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Related Experiment Videos

Postabortal insertion of IUD.

J M Tuveng, F E Skjeldestad, T Iversen

    Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
    |December 1, 1986
    PubMed
    Summary
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    Immediate postabortal intrauterine device (IUD) insertion after first-trimester abortion is safe and effective. This study found no increased complications or infections, recommending it as a practical contraceptive option.

    Area of Science:

    • Gynecology
    • Reproductive Health
    • Infectious Diseases

    Background:

    • First-trimester abortions are common procedures.
    • Contraception is essential post-abortion to prevent unintended pregnancies.
    • Intrauterine devices (IUDs) are a highly effective long-acting reversible contraceptive method.

    Purpose of the Study:

    • To evaluate the safety and efficacy of immediate postabortal insertion of an intrauterine device (IUD) after first-trimester therapeutic abortion.
    • To assess complication rates, infection markers, and pregnancy rates in women receiving an IUD immediately after abortion compared to controls.

    Main Methods:

    • A prospective study involving 823 women undergoing first-trimester therapeutic abortions.
    • 229 women had an IUD inserted immediately post-procedure; 594 served as controls.

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  • Microbiological sampling (cervix, urethra) and follow-up for complications and pregnancies were conducted without prophylactic antibiotics.

    • Main Results:

    • No increase in readmission frequency or complications (bleeding, pain, perforation, infection) was observed in the immediate IUD insertion group compared to controls.
    • No positive cultures for Neisseria gonorrhoeae were found; Chlamydia trachomatis rates were similar between groups.
    • The Pearl index was 1.3 pregnancies per year in the IUD group, with a 72.8% one-year continuation rate.

    Conclusions:

    • Immediate postabortal IUD insertion following first-trimester abortion is a safe and practical procedure.
    • It offers an effective contraceptive option with low complication and pregnancy rates.
    • This method is recommended for women seeking contraception after abortion.