IUC Insertion After Medical Abortion
Conditions
Keywords
Copper IUD, LNG-IUS, intrauterine contraception, medical abortion, postabortion contraception
Brief summary
Today a large proportion of early abortions are medical, in accordance to the woman's choice. The main objective of the present study was to compare, in a randomised fashion, initiation of intrauterine contraception (IUC) at about 1 week versus 3 to 4 weeks post medical abortion with regard to expulsions and safety.
Interventions
Patients randomised to early insertion had their IUC inserted on day 5-9 after mifepristone treatment while patients randomised to delayed insertion had the IUC insertion at about 3 to 4 weeks after mifepristone.
Sponsors
Study design
Eligibility
Inclusion criteria
* age above 18 * elective medical abortion up to 9 weeks (63 days) of amenorrhea * general good health and * good understanding of Swedish language.
Exclusion criteria
* pathological pregnancies or abnormality of the uterus * complications after the medical abortion, such as on-going pregnancy retained gestational sac or endometritis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Expulsion | 6 months after IUC insertion | Expulsions are recorded up to 6 months after the IUC insertion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PID | within 6 months of IUC insertion | Pelvic inflammatory disease reported or diagnosed at FU |
| serum hemoglobin | 4 weeks post IUC insertion | S-Hb was measured at IUC insertion and at 4 weeks post insertion |
| Compliance | 6 months | impact on the number of women who return for IUC insertion, and compliance with IUC use during the first 6 months following insertion |
| Bleeding patterns | 4 weeks | Bleeding patterns during the first 4 weeks post IUC insertion |
Countries
Sweden