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Immediate postabortion intrauterine device insertion: continuation and satisfaction.

Colleen McNicholas¹, Taylor Hotchkiss, Tessa Madden

¹Division of Clinical Research, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA. mcnicholasc@wudosis.wustl.edu

Women'S Health Issues : Official Publication of the Jacobs Institute of Women'S Health

|July 4, 2012

Summary

Immediate postabortion intrauterine device (IUD) insertion shows high continuation and satisfaction rates. This study highlights the effectiveness of IUDs for preventing unintended pregnancy following abortion.

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Area of Science:

Reproductive Health
Contraception
Public Health

Background:

Immediate postabortion intrauterine device (IUD) insertion can reduce unintended pregnancies in the US.
While safe and effective, data on continuation, satisfaction, and bleeding are limited.

Purpose of the Study:

To assess continuation, satisfaction, and bleeding patterns in women receiving immediate postabortion IUDs.
To evaluate the feasibility of follow-up for this patient group.

Main Methods:

Retrospective cohort study of women undergoing immediate postabortion IUD insertion.
Demographic and clinical data collected from intake forms and procedure notes.
Telephone questionnaires administered to assess outcomes.

Main Results:

Contacted 77 of 225 women (34% follow-up rate).
Higher parity and gestational age at abortion were associated with loss to follow-up.
High continuation (80.5%) and satisfaction (80.6%) rates observed.
Reported bleeding patterns were consistent with existing literature.

Conclusions:

Follow-up for immediate postabortion IUD insertion presents challenges.
Women opting for immediate postabortion IUDs demonstrate high continuation and satisfaction.