Pregnancy and Childbirth Contraception after second trimester medical abortion
Conditions
Interventions
Delayed group
Sponsors
University of Cape Town Faculty of Health Sciences
Eligibility
Sex/Gender
Male
Inclusion criteria
Inclusion criteria: Age 18 years or older; Able to speak English, Afrikaans or Xhosa; Requesting abortion and eligible for legal termination of pregnancy according to standard practice at the hospital; Gestational age (GA) 13-20 weeks verified by ultrasound (most women will be >16 weeks GA at the study site, however women with GA 13-15 weeks will be eligible); Interested and eligible for the copper IUD as a post-abortion contraceptive method; Willing to do a telephone interview at 3- and 6-months post-abortion; Able to provide a working phone telephone number to allow for contact for follow up interviews; Willing to be randomized to immediate or delayed IUD insertion; and Willing and able to provide informed consent
Exclusion criteria
Exclusion criteria: Active pelvic inflammatory disease, pelvic tuberculosis; severe thrombocytopenia; Severe dysmenorrhea Copper allergy Hb <10g/dL Uterine anomaly preventing placement of the IUD; cervical cancer or carcinoma in-situ, untreated high grade squamous intraepithelial lesions Desire for repeat pregnancy in following 12 months Hemorrhage; or ruptured uterus
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Insertion and use of the IUD | — |
Secondary
| Measure | Time frame |
|---|---|
| Use of the IUD;Spontaneous expulsion of the IUD;Abortion-related and IUD-related complications;Removal of the IUD and associated factors;Women's satisfaction and acceptability of the IUD | — |
Countries
South Africa
Outcome results
None listed