended pregnancy refers to unwanted, undesired or mistimed pregnancy. In the Middle East and North Africa, unplanned pregnancy is widespread, endangering the health and economy of both families and governments. The postpartum period is considered a high-risk time for unintended pregnancy. Ovulation can resume as early as 3–4 weeks after birth in non-breastfeeding women, putting them at risk of unintended pregnancy. Although lactational amenorrhea can be an effective contraceptive method, in Egypt only 43% of women are still exclusively breastfeeding at 6–8 weeks postpartum. The intrauterine device (IUD) is considered a long acting, reversible and low-cost contraceptive method that is highly effective in pregnancy spacing, especially in developing countries where women do not have regular access to health facilities. IUDs can be used for postpartum contraception if they are inserted immediately after delivery of the placenta following normal or operative vaginal or abdominal delivery. The IUD can also be placed within 48 h of delivery.