Early insertion of LARCs (long-acting reversible contraceptives) are a Medicaid initiative in many states since 2016, including mine in South Carolina. As such the percent of women that are receiving IUDs immediately at birth is rising. I've not found any peer-reviewed articles looking at the lactation results of this trend though.

Rachel A. Miller 





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Date:    Wed, 29 Mar 2017 18:21:52 -0400

From:    ljb <[log in to unmask]>

Subject: Generic Mirena IUD and Breastmilk volume



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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