After having a baby

Why do I need to attend?

If you have had a form of intrauterine contraception after having a baby you need to have a check-up at around 4-6 weeks to make sure the coil threads can be seen, and to trim them if needed. There may be a slightly higher chance of the coil becoming expelled as your womb returns to its non-pregnant size. Most women will be aware if this happens.

What will happen at my check-up appointment?

  • It is a short appointment which can be done at a time that suits you and you can bring your baby with you if you wish.
  • We will phone or write to you with an appointment.
  • After checking in at reception, you will be called into the clinic by a doctor or nurse.¬†They will perform a vaginal speculum examination (this is a plastic instrument which is inserted to see your cervix) to check the coil threads.
  • We are aware you may feel tender after having a baby. If you have a particular concern, please let us know.
  • If the threads cannot be seen, you will need an ultrasound scan to check that the coil is still inside the womb. This is usual after any coil insertion.
  • You will be provided with alternative contraception, to last until your scan appointment.
  • You are welcome to breast feed at the clinic. If you wish a private space, please let any of the team know and we will help.
  • Most clinics have lift access. If you need any extra assistance, please let us know.
  • We will arrange an NHS interpreter if needed.

What will happen if I need further follow up?

  • You will have been advised to attend a further follow up appointment to check the position of your coil. This will often happen at Sandyford Central.
  • There may be a slightly higher chance of the coil becoming expelled after having a baby as your womb returns to its non-pregnant size. Most women will be aware if this happens.
  • They will carry out an ultrasound scan, which is often an internal vaginal scan. This gives us a clearer view of the womb and coil.
  • If we think the coil has expelled, we may be able to fit another coil if needed.
  • As you may be having a procedure and some people may feel a little faint or unwell. We ask that if you need to bring children with you that someone is able to look after them. We are unable to provide any childcare.

What do I need to do before my follow up appointment?

To ensure we are able to safely fit your intrauterine contraception it is important that:

  • You avoid any unprotected sex after your last period.
  • This means using condoms consistently and correctly, or using another form of reliable hormonal contraception such as the combined pill, patch or ring, progestogen-only pill, injection or implant.
  • If you are not having regular periods you should use effective contraception or avoid sex for at least 3 weeks before having your coil refitted.
  • If you are having your coil replaced you should use contraception or avoid sex for one week before, in case there is any difficulty fitting the new coil after the old one has been removed.
  • Have a light meal before attending your appointment.
  • Some people experience cramping after the procedure. It may be helpful to take some simple painkillers before attending.