Frequency of Infection with Postpartum Intrauterine Contraceptive Device

Background: Postpartum intrauterine contraceptive device insertion is a valuable strategy for immediate postpartum contraception, offering convenience and long-term protection. Despite its clinical benefits, concerns regarding post-insertion infections persist, necessitating further evaluation of associated risks in local populations. Objective: To determine the frequency of infection with postpartum intrauterine contraceptive device. Study Design: Descriptive observational study. Duration and Place of Study: The study was conducted from September 2024 to March 2025 at the Department of Obstetrics and Gynaecology, Mardan Medical Complex, Mardan. Methodology: A total of 117 postpartum women aged 25–45 years with singleton pregnancies and parity of three or more were enrolled. All received copper-bearing IUDs within 48 hours post-delivery via either vaginal or cesarean route. Participants were followed for 30 days’ post-insertion to assess infection, defined through specific laboratory criteria. Results: The mean age of participants was 34.78 ± 6.08 years, and most were urban residents and multiparous. Infection following PPIUCD insertion occurred in 8.5% of cases. While higher infection rates were observed among women over 30 years of age and those with vaginal deliveries, no statistically significant associations were found with any demographic or clinical variable. Conclusion: PPIUCD insertion postpartum is generally safe and well-tolerated, with a low incidence of infection and no significant demographic predictors of risk.