Immediate vs. Delayed Insertion of Intrauterine Contraception After Second Trimester Abortion
Author Information
Author(s): Norman Wendy V, Kaczorowski Janusz, Soon Judith A, Brant Rollin, Bryan Stirling, Trouton Konia J, Dicus Lyda
Primary Institution: University of British Columbia
Hypothesis
Intrauterine contraception placed immediately after a second trimester abortion will result in fewer pregnancies than current recommended care of intended placement at 4 weeks post-abortion.
Conclusion
The study aims to provide evidence on whether immediate insertion of intrauterine contraception reduces subsequent unintended pregnancies compared to delayed insertion.
Supporting Evidence
- Immediate insertion of IUC may reduce unintended pregnancies.
- Current practice delays insertion until 4-6 weeks post-abortion.
- Study will assess pregnancy rates at one year and over five years.
Takeaway
This study is trying to find out if putting in birth control right after an abortion helps prevent more pregnancies than waiting a month.
Methodology
Women having a second trimester abortion and choosing an IUC for post-abortion contraception will be randomized to immediate or delayed insertion.
Potential Biases
Potential bias in IUC insertion rates due to the study design and participant follow-up.
Limitations
Participants may change their intention to conceive during the study, which could affect results.
Participant Demographics
Women seeking second trimester abortions in British Columbia, Canada.
Statistical Information
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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