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IUD (TCu380A) insertion following induced first trimester abortion
K Aral1, C G Zorlu, O Cobanoglu
1Dr Zekai Tahir Burak Women's Hospital, Family Planning Clinic, Ankara, Turkey.
Advances in Contraception : the Official Journal of the Society for the Advancement of Contraception
|September 1, 1993
Summary
Immediately after first-trimester abortion, TCu380A intrauterine devices (IUDs) showed high continuation rates and comparable safety to other contraceptives. Post-abortion IUD insertion is a safe and effective family planning method.
Area of Science:
- Reproductive Health
- Gynecology
- Family Planning
Background:
- Post-abortion contraception is crucial for preventing unintended pregnancies.
- Intrauterine devices (IUDs) are a highly effective long-acting reversible contraception method.
- Immediate post-abortion IUD insertion offers a convenient contraceptive option.
Purpose of the Study:
- To compare the safety and efficacy of immediate post-abortion insertion of the TCu380A IUD with other contraceptive methods.
- To evaluate infection rates, expulsion, and continuation rates associated with immediate post-abortion IUD insertion.
Main Methods:
- A comparative study involving three groups of women following legal first-trimester abortion.
- Study group: immediate TCu380A IUD insertion (n=110).
- Group 1: other contraception initiation (n=90).
- Group 2: interval IUD insertion (n=100).
- Follow-up period: 3 months.
Main Results:
- Low rates of infection were observed in all groups; immediate IUD group had 2.7% (non-WHO criteria), Group 1 had 1.1% acute PID, Group 2 had no infections.
- Bleeding and pain were not significantly more frequent or intense in the immediate IUD group.
- IUD expulsion rates were low: 1.8% in the immediate IUD group and 1% in the interval IUD group.
- Continuation rates were high: 96.3% for immediate IUD, 86.6% for other contraception, and 99% for interval IUD.
Conclusions:
- Immediate post-abortion insertion of the TCu380A IUD is a safe and effective contraceptive method.
- It demonstrates high continuation rates comparable to interval IUD insertion.
- This method provides a viable option for women seeking contraception after first-trimester abortion.