|Principal Investigator: DavidTurok|
|Keywords: breastfeeding , Mirena , IUD , Postpartum||Department: DFPM-Family Practice|
|IRB Number: 00062844||Co Investigator: DavidTurok|
|Specialty: OB/Gyn, General|
|Sub Specialties: Contraception and Family Planning|
Specific Aim #1: To determine breastfeeding continuation rates at 8 weeks in women randomized to immediate post-placental vs. delayed (4-8 weeks) postpartum levonorgestrel IUD insertion.
Specific Aim #2: To evaluate potential delay in lactogenesis caused by immediate postpartum insertion of the LNG IUD.
Patients will be offered inclusion in the study if they are
- Healthy, 18-40 year old pregnant women
- Intend to breastfeed
- Desire the LNG IUD as their method of contraception
- Qualify for the LARC postpartum contraception program
- Agree to be randomized to early versus standard postpartum insertion
- Have delivered a healthy term infant (37 weeks gestation)
- Willing to complete all study related procedures, visits and questionnaires
- Obstetric complications including transfusion
- Severe pregnancy induced hypertension
- Prolonged hospitalization
- Liver disease
- Undiagnosed genital bleeding, or other relative contraindication to LNG IUD insertion (known or suspected pregnancy, uterine cavity abnormality, known, suspected, or history of breast cancer, or hypersensitivity to any of the components in the LNG IUD).