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Related Experiment Videos

Failure to insert an intrauterine device.

I C Chi, S Rogers

    Contraceptive Delivery Systems
    |July 1, 1983
    PubMed
    Summary
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    Insertion failure for intrauterine devices (IUDs) is uncommon, occurring in 2.3-8.3 per 1000 attempts. Patient factors did not significantly predict IUD insertion failure, suggesting device and provider influences.

    Area of Science:

    • Reproductive Health
    • Medical Device Technology
    • Clinical Gynecology

    Background:

    • Intrauterine devices (IUDs) are widely used for contraception.
    • Common IUD-related events include pregnancy, expulsion, and pain-related removals.
    • IUD insertion failure is an underreported complication.

    Purpose of the Study:

    • To estimate the incidence of IUD insertion failures.
    • To identify potential risk factors for IUD insertion failure.
    • To explore the influence of IUD type and provider on insertion success.

    Main Methods:

    • Analysis of data from 51 unsuccessful IUD insertions across 22 international centers.
    • Case-control analysis to assess patient characteristics as risk factors.
    • Examination of IUD type and provider factors in relation to insertion outcomes.
    Keywords:
    Cervical EffectsContraceptionContraception TerminationContraceptive Methods--complicationsExaminations And DiagnosesFamily PlanningIncidenceInsertion--complicationsIud, Copper ReleasingIud, Hormone ReleasingIud, UnmedicatedIud--complicationsMeasurementPainPuerperiumResearch MethodologySizeTreatment

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    Main Results:

    • The estimated incidence of IUD insertion failure ranged from 2.3 to 8.3 per 1000 attempted insertions.
    • No statistically significant patient-related risk factors for insertion failure were identified.
    • The Delta Loop IUD showed the highest incidence of insertion failure in postpartum cases (16.8/1000 insertions).

    Conclusions:

    • IUD insertion failure appears infrequent.
    • Patient characteristics are unlikely to be primary drivers of insertion failure.
    • IUD type and healthcare provider factors likely play a significant role in successful IUD insertion.