2.
Immediate insertion compared with standard insertion for postpartum IUC | |||
Patient or population: postpartum women with desire for contraceptive Setting: hospital or clinic Intervention: immediate postplacental insertion (within 10 minutes) Comparison: standard insertion (at postpartum visit) | |||
Outcomes | Relative effect (95% CI) | Participants (studies) | Quality of the evidence (GRADE) |
Placement per protocol | OR 4.07 (95% CI 0.54 to 30.40); I2 = 68% |
243 (4 studies) |
⊕⊕⊕⊝ Moderate |
Expulsion by 6 months | OR 4.89 (95% CI 1.47 to 16.32) |
210 (4 studies) |
⊕⊕⊕⊝ Moderate |
IUC use at 6 months | OR 2.04 (95% CI 1.01 to 4.09) |
243 (4 studies) |
⊕⊕⊕⊝ Moderate |
CI: Confidence interval; OR: Odds ratio | |||
GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate. |