Key clinical point: Immediate postpartum insertion of copper intrauterine devices is effective and acceptable for women living in low- and middle-income countries.
Major finding: The six-month continuation rate for immediate postpartum copper IUDs was 87% in low- and middle-income countries; pooled estimated rates of adverse outcomes at six months were 6% for expulsion, 5% for removal, and 0.2% for infection.
Study details: The data come from a meta-analysis of 11 studies of the use and continuation of postpartum long-acting reversible contraception in low- and middle-income countries, including 2 randomized, controlled trials and 9 prospective cohort studies.
Disclosures: The study was funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development and the Doris Duke Charitable Foundation. The researchers had no financial conflicts to disclose.
Source: Marchin A et al. J Womens Health Dev. 2021 Mar 18. doi: 10.26502/fjwhd.2644-28840059.