Mirena at caesarean section.

The aim of the study was to audit the clinical experience of insertion of the Mirena intrauterine system at the time of a caesarean section. The Mirena apparatus was inserted into the fundus of the uterus after delivery of the foetus and placenta. Thirty-three patients were analysed in private practice over 32 woman-years. The audit revealed the device was extremely well tolerated. There were no contraceptive failures, no complications and no expulsions of the intrauterine device. Patient satisfaction was extremely high. At the conclusion of the audit, only one device had been removed; this descriptive study showed that the Mirena intrauterine device can be inserted into the uterus at caesarean section to provide an immediate, reliable and reversible contraceptive.