The results are published in the June 09 New England Journal of Medicine.
Research the IUDs, after their insertion, reversible contraception that does not require the use of active, safe and very effective, indicating that the long term. Are fully utilized to IUDs, however, some federal government policy, because it prohibits doctors from providing abortion services at the time of birth, researchers have reported.
"Is the most effective method of reducing this risk has been linked to reduced risk of miscarriage repeat the immediate use of the IUD has immediate use of contraception of any post-abortion. However, especially low-policy decisions of the federal government issues of income for patients to access, "Paula Bednarek, MD, principal investigator and Medicine, assistant professor of obstetrics and gynecology at the School of OHSU.
The main concern with IUD insertion immediately after abortion, the risk of expulsion, or autumn. In the study, researchers have a high rate of expulsion after immediate insertion, statistically lower than the insertion was found to be no delay.
"Our data are the IUDs, in addition to a growing body of evidence to be safe and very effective, it supports expanded access to a wider range of women, and IUDs," Bednarek said is other.
To conduct the study, they Bednarek, a 18-year-old woman requested an abortion more than 575 academic medical centers in three other U.S. and Oregon Health Sciences University were recruited. One group received an IUD within 15 minutes after the abortion, the other group received 2-6 weeks after IUD: Women were randomized into two groups.
At six months, the researchers received the IUDs in 258 women will not be significantly reduced soon, pregnancy, and found no devices that use more than 90% of women and still. All by himself is not using the IUD - - 226 among women who received a late insertion, more significant side effects, however, five pregnant women is 226, with only 77% did not Please use the device in six months, respectively.
"It is placed IUD does not return for quite a few of the women randomly assigned to delayed insertion, substantially less, choose an effective contraceptive method at all or rather," Bednarek is said. "I want to receive an IUD after abortion results show that our women are looking to the appointment for a later date, to return fully to receive the IUD, have unwanted pregnancies by that should not be at great risk. "
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