| Autor: |
Gillett, Peter G., Lee, Nicholas H., Yuzpe, A. Albert, Cerskus, Irene |
| Zdroj: |
Fertility and Sterility; August 1980, Vol. 34 Issue: 2 p121-124, 4p |
| Abstrakt: |
The incidence of untoward events in 144 women who underwent insertion of the Copper-7 (Cu-7) intrauterine device at the time of vacuum aspiration for therapeutic abortion did not differ significantly from that in 63 women who returned 33±1.2 days following abortion for insertion of the device. Cramps and bleeding were no more severe following immediate postabortion insertion of the Cu-7 than following abortion only. During the 1-year follow-up period, the groups did not differ significantly in the total termination rate for medical reasons, although at 1 month postinsertion more women in the delayed-insertion group had the device removed because of pain and bleeding. There was a trend toward an increased incidence of expulsion in the immediate-insertion group. Two involuntary pregnancies occurred in the immediate-insertion group; no pregnancies were reported in the delayed-insertion group. During their one year of evaluation, 31.9% of the immediate-insertion group and 42.9% of the delayed-insertion group were lost to follow-up. The advantages of immediate postabortion insertion include the necessity for a single clinic visit for both extraction and insertion, and thus a single episode of discomfort; immediate contraceptive protection; and acceptance by a larger number of women. |
| Databáze: |
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