We offer you who will have a planned cesarean section to have intrauterine contraception inserted at the time of the cesarean section. This has been proven safe and effective in several studies. The insertion does not affect breast feeding or the child.
The prescription for any hormonal intrauterine contraception should be performed by your midwife in the maternal health care clinic or at the time of the visit to the hospital prior to the cesarean section.
If you choose a hormonal IUD it is important that you collect it at the pharmacy and bring it with you to the hospital the day of the cesarean section. The copper IUD is free of charge and available at the hospital.
The cesarean section is performed according to standard. You should not notice any difference compared to if you would not have received an IUD.
If you choose to have an IUD inserted you should book a visit with your midwife 10 days to 3 weeks after delivery to inspect the threads and have them trimmed if necessary as the threads may become too long due to normal shrinkage of the uterus after delivery. The threads are then trimmed to 2-3 centimeters according to standard.
You can have your post partum check-up visit performed at this visit if you wish. If the midwife cannot see any threads you need to book an ultrasound to ensure that the IUD has not been expelled.
If you notice the IUD being expelled this should not cause alarm. You can contact your midwifery clinic to have a new IUD inserted. Unfortunately, you then have to buy a new IUD if you have chosen a hormonal IUD.