Hello all,

I wonder if any of you have seen a recent uptick in the insertion of IUD with levonorgestrel (synthetic progesterone isn't it? Its Mirena or equivalent). BEFORE hospital discharge?  I was privvy to a discussion recently between CNMs and mother-baby staff regarding beginning a policy of inserting MIRENA IUDs right after birth, within minutes.  I wondered if any of you have any peer reviewed journal articles at the ready you could send links to regarding the affect this might have on milk supply?

I checked in Hale 2014 (I don't have the 2017 yet) and it is not contraindicated but he refers to insertion at 5-6 weeks postpartum, not immediate insertion. The archives do have numerous mini-discussions of this, but most appear to be anecdotal case stories.

Thanks in advance,
LjBerkeley on the Border with Mexico

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