2. INTRODUCTION
• Fertility can return shortly after childbirth.
• Up to 50% of women are reported to resume sexual activity by 6 weeks.
• Therefore, there is a risk of unplanned pregnancy in the postpartum period unless effective
contraceptive methods are used.
• Pregnancy planning allows for general health to be optimized prior to conception.
3. • preterm delivery
• fetal growth restriction
• low birth weight infant
• an overall increase in
neonatal mortality.
COMPLICATIONS ASSOCIATED WITH
SHORTER INTER PREGNANCY
INTERVAL
4. • Intrauterine contraception offers one of the most effective methods of contraception, as well as a
range of non contraceptive benefits, such as a reduction in uterine bleeding seen with the
levonorgestrel intrauterine system (LNG-IUS)
• PPIUCD insertion refers to the fitting of a copper (Cu-IUD) or levonorgestrel-releasing (LNG-IUS)
intrauterine device within the first 48 hours after either a caesarean or vaginal birth.
5. Observed expulsion rates vary from 0% to 17%.
All women who receive PPIUC (by either intra-caesarean or vaginal insertion) should be advise
d to attend a follow-up appointment at around 4–6 weeks, to confirm appropriate location of the
device.
6. ADVANTAGES
• Long acting reversible contraception
• Cost effective
• Can be easily removed
• Does not effect breastfeeding or interfere with sexual intercourse
