Intrauterine contraception in nulligravid vs parous women

Dueñas, José Luís; Albert, Alison P.; Carrasco, Francisco Javier Fernández

doi:10.1016/0010-7824(95)00025-9

Cited by 34 publications

(14 citation statements)

References 5 publications

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“…Although our follow-up data are incomplete in that data were available for less than half of the IUD insertions analysed, our findings are in line with other similar retrospective reviews, which also did not find a difference in expulsions or removals by parity 11 13 23. Comparatively, our expulsion rate for nulliparous women is very close to at least one other published study (6.5% vs 7%, respectively) 6.…”

Section: Discussionsupporting

confidence: 88%

Intrauterine device insertions: which variables matter?

Brown

Trouton

2013

J Fam Plann Reprod Health Care

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Objectives Many factors are suspected to influence the intrauterine device (IUD) insertion process. This study sought to examine the effects of a few key variables on IUD insertion tolerability, complications and follow-up issues. Methods A retrospective chart review was undertaken of all IUD insertions over an 11-month period at an urban Canadian women's clinic. Linear regression analysis of 354 insertions assessed the effects of parity, age, local anaesthesia and other variables on insertion pain. Chi square (χ 2 ) and analysis of variance statistics were employed to evaluate differences in insertion complications by parity and age. A χ 2 test was performed to compare follow-up expulsion or removal rates by parity.Results Statistically significant differences were found, with nulliparous women and those who received local anaesthesia reporting more insertion pain. Age, IUD type and recent abortion status did not affect insertion pain. Nulliparous women did not experience significantly more insertion difficulty or complications, nor did they have higher rates of expulsion or removal at follow-up. Conclusions These findings suggest that the practice of providing cervical anaesthesia at IUD insertion may cause slightly more pain, without any obvious additional benefit. The difference in insertion pain by parity, although statistically significant, is small enough to be of questionable clinical importance. Overall, these findings add to the growing body of evidence for IUDs being safe and well-tolerated in nulliparous women.

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Section: Discussionsupporting

confidence: 88%

Intrauterine device insertions: which variables matter?

Brown

Trouton

2013

J Fam Plann Reprod Health Care

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“…Given that the College encourages use of the IUD as a first-line contraceptive choice for nulliparous women, 2,5 that IUDs are safe for nulliparous women, 6,22 and that IUD continuation and satisfaction rates are high for nulliparous women, 23,24 reducing barriers to accessing IUDs is an important first step that may reduce U.S. rates of unintended pregnancy. Given that 30% of surveyed health care providers are not up to date on the latest evidence surrounding the safety of IUDs for nulliparous women, additional training and health care provider education are critical to reduce health care provider biases and to potentially increase provision of IUDs.…”

Section: Discussionmentioning

confidence: 99%

Health Care Provider Attitudes and Practices Related to Intrauterine Devices for Nulliparous Women

Tyler

Whiteman²,

Zapata³

et al. 2012

Obstetrics & Gynecology

135

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“…These authors reported no difference in the expulsion rates between nulliparous and parous women [35]. Although the review conducted by Hubacher regarding the performance of copper-IUDs in nulliparous women found that in 13 out of the 20 studies evaluated, expulsion rates were higher in nulliparous women [28], the current TCu380A IUD was evaluated in only one of these studies.…”

Section: Risk Of Expulsionmentioning

confidence: 93%