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Source: Chi I., 1985.
Slide 25
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Appropriate training of providers in postpartum IUD insertion
techniques can reduce the risk of IUD expulsion. Training should
emphasize placement of the device high in the uterus.
This chart shows the results of a large study comparing postpartum
expulsion rates of insertions performed by experienced and inexperienced
health-care providers. As you can see, expulsion rates at six
months were significantly lower when the insertion was performed
by an experienced provider trained in immediate postpartum insertion
technique. These results have been corroborated in another large
study conducted in Belgium.
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