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Titolo:
Insertion of an intrauterine contraceptive device after induced or spontaneous abortion: a review of the evidence
Autore:
Stanwood, NL; Grimes, DA; Schulz, KF;
Indirizzi:
Univ N Carolina, Sch Med, Robert Wood Johnson Clin Scholars Program, Chapel Hill, NC USA Univ N Carolina Chapel Hill NC USA Scholars Program, Chapel Hill, NC USA Univ N Carolina, Sch Med, Dept Obstet & Gynecol, Chapel Hill, NC USA Univ N Carolina Chapel Hill NC USA Obstet & Gynecol, Chapel Hill, NC USA Family Hlth Int, Res Triangle Pk, NC 27709 USA Family Hlth Int Res Triangle Pk NC USA 27709 es Triangle Pk, NC 27709 USA
Titolo Testata:
BRITISH JOURNAL OF OBSTETRICS AND GYNAECOLOGY
fascicolo: 11, volume: 108, anno: 2001,
pagine: 1168 - 1173
SICI:
1470-0328(200111)108:11<1168:IOAICD>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
COMPARATIVE CLINICAL-TRIAL; EFFICACY; TCU-380A; IUDS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Stanwood, NL Univ Rochester, Med Ctr, Dept Obstet & Gynecol, Box 668,601 Elmwood Ave, Rochester, NY 14642 USA Univ Rochester Box 668,601 Elmwood Ave Rochester NY USA 14642
Citazione:
N.L. Stanwood et al., "Insertion of an intrauterine contraceptive device after induced or spontaneous abortion: a review of the evidence", BR J OBST G, 108(11), 2001, pp. 1168-1173

Abstract

Objective Assess the safety and efficacy of intrauterine contraceptive device (IUCD) insertion immediately after induced or spontaneous abortion. Design Systematic search for randomised trials that had at least one treatment arm that involved IUCD insertion immediately after an induced or spontaneous miscarriage using Medline, Popline, EMBASE, and review articles, supplemented by correspondence with investigators. Population Women of any age or gravidity who had all IUCD inserted immediately after evacuation for spontaneous or induced abortion. Methods Articles were abstracted and the ra data from tables, were analysed with RevMan 3.1 software. We focused on Tietze-Potter gross life table probabilities with denominators of person-time of exposure. Main outcome measures Rates of perforation, expulsion. pelvic inflammatorydisease, contraceptive failure, and method continuation. Results Complication rates for immediate post-abortal IUCD insertion were low. Perforation was rare with a rate of approximately one per 1000 insertions. One year gross cumulative expulsion rates, ranged from 1.8% to 12.6%. pregnancy rates from 0.6% to 2.1%, and continuation rates from 54% to 90%. The net discontinuation rate due to pelvic inflammatory disease was low, ranging from 0.0 to 0.8 per 100 women at one year. Increasing, gestational age at insertion was associated with increased expulsion rates,Conclusions Post-abortal IUCD insertion is safe and offective. The risks of perforation, expulsion, pelvic inflammatory disease and contraceptive failure were low and similar to those reported for interval insertion. Second trimester gestational age is associated with all increased risk of expulsion. Immediate insertion may have a higher expulsion rate than delayed insertion. However. these risks may be outweighed by the benefit of immediate contraception.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 23/01/20 alle ore 19:21:30