An intrauterine contraceptive device (IUCD) is the most widely used reversible form of contraception, with 100 million estimated users worldwide (World Health Organization, 1997). The effectiveness of copper IUCDs, especially the TCu 380A, has been shown to be comparable to tubal sterilization over the long term, with the extra advantage of being easily reversible (United Nations Development Programme, 1997). The main disadvantage of IUCD contraception is the rate of expulsion and side effects, such as pain and bleeding, which may necessitate its early removal.
In the case of cesarean section, immediate postpartum IUCD insertion provides a good opportunity to achieve long-term contraception with minimal discomfort to the patient. There is no risk of increase infection or other complications related to this method of IUCD insertion.
