title: Immediate postabortion intrauterine device insertion: continuation and satisfaction.
abstract: BACKGROUND
  The provision of intrauterine devices (IUDs) immediately postabortion has the potential to decrease unintended pregnancy in the United States. Studies have demonstrated safety and efficacy; however, there are limited data about continuation, satisfaction, and bleeding patterns among women receiving immediate postabortion IUDs.
  
  
  METHODS
  We performed a retrospective cohort study of women undergoing immediate postabortion IUD insertion. Demographics and clinical data were collected from intake forms and procedure notes. We attempted to contact women by telephone to administer a short questionnaire to assess continuation, satisfaction, and bleeding patterns.
  
  
  RESULTS
  We were able to contact 77 of 225 (34%). Women lost to follow-up were more likely to have higher parity or a pregnancy of greater gestational age at the time of abortion compared with women who were successfully contacted. Continuation and satisfaction rates were high (80.5% and 80.6%, respectively). Reported bleeding patterns with IUD use were similar to previously reported patterns.
  
  
  CONCLUSIONS
  Follow-up of women undergoing immediate postabortion IUD insertion is challenging. However, we found that women choosing immediate postabortion IUD had high rates of continuation and satisfaction.
authors: Division of Clinical Research, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, St. Louis, MO 63110, USA. mcnicholasc@wudosis.wustl.edu
authors: Colleen
authors: C
authors: McNicholas
authors: Taylor
authors: T
authors: Hotchkiss
authors: Tessa
authors: T
authors: Madden
authors: Qiuhong
authors: Q
authors: Zhao
authors: Jenifer
authors: J
authors: Allsworth
authors: Jeffrey F
authors: JF
authors: Peipert
mesh_terms: D000028:Abortion, Induced / Q000379:methods / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007434:Intrauterine Devices / Q000706:statistics & numerical data*; D008875:Middle Aged; D010352:Patient Dropouts / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011183:Postoperative Complications; D011184:Postoperative Period; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D011262:Pregnancy Trimester, Second; D012189:Retrospective Studies; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014505:Urban Population; D014592:Uterine Hemorrhage / Q000150:complications; D055815:Young Adult