Trial reportContraception2011
Postplacental or delayed levonorgestrel intrauterine device insertion and breast-feeding duration.
Trial report in Contraception, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00476021 (Randomized Trial of Postplacental or Delayed Insertion of the Levonorgestrel-releasing Intrauterine Device After Vaginal Delivery), which is not on this map. Cited by 17 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Randomized Trial of Postplacental or Delayed Insertion of the Levonorgestrel-releasing Intrauterine Device After Vaginal Delivery
Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 58 citations in OpenAlex.
- Immediate versus delayed postpartum insertion of contraceptive implant and IUD for contraception.The Cochrane database of systematic reviews · 2022Pooled it
- Progestogen-only contraceptive use among breastfeeding women: a systematic review.Contraception · 2016Pooled it
- Immediate postpartum insertion of intrauterine device for contraception.The Cochrane database of systematic reviews · 2015Pooled it
- Combined hormonal versus nonhormonal versus progestin-only contraception in lactation.The Cochrane database of systematic reviews · 2015Pooled it
- The effect of immediate postpartum levonorgestrel contraceptive implant use on breastfeeding and infant growth: a randomized controlled trial.Contraception · 2019Trial
- Placement of Levonorgestrel Intrauterine Device at the Time of Cesarean Delivery and the Effect on Breastfeeding Duration.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2018Trial
- Predictors for follow-up among postpartum patients enrolled in a clinical trial.Contraception · 2018Trial
- Immediate postpartum levonorgestrel intrauterine device insertion and breast-feeding outcomes: a noninferiority randomized controlled trial.American journal of obstetrics and gynecology · 2017Trial
- Sexual and reproductive health clinical consultations: breastfeeding and progestogen-only contraception.BMJ sexual & reproductive health · 2025Article
- Breastfeeding and contraception counseling: a qualitative study.BMC pregnancy and childbirth · 2022Article
- Postpartum intrauterine device placement: a patient-friendly option.Contraception and reproductive medicine · 2018Review
- Immediate Postpartum Contraception: A Survey Needs Assessment of a National Sample of Midwives.Journal of midwifery & women's health · 2017Article
- Optimizing maternal and neonatal outcomes with postpartum contraception: impact on breastfeeding and birth spacing.Maternal health, neonatology and perinatology · 2017Review
- New developments in long-acting reversible contraception: the promise of intrauterine devices and implants to improve family planning services.Fertility and sterility · 2016Review
- New developments in intrauterine device use: focus on the US.Open access journal of contraception · 2016Review
- Unmet demand for highly effective postpartum contraception in Texas.Contraception · 2014Article
- Global fee prohibits postpartum provision of the most effective reversible contraceptives.Contraception · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe objective of this study was to assess the effect of timing of postpartum levonorgestrel-releasing intrauterine device (IUD) insertion on breast-feeding continuation. STUDY
designWomen interested in using a levonorgestrel IUD postpartum were randomized to immediate postplacental insertion (postplacental group) or insertion 6-8 weeks after vaginal delivery (delayed group). Duration and exclusivity of breast-feeding were assessed at 6-8 weeks, 3 months, and 6 months postpartum. Only women who received an IUD were included in this analysis.
resultsBreast-feeding was initiated by 32 (64%) of 50 of women receiving a postplacental IUD and 27 (58.7%) of 46 of women receiving a delayed IUD (p=.59). More women in the delayed group compared with the postplacental group continued to breast-feed at 6-8 weeks (16/46 vs. 15/50, p=.62), 3 months (13/46 vs. 7/50, p=.13), and 6 months postpartum (11/46 vs. 3/50, p=.02). The results did not differ when only women who initiated breast-feeding or only primiparous women with no prior breast-feeding experience were analyzed.
conclusionsImmediate postplacental insertion of the levonorgestrel IUD is associated with shorter duration of breast-feeding and less exclusive breast-feeding. Further studies on the effects of early initiation of progestin-only methods on women's lactation experience are needed.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.