Incidence and risk factors for postplacental intrauterine device expulsion in a Brazilian hospital

At a Brazilian teaching hospital, nearly 15% of the women who had a copper IUD inserted by residents in the immediate postpartum period expelled the device. Maternal age under 35 years and vaginal delivery were significant risk factors for expulsion. These findings highlight the importance of individualized counseling and close follow-up for higher-risk groups, as well as continuous training of providers.