Immediate postabortal intrauterine contraceptive device insertion: A double-blind study

Goldsmith, A; Goldberg, R; Eyzaguirre, H; L, Lizana

doi:10.1016/0002-9378(72)90820-4

Cited by 28 publications

(6 citation statements)

References 3 publications

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“…Furthermore, immediate insertion can be safely performed after suction curettage for incomplete abortion, many of which are the results of illegal abortion. 11,35 Because the vast majority of providers of surgical abortion and postabortal care are skilled providers of IUDs, no additional training would be necessary.…”

Section: Discussionmentioning

confidence: 99%

Contraceptive Effectiveness of Immediate Compared With Delayed Insertion of Intrauterine Devices After Abortion

Reeves

Smith

Creinin

2007

Obstetrics &Amp; Gynecology

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Section: Discussionmentioning

confidence: 99%

Contraceptive Effectiveness of Immediate Compared With Delayed Insertion of Intrauterine Devices After Abortion

Reeves

Smith

Creinin

2007

Obstetrics &Amp; Gynecology

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“…Previous studies in which an IUD was inserted immediately after completion of an elective first trimester abortion indicate that there is no apparent increased risk for those accepting an IUD than for those who do not (9). Goldsmith and his co-workers reported no significant differences in postoperative complications between women who accepted or did not accept IUDs immediately after undergoing an illegal or spontaneous abortion (4). No information concerning rehospitalization was noted.…”

Section: Discussionmentioning

confidence: 99%

“…Studies conducted with different kinds of IUDs inserted immediately after an abortion have shown that the postabortion period is a favorable time for IUD insertion (1,4,5). However, postabortion experiences may be varied, depending upon the in-dividual IUD design.…”

Section: Introductionmentioning

confidence: 99%

Postabortion Insertions of the Pleated Membrane

Tacla

Mitra

Baeza

1977

Intl J Gynecology & Obste

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The pleated or intrauterine membrane (IUM) was designed to fit a range of uterine sizes and shapes and to adjust to transient changes resulting from uterine motility. The retention and contraceptive abilities of postabortion IUM insertions are analyzed in this study of 154 IUM insertions made within 3 days of treatment for an incomplete or inevitable abortion. Results indicate low 1-year net cumulative event rates for pregnancy (1.7 per 100 users), expulsion (7.2 per 100 users), and removal for bleeding and/or pain (3.9 per 100 users). These rates were similar to those reported in a study of interval insertions of the IUM; moreover, these results also compared favorably with corresponding rates of postabortion insertions reported in studies using other devices. Thus, the postabortion period is indicated as being an effective time for IUM insertion.

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“…We found 12 such trials, but excluded one due to alternate rather than random assignment 2 and one due to lack of our main outcomes 3 . We excluded two studies 4,5 due to unethical practice. In each, the researchers performed sham IUCD insertions during which the women believed they received an IUCD and were protected against pregnancy, but one was not inserted.…”

Section: Methodsmentioning

confidence: 99%

“…In each, the researchers performed sham IUCD insertions during which the women believed they received an IUCD and were protected against pregnancy, but one was not inserted. Additionally, these two studies had design flaws that would have disqualified them; one reported only bleeding and pain outcomes at one month 5 and the other reported outcomes at six months but did not provide data on person‐time exposure or loss to follow up 4 .…”

Section: Methodsmentioning

confidence: 99%

Insertion of an intrauterine contraceptive device after induced or spontaneous abortion: a review of the evidence

Stanwood

Grimes

Schulz

2001

BJOG

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Objective Assess the safety and efficacy of intrauterine contraceptive device (IUCD) insertion immediately after induced or spontaneous abortion. Design Systematic search for randomised trials that had at least one treatment arm that involved IUCD insertion immediately after an induced or spontaneous miscarriage using Medline, Popline, EMBASE, and review articles supplemented by correspondence with investigators. Population Women of any age or gravidity who had an IUCD inserted immediately after evacuation for spontaneous or induced abortion. Methods Articles were abstracted and the raw data from tables were analysed with RevMan 3.1 software. We focused on Tietze-Potter gross life table probabilities with denominators of person-time of exposure. Main outcome measures Rates of perforation, expulsion, pelvic inflammatory disease, contraceptive failure, and method continuation. Results Complication rates for immediate post-abortal IUCD insertion were low. Perforation was rare with a rate of approximately one per 1000 insertions. One year gross cumulative expulsion rates ranged from 1.8% to 12.6%, pregnancy rates from 0.6% to 2.1%, and continuation rates from 54% to 90%. The net discontinuation rate due to pelvic inflammatory disease was low, ranging from 0.0 to 0.8 per 100 women at one year.Increasing gestational age at insertion was associated with increased expulsion rates. Conclusions Post-abortal IUCD insertion is safe and effective. The risks of perforation, expulsion, pelvic inflammatory disease and contraceptive failure were low and similar to those reported for interval insertion. Second trimester gestational age is associated with an increased risk of expulsion. Immediate insertion may have a higher expulsion rate than delayed insertion. However, these risks may be outweighed by the benefit of immediate contraception.

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Immediate postabortal intrauterine contraceptive device insertion: A double-blind study

Cited by 28 publications

References 3 publications

Contraceptive Effectiveness of Immediate Compared With Delayed Insertion of Intrauterine Devices After Abortion

Contraceptive Effectiveness of Immediate Compared With Delayed Insertion of Intrauterine Devices After Abortion

Postabortion Insertions of the Pleated Membrane

Insertion of an intrauterine contraceptive device after induced or spontaneous abortion: a review of the evidence

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