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Postabortion insertions of the pleated membrane.

X Tacla, M Mitra, R Baeza

International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics

|January 1, 1977

Summary

Postabortion insertion of the intrauterine membrane (IUM) is effective for contraception. This study found low rates of pregnancy, expulsion, and removal for side effects, supporting its use immediately after abortion.

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Area of Science:

Reproductive Health
Contraception
Gynecology

Background:

The intrauterine membrane (IUM) is designed for adaptable uterine fitting.
Assessing IUM efficacy postabortion is crucial for reproductive health management.

Purpose of the Study:

To analyze the retention and contraceptive effectiveness of intrauterine membrane (IUM) insertions performed within 3 days after abortion treatment.
To evaluate the safety and usability of IUMs in the immediate postabortion period.

Main Methods:

A study involving 154 women who received an intrauterine membrane (IUM) insertion postabortion.
Analysis of 1-year net cumulative event rates for pregnancy, expulsion, and removal due to bleeding or pain.

Main Results:

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Low 1-year net cumulative event rates were observed: 1.7% for pregnancy, 7.2% for expulsion, and 3.9% for removal due to bleeding/pain.
These rates are comparable to interval IUM insertions and favorable compared to other postabortion contraceptive devices.

Conclusions:

The postabortion period is an effective and suitable time for intrauterine membrane (IUM) insertion.
IUM insertion following abortion demonstrates favorable contraceptive and retention outcomes.
Findings support the integration of IUMs into immediate postpartum care protocols.