Insertion & Removal

Immediate Postpartum IUD insertion Videos

Click on the video clips below for instruction on immediate postpartum IUD insertion.

This video is a part of the ACOG LARC Video Series, which covers a variety of clinical topics related to the provision of LARC.

Postplacental IUD insertion

Insertion of IUDs immediately postpartum requires a different set of skills than for interval placement and varies by delivery method. Training is advised before provision of immediate postpartum IUD placement. No matter what insertion technique is used, it is key to ensure the IUD is placed at the fundus of the uterus to decrease chance of expulsion.

Implant insertion

The technique for implant placement immediately postpartum does not differ from that for interval insertion.

The FDA requires that all health care providers who perform implant insertions and removals receive training from Merck, the manufacturer of Nexplanon®. See the manufacturer’s website for more information about the implant insertion process and training.

For more information, please see our list of immediate postpartum LARC toolkits.

Removal

These videos are part of the ACOG LARC Video Series, which covers a variety of clinical topics related to the provision of LARC.

The technique for removing a LARC device placed immediately postpartum does not differ from that for interval insertion.

Both the insertion and removal of a LARC device are reliant on a clinician, which can impact patient autonomy. A patient’s right of refusal for initiating or discontinuing a method should be addressed by obstetrician-gynecologists and other health care providers. At no time should a patient be forced to use a method chosen by someone other than themselves, including a parent, guardian, partner, or health care provider. Clinicians should be aware of changes to insurance coverage in the postpartum period and how that may affect coverage of device removal for patients, and should discuss options for low or no-cost removal services, including Title X or other clinics.