Birth Control

A 23-year-old G1P1 (she/her) is coming in for her first postpartum visit after a normal spontaneous vaginal delivery. She was supposed to come for a 2-week check-in, but missed the appointment. She is now 4 weeks postpartum. She reports the baby is doing well. She is feeling fine, currently breastfeeding and tells you she stopped spotting “a while ago.” She had vaginal sex with her partner 2 days ago for the first time since delivery and they used a condom. Toward the end of her pregnancy, she indicated she wanted to get a copper IUD and now asks you if you can place it today. Her partner went back to work and childcare for an extra visit is difficult.  

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A 24-year-old (she/they) presents to your health center requesting an IUD. They filled out her intake form online and noted they are "nervous about procedures." As you are sounding their uterus, they say they feel "kind of weird." You ask for more detail, and they report they are a little sweaty and like they need to go to the bathroom. The medical assistant notes that their face has “gone pale.”

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