Objective: To compare the expulsion rate of Nova-T380, Multiload 375, and Copper-T380A intrauterinecontraceptive devices (IUCDs) inserted during cesarean delivery. Methods: A comparative randomized study wasconducted between January 1, 2013, and June 30, 2014, in three maternity centers in Egypt and Saudi Arabia. Allwomen scheduled for an elective cesarean and accepting intraoperative insertion of an IUCD were randomly allo-cated to receive the Nova-T380 (group 1), Multiload 375 (group 2), or Cu-T380A (group 3) using a computer-generated table. Researchers and participants were not masked to the type of IUCD. Follow-up was for 1 year.The primary outcome was IUCD expulsion (complete or partial [i.e. displacement] ). Results: Each group contained40 participants. At 1 year, expulsion had been reported for 5 (13%) women in group 1, 2 (5%) in group 2, and 6(15%) in group 3 (P N 0.05 for all). The frequency of displacement was significantly lower in group 2 (5 [13%] par-ticipants) than in group 1 (15 [38%]; P = 0.001) and group 3 (14 [35%]; P =0.008).Conclusion: Despite a compa-rable risk of expulsion following IUCD insertion during cesarean delivery, the Multiload 375 device showed thelowest risk of displacement.