Table 4 Recommendations for antenatal counseling

1. When possible, initiate contraception counseling early in the antenatal period and avoid counseling solely at the time of delivery

2. Ensuring counseling is comprehensive of all options and standardized regardless of patient insurance and demographics

3. Review the patient’s previous contraception experiences including previous IUD use

4. Assess specific goals of contraception initiation timing (i.e. leaving the hospital with effective contraception or adequate recovery time)

5. Discuss both interval and postplacental options with all patients who desire postpartum IUDs as patient values may not be readily apparent

6. Inquire about the importance of anesthesia during IUD insertion

7. Review differing complication rates between postplacental and interval IUD insertion to mitigate expectations