Navigation Links
It's Safe to Get IUD Right After Abortion, Miscarriage: Study
Date:6/9/2011

By Serena Gordon
HealthDay Reporter

WEDNESDAY, June 8 (HealthDay News) -- Women offered an intrauterine device (IUD) for birth control at the same time they're having a uterine aspiration due to miscarriage or abortion are much more likely to get one compared to women offered one later on, new research suggests.

The study also found that while the expulsion rate for IUDs inserted immediately after a uterine aspiration is higher than it is when women wait to get the device, this difference isn't statistically significant. In addition, the study found that complication rates were the same whether an IUD was immediately placed or inserted later.

"There were more expulsions in the immediate group. It was a little bit higher, but not exceptionally so," said study author Dr. Paula Bednarek, an assistant professor in the department of obstetrics and gynecology at Oregon Health and Science University in Portland, Ore.

"IUDs are a safe, extremely effective form of birth control. They're more effective than the pill, condoms and diaphragms at preventing pregnancy. But, IUDs are underutilized," she added.

Results of the study are published in the June 9 issue of the New England Journal of Medicine.

In the United States, more than half of unintended pregnancies are caused by the inconsistent or nonexistent use of birth control methods, according to background information in the study. Intrauterine devices are effective forms of birth control that don't require active use once they have been inserted, the study authors explained.

The study also pointed out that when birth control options are given to women just after an abortion, the risk of having a repeat abortion is reduced.

The use of IUDs fell out of favor decades ago when the devices were linked to an increased risk of pelvic inflammatory disease, said Dr. Mary Rosser, an obstetrician and gynecologist at Montefiore Medical Center in New York City. But that increased risk was due to the design of past devices, she added. An IUD is T-shaped, and has a string or tail that hangs out of the cervix that aids in the removal of the device. Older devices had strings that were braided or contained numerous strings twisted together.

That design, explained Rosser, seemed to allow for the growth of bacteria, which then contributed to pelvic inflammatory disease. "Those tails were acting like wicks," she said.

Newer IUDs have better designs, and haven't been associated with an increased risk of pelvic inflammatory disease, she noted.

For the current study, the researchers recruited 575 adult women at four sites across the United States. All of the women were undergoing uterine aspiration (sometimes referred to as D and C) due to miscarriages or planned abortion. All of the women in the study expressed an interest in getting an IUD.

The women were randomly selected to receive the IUD just after the uterine aspiration (immediate placement) or were scheduled to have the IUD inserted at their follow-up appointment two to six weeks later (delayed placement).

All of the women in the immediate group had an IUD inserted, while just 71.3 percent of those in the delayed group ended up getting an IUD, according to the study. No pregnancies occurred in the immediate placement group, while five of the women in the delayed group who had never gotten the IUD became pregnant.

After six months, 5 percent of the women in the immediate placement group had experienced an IUD expulsion, while 2.7 percent of the delayed insertion group did. Rates of complications didn't differ between the groups, the researchers noted.

Bednarek said that most of the women in the delayed group who ended up not getting an IUD hadn't changed their minds about wanting an IUD, but instead cited logistical reasons, such as transportation or not being able to get time off work or find child care as the reasons they didn't make their appointment.

Rosser also noted that guilt or privacy issues may play a role for some women, particularly if they've been treated at a clinic where there were anti-abortion protestors. "There's a sense of women wanting to put that bad experience behind them, and you often don't get women returning for follow-ups," she said.

In the current study, 150 women didn't complete the six-month trial.

Both experts agreed that IUDs are an effective form of birth control that is currently underutilized.

More information

To learn more about IUDs, visit the American Congress of Obstetricians and Gynecologists.

SOURCES: Paula Bednarek, M.D., M.P.H., assistant professor, department of obstetrics and gynecology, Oregon Health and Science University, Portland; Mary Rosser, M.D., obstetrician/gynecologist, Montefiore Medical Center, New York City; June 9, 2011, New England Journal of Medicine


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. The future of stem cell applications challenging, bright
2. Right Side of Heart Linked to Lung Diseases, Study Finds
3. Cooked Right, Fish Can Help a Womans Heart
4. Bright Side of Paying More at the Pump? Fewer Car Crashes
5. Are your values right or left? The answer is more literal than you think
6. When you cough up green or yellow phlegm you need to be prescribed antibiotics, right?
7. Right-handers, but not left-handers, are biased to select their dominant hand
8. Fossil Suggests Humans Walked Upright 3 Million Years Ago
9. Bright Lights at Night May Raise Diabetes Risk
10. Neuronal migration errors: Right cells, wrong place
11. Fulbright Award has UC educator examining health challenges in China
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
It's Safe to Get IUD Right After Abortion, Miscarriage: Study
(Date:5/31/2016)... ... May 31, 2016 , ... Spectrum Aquatics has launched a brand new ... designed and built with the user in mind. , “Over the last two years ... that an ADA 400 lbs lift is a necessary requirement for certain facilities with ...
(Date:5/31/2016)... ... , ... In a recent interview on The Greenburgh Report radio show hosted ... WVOX (1460 AM), leading medical insurance advocate Adria Goldman Gross discussed several eye-opening ... maelstrom.” , During the interview with Mr. Feiner that aired on May 7, ...
(Date:5/31/2016)... , ... May 31, 2016 , ... ... media enterprise focused on patients with cancer, has added Cancer and Careers ... website visitors with more timely content on continuing successful careers while fighting cancer. ...
(Date:5/30/2016)... ... May 30, 2016 , ... Shaolin Institute ... 8-day-8 and 8-night special intensive summer training camp starts on June 17th on ... offers families and children a fun and unique experience with an opportunity to ...
(Date:5/28/2016)... ... May 28, 2016 , ... SuperCloset is proud to officially launch our ... day issues, struggles and obstacles veterans’ need to overcome in order to face their ... or retired military veteran(s) with a donated SuperCloset product based on the needs and ...
Breaking Medicine News(10 mins):
(Date:5/25/2016)... 2016 According to market research ... and Demand Forecast to 2022 - Industry Insights by ... published by P&S Market Research, the global insulin delivery ... and it is expected to grow at a CAGR ... pump segment is expected to witness the fastest growth ...
(Date:5/25/2016)... 2016  Granger Diagnostics today announced immediate availability of ... infections. This test ensures discovery of ALL bacteria, ... test requires only a simple swab of the wound ... G. Bostwick , MD, Chief Medical Officer, described ... "We are excited to make available, for the ...
(Date:5/25/2016)... 2016 MedDay, a biotechnology company focused ... oral presentation entitled "High doses of biotin in progressive multiple ... given by Professor Ayman Tourbah , Principal Investigator of ... European Academy of Neurology (EAN) in Copenhagen, Denmark ... will take place on Sunday, 29 May 2016 from 14:45 ...
Breaking Medicine Technology: