IUD Training Center, Ghent, BelgiumFulltext PDF
Frameless IUDs have been used for interval insertion for many years in several European countries. They are well accepted as they are frameless and are well retained since they are anchored in the fundus of the uterus. Frameless IUDs can also be used for immediate post-surgical abortion, providing immediate contraception and avoiding displacement, partial and total expulsion. When conventional IUDs are used postpartum, even higher rates of displacement, partial and total expulsion are often seen (up to 50%). Insertion of the anchored IUD in the postpartum uterus is more challenging as the fundus is soft potentially leading to early expulsion. This article describes a new technique for the anchoring of a frameless IUD during cesarean section delivery.
Wildemeersch D. Intracesarean Insertion and Fixation of Frameless IUD for Immediate Postpartum Contraception. Clin Surg. 2017; 2: 1536.