Effectiveness of Long-Acting Reversible Contraception

Did increasing use of highly effective contraception contribute to declining abortions in Iowa?

“…The Contraceptive CHOICE project, a prospective cohort study conducted in the St. Louis area, provided contraception at no cost to nearly 10,000 women, with a particular emphasis on promoting LARC use [9,10]. Results from this study showed that the rates of abortion in St. Louis were markedly lower than in comparable regions following the introduction of no-cost LARC [9].…”

Comparative contraceptive effectiveness of levonorgestrel-releasing and copper intrauterine devices: the European Active Surveillance Study for Intrauterine Devices

“…Contraceptive failure rates for both copper intrauterine devices (IUDs) and levonorgestrel-releasing intrauterine systems (LNG IUSs) are among the lowest for reversible methods of contraception [1,2], with studies of various types showing rates of around 0.1-2.2 per 100 WY for copper IUDs and 0.1-0.6 per 100 WY for LNG IUSs [3][4][5][6][7][8][9][10]. The respective ectopic pregnancy rates range from 0.02-0.2 in LNG IUS users and from 0.1-0.8 in copper IUD users [3,4,8,11].…”

Medical Abortion: Use of Mifepristone and Misoprostol in First and Second Trimesters of Pregnancy

“…Almost all methods of contraception can be initiated immediately at the time of the ingestion of mifepristone, with the exception of the IUD [93,94]. IUD placement needs to be delayed until confirmation that a woman is no longer pregnant.…”