IUD Expulsion Rates After Early Postpartum vs Interval Placement—Reply

In Reply We agree with Drs Gao and Zhang that understanding the effectiveness of IUDs to prevent pregnancy is important to adequately weigh the risks and benefits of early postpartum IUD placement. Although IUDs are well known to be highly effective, our study was not designed to adequately assess the effectiveness of early postpartum IUDs for pregnancy prevention. We did report all pregnancies in the trial; 2 pregnancies occurred during use of an IUD among the 294 participants who received an IUD and completed 6-month follow-up (1 in the early placement group and 1 in the interval placement group). In addition, the rates of effective contraception were reported as IUD utilization at 6 months and were similar between groups.

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Luglio 2023

IUD Expulsion Rates After Early Postpartum vs Interval Placement

To the Editor A recent study found that the risk of complete intrauterine device (IUD) expulsion in individuals who underwent early postpartum IUD placement (2-4 weeks postpartum) was not inferior to that in individuals who underwent interval IUD placement (6-8 weeks postpartum). However, this conclusion must be viewed with cautious for several statistical reasons.

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Luglio 2023