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Post-termination contraception: use of the Multiload Cu250.

J D Loudon, R Scott, D J Hutchon

    British Journal of Obstetrics and Gynaecology
    |September 1, 1982
    PubMed
    Summary
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    Immediate insertion of Multiload intrauterine devices after uterine evacuation is an acceptable contraceptive method. Despite a high dropout rate, complications were comparable to termination procedure risks.

    Area of Science:

    • Reproductive Health
    • Contraception
    • Gynecology

    Background:

    • Post-abortion contraception is crucial for preventing unintended pregnancies.
    • Intrauterine devices (IUDs) are effective long-acting reversible contraceptives.
    • Immediate post-procedure IUD insertion offers a convenient contraceptive option.

    Purpose of the Study:

    • To evaluate the safety and acceptability of immediate Multiload intrauterine device insertion following suction evacuation.
    • To assess complication rates associated with this contraceptive method.

    Main Methods:

    • A prospective study involving 125 patients undergoing suction evacuation.
    • Immediate insertion of Multiload IUDs post-procedure.
    • Follow-up over 27 months to assess device performance and complications.

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    Main Results:

    • 64 patients completed the study, providing 630 women-months of follow-up.
    • Complication rates (pain, bleeding, infection) were comparable to termination procedure risks.
    • One pregnancy occurred during 10 months of use; 40 women continued using the device.

    Conclusions:

    • Immediate Multiload IUD insertion post-suction evacuation is a viable contraceptive option.
    • The method demonstrates acceptable safety and efficacy despite a high loss to follow-up rate.
    • Further research with longer follow-up is warranted to confirm long-term outcomes.