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Incidence of Complicated Intrauterine Device Removal in a Large Health Care System
Meaghan Coles1, Dhriti Dedhia1, Alejandro Alvarez1
1Northwell Health South Shore University Hospital, Department of Obstetrics and Gynecology, Bay Shore, the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, the Biostatistics Unit, Northwell Health Office of Academic Affairs, New Hyde Park, and the Northwell Health Feinstein Institutes for Medical Research, Manhasset, New York.
None:
This retrospective study was designed to estimate the incidence of complicated intrauterine device (IUD) removals in a New York health care system between 2017 and 2020. Complicated IUD removal was defined as requiring instrumentation, ultrasound guidance, or removal in the operating room. Among 1,803 IUD removals, 205 (11.4%) were classified as complicated, with an incidence of 113.7 per 1,000 IUD removals (95% CI, 99-129.3). Age was the only demographic factor significantly associated with complicated removal (P<.01). Age and race and ethnicity were independently associated with operating room removal (P=.04 and P=.02, respectively). These results may support improved patient counseling on the potential risks of IUD removal.
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