Recommendations for Contraceptive Use
		Copper-Bearing Intrauterine Devices (IUDs)

Recommendations

Rationale

Yes. IUDs can be safely inserted after Cesarean sections by nurses and midwives who are appropriately trained according to relevant national or institutional standards.

Nurses or midwives have been shown to have equal or superior competence in IUD insertion when compared to doctors. Eren V, Ramos R, Gray RH. Physicians vs. auxiliary nurse- midwives as providers of IUD services: a study in Turkey and the Philippines. Studies in Family Planning 1983;14:43-7. Training in proper insertion is the major factor for all providers in lowering the risk of uterine perforation. Proper insertion may also lower the risk of expulsion.

Any part of Recommendations for Updating Selected Practices in Contraceptive Use may be reproduced or adapted to meet local needs without prior permission from the TG/CWG Secretariat, provided the TG/CWG is acknowledged and the material is made available free of charge or at cost.