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Abstract Women who undergo a cesarean section (CS) are in a unique position to receive the intrauterine contraceptive device (IUD). They may also want to use the IUD as a long-acting reversible contraceptive method provided the IUD is safe and effective in the presence of a CS scar, Aim of the work; to assess the efficacy and safety of immediate post-placental insertion of Silver IUD during CS in El-Minia Governorate, Patients and Methods: This study was clinical trial which, was conducted in El-Minia Governorate during the period from June to December 2021 on Seventy-Seven pregnant women planned for delivery by CS and accepted the concept of immediate post-placental insertion of IUD. All patients were subjected to; History taking, Clinical Examination, Obstetric ultrasound evaluation, and Cardiotocography (CTG), Result; Number of Satisfied patients in the study population was 74 (96%) in terms of low complication rate, Conclusion; Intrauterine device is widely popular and accepted long acting contraceptive method. Post-placental IUD insertion is found to be safe, easily applied during cesarean section with slight prolongation of cesarean section duration. Post-placental IUD insertion is also effective, with few complications compared to interval IUD insertion. This modality of insertion was accepted by the great majority of patients being painless and at the same time of surgery with no added cost or maneuver and utilizing the enthusiasm of patients for immediate contraception. The continuation rates are good in the study follow up duration, |