Speedy IUD placement following abortion secure, most well-liked by sufferers

August 31, 2022

2 min learn

Disclosures:
Hogmark studies receiving private charges from Gedeon Richter and Bayer exterior of the research. Please see the research for all different authors’ related monetary disclosures.


Inserting an IUD inside 48 hours of a whole abortion appeared secure and was related to decrease ache scores in contrast with placement 2 to 4 weeks after abortion, based on a research. This technique was additionally most well-liked by sufferers.

“One speculation that has beforehand not been explored was that fast IUD placement can be much less painful than delayed placement because of dilation of the cervix after the abortion,” Sara Hogmark, MD, a PhD scholar at Karolinska Institutet’s Danderyd Hospital in Stockholm, and colleagues wrote within the American Journal of Obstetrics & Gynecology. “We measured ache scores momentarily on a visible analogue scale, and outcomes clearly confirmed that sufferers within the intervention group had considerably decrease ache scores throughout IUD placement in comparison with sufferers within the management group.”

IUD placement within 48 hours of medication abortion was safe and preferred by patients over placement 2 to 4 weeks after abortion. Source: Adobe Stock
IUD placement inside 48 hours of medicine abortion was secure and most well-liked by sufferers over placement 2 to 4 weeks after abortion. Supply: Adobe Inventory

The multicenter superiority trial included 240 sufferers who underwent medication abortion at 63 days’ gestation or earlier and selected to have an IUD positioned. Hogmark and colleagues randomly assigned sufferers in a 1:1 ratio to the intervention group — IUD placement inside 48 hours of full abortion — and to a management group that had IUDs positioned throughout follow-up 2 to 4 weeks after abortion. Full abortion was outlined as cessation of heavy bleeding and blood clots.

Sufferers answered questionnaires by way of cellphone name or e-mail at 3, 6 and 12 months following abortion. The research’s main final result was IUD use on the 6-month mark. All different outcomes have been evaluated utilizing responses at 3, 6 and 12 months.

Total, 82% of sufferers within the intervention group used an IUD at 6 months in contrast with 77.7% of sufferers within the management group. The speed of profitable IUD placement was related in each teams, researchers mentioned. The intervention group had decrease imply VAS ache scores at IUD placement in contrast with the management group (32.3 vs. 43.4; P = .002) and have been extra glad with their timing of placement (74.8% vs. 61.4%; P = .03).

Ultrasound was used extra typically to verify full abortion within the intervention group vs. the management group (39.8% vs. 14.9%; P < .001); nevertheless, just one affected person within the management group had retained a gestational sac. Expulsion charges didn’t differ between teams.

Though placement of an IUD inside 48 hours after a medical abortion didn’t result in larger consumer charges at 6 months, the researchers concluded that the method “seems secure, is most well-liked by sufferers and related to decrease ache scores.”

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