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Re: Post Partum IUD insertionFrom: Braun, R. Daniel (rbraun@iupui.edu)Tue Sep 16 06:30:02 2003
I have put them in on the delivery table immediately after delivery of the placenta. There used to be a special device for this. It was called the "LEM"(Lunar Excursion Module) because it looked like one. About a 50% expulsion rate. Since we only had a 25% return rate for PP Visits we felt we were still ahead of the game. Dan -----Original Message----- From: Betsy Hyde [mailto:elishyde@mindspring.com] Sent: Monday, September 15, 2003 7:51 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Post Partum IUD insertion how early is the *absolute* earliest you would insert an IUD PP? When I was in Ecuador this summer, doing a gyn/FP/primary care clinic, there were two young women who wanted IUDs. They were 14 and 15. One was 11 days PP, and I think the other was 3 weeks PP, or thereabouts. Both were breast feeding. In the US I would not even consider inserting an IUD prior to 6 weeks, but these young women didn't have many options. The other midwife and I hemmed and hawed about the R/B/A, but decided not to do it. I'm not sure whether we made the right decision or not.
-- Betsy Hyde CNM Branford, CT
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