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Abstract
Objective: To compare the expulsion rates of intrauterine contraceptive devices (IUCDs) inserted post-placentally with those inserted at an interval of 4–6 weeks postpartum.
Study Design: Randomized Controlled Trial
Place and Duration of Study: Department of Gynecology and Obstetrics, National Hospital and Medical Centre, Lahore, approximately 6 months.
Methodology: A total of 118 women aged 20–40 years were randomly divided into two groups: post-placental insertion within 10 minutes of delivery and interval insertion at 4–6 weeks postpartum. All received Copper T380A IUCDs under sterile conditions and were followed for six months to assess expulsion.
Results: Expulsion was significantly higher in the post-placental group (30.5%) than in the interval group (10.2%) (χ² = 7.92, p = 0.005). Maternal age, parity, and BMI were also associated with higher expulsion (p < 0.05).
Conclusion: Post-placental IUCD insertion carries a higher expulsion rate than interval insertion but remains a practical and effective postpartum contraceptive option when performed by trained providers with proper follow-up.