Immediate Postabortion Intrauterine Device Insertion: Continuation and Satisfaction

Overview

Journal Womens Health Issues

Specialty Gynecology & Obstetrics

Date 2012 Jul 4

PMID 22749197

Citations 3

Authors

Colleen McNicholas

Taylor Hotchkiss

Tessa Madden

Qiuhong Zhao

Jenifer Allsworth

Jeffrey F Peipert

Affiliations

Soon will be listed here.

Abstract

Background: The provision of intrauterine devices (IUDs) immediately postabortion has the potential to decrease unintended pregnancy in the United States. Studies have demonstrated safety and efficacy; however, there are limited data about continuation, satisfaction, and bleeding patterns among women receiving immediate postabortion IUDs.

Study Design: We performed a retrospective cohort study of women undergoing immediate postabortion IUD insertion. Demographics and clinical data were collected from intake forms and procedure notes. We attempted to contact women by telephone to administer a short questionnaire to assess continuation, satisfaction, and bleeding patterns.

Results: We were able to contact 77 of 225 (34%). Women lost to follow-up were more likely to have higher parity or a pregnancy of greater gestational age at the time of abortion compared with women who were successfully contacted. Continuation and satisfaction rates were high (80.5% and 80.6%, respectively). Reported bleeding patterns with IUD use were similar to previously reported patterns.

Conclusion: Follow-up of women undergoing immediate postabortion IUD insertion is challenging. However, we found that women choosing immediate postabortion IUD had high rates of continuation and satisfaction.

Citing Articles

Discontinuation rates of intrauterine contraception due to unfavourable bleeding: a systematic review.

Costescu D, Chawla R, Hughes R, Teal S, Merz M BMC Womens Health. 2022; 22(1):82.

PMID: 35313863 PMC: 8939098. DOI: 10.1186/s12905-022-01657-6.

Postabortion Contraceptive Use and Continuation When Long-Acting Reversible Contraception Is Free.

Goyal V, Canfield C, Aiken A, Dermish A, Potter J Obstet Gynecol. 2017; 129(4):655-662.

PMID: 28277358 PMC: 5364035. DOI: 10.1097/AOG.0000000000001926.

Immediate postabortal insertion of intrauterine devices.

Okusanya B, Oduwole O, Effa E Cochrane Database Syst Rev. 2014; (7):CD001777.

PMID: 25101364 PMC: 7079711. DOI: 10.1002/14651858.CD001777.pub4.

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