I had to have the copper (paragard) put in after my 6th... I suffered from multiple mini-strokes and bloodclots after her even with being on bloodthinners though my pregancy. So, it was recommened for me not to have any more kids, but a tubal was out due to all the issues after delivery.
I have had it in for a few months & really haven't had any issues with it. It hurt a little for the first few days, but that went away pretty quickly.My cycles are really no different then before it went in & I really can't tell it is there now.
I did have to go in for a follow-up appointment about a month after it was installed or after my next cycle - so that the string could be trimmed, but that wasn't a big deal.
When it is ready to come out in 10 years... they will deside if my body can handle a tubal or if another one should go in. Till then... well will see how it works - might just opt for another one instead of going under a knife.
Good luck making your choose & congratz on the little one on the way!