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Postpartum IUCD

One of the cool things I get to learn about here is post parting IUDs. In the US, you would wait for the checkup to insert at six weeks or later – the US had a fairly high postpartum follow up rate and the expulsion rate for IUDs is higher when done postpartum.

In Tanzania, the postpartum IUD makes sense, and the mother only needs to return to trim the strings.  I had seen one in Honduras, and I could have seen two today if I hadn’t been helping a primpip push (trying to avoid an episiotomy and fundal pressure).

I still have a few days in the hospital, and I’ve had the inservice. So maybe I can do one this week.

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Jennifer Vanderlaan CNM MPH is the author of the BirthingNaturally.net website. She has been working with expectant families since 2000, training doulas, childbirth educators, and midwives. She has worked with midwives in Central America and Sub-Saharan Africa. Her interest in public health grew in 2010, and she is now a PhD student learning to become a producer of knowledge.

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