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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 N
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