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Postpartum intrauterine contraception

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. 
  • If you need to come back for a scan appointment, you will be provided with alternative contraception.
  • 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 at the scan appointment?

  • This will be carried out at Sandyford Central.
  • You will have an ultrasound scan, which is often an internal vaginal scan. This gives us a clearer view of the womb and coil.
  • Occasionally we find that the coil has fallen out or moved position. There may be a slightly higher chance of this happening after having a baby as your womb returns to its non-pregnant size. Most women would be aware if this had happened.
  • 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.