Postplacental manual insertion of the Multiload Copper 250 IUD.

A Multiload (ML) Cu 250 IUD was inserted manually immediately after childbirth in 200 volunteer women. The patients were followed up at 1, 3, 6, 12, and 24 months. There were no undesirable side effects and no serious complications occurred. No noteworthy bleeding occurred either in the postpartum period or subsequently. Maternal lactation was not affected. During the 2 years, 6 devices were removed for medical reasons and the IUD was expelled spontaneously in only 2 patients. 2 pregnancies occurred among the women who were followed up. Postpartum manual insertion of the ML Cu 250 is a very good method of postpartum contraception because there are no significant complications, the rate of expulsion is minimal, and the efficacy is quite high.