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Postabortion IUD insertion doesn't increase PID rates. (Retrospective Study).

OB GYN News

| February 01, 2002 | Evans, Jeff | COPYRIGHT 2002 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

The benefits of inserting an IUD immediately after an induced or spontaneous abortion may outweigh the postinsertion risks, reported Dr. Nancy L. Stanwood and her associates at the University of North Carolina, Chapel Hill.

The investigators retrospectively studied eight randomized, controlled trials, each involving between 259 and 2,340 women of any age or gravidity. Each trial had at least one treatment arm using immediate insertion of an intrauterine contraceptive device after induced or spontaneous abortion (Br. J. Obstet. Gynaecol. 108[11]:1168-73, 2001).

Increasing gestational age led to an increased rate of expulsion, sometimes escalating the risk of expulsion by a factor of 4.5 from late first- to second-trimester ...

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