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Kaiser Permanente Northern California facilities. The primary outcome was the rate of expulsion within 90 days of IUD insertion. Secondary outcomes included rates of uterine perforation, upper genital tract infection, and early removal of IUD. Statistical analysis used x 2 and t test comparisons. Logistic regression was performed for multiple variable analysis.RESULTS: Four hundred forty-seven women with same-day insertions were compared with 316 women with interval insertions. The overall rate of expulsion was low with no statistically significant differences seen between cohorts at 4.1% and 1.7%, respectively (P,.073). Secondary outcome rates were all low. In multivariate analysis, African American race was noted to be an independent risk factor for expulsion with an odds ratio of 3.95.CONCLUSION: In a diverse, American population, levonorgestrel or Cu-T IUD insertion immediately after firsttrimester abortion appears to be safe with no significant increase in rates of expulsion or other complications when compared with interval insertion.