You better add the document using the word macro if you don't want to add the attachments manually.
Copy/paste from any other application to Confluence won't always give you the expected results.
You can also copy/paste the text only but then add the attachments manually.
I am assuming you are talking about copying a document from another application like Word. You will need to do an import to get the images to come in. If copying from a web based document then they should come in. What are you specifically coping from?
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