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Feasibility of Postpartum Insertion of IUCD

Ronald J. Bolognese, MD; M. Steven Piver, MD
JAMA. 1966;197(8):665. doi:10.1001/jama.1966.03110080105040.
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To the Editor:—  In conjunction with the Family Planning Clinic at Pennsylvania Hospital, a pilot study of the intrauterine contraceptive device (IUCD) was initiated on the ward obstetrical service. The objectives were to evaluate the expulsion rate and safety of a "loop" (Lippes Loop D) inserted during the immediate postpartum period. An additional aim was to provide control of conception for those of our ward patients who failed to return for postpartum examination.

Method:—  Fifty postpartum ward patients were fitted with the loop three to five days after vaginal delivery. The women ranged in age from 17 to 42 years and in parity from one to eight. All were clinically free of infection and had completed a pregnancy of at least 32 weeks' duration. The majority delivered at term. They were followed up for a minimum of three months, at which time further expulsions or complications were considered to be


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