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Post-termination contraception: use of the Multiload Cu250.
British Journal of Obstetrics and Gynaecology
|September 1, 1982
Summary
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.
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.