title: Immediate Intrauterine Device Insertion Following Surgical Abortion.
abstract: Placement of an intrauterine device (IUD) immediately after a first or second trimester surgical abortion is safe and convenient and decreases the risk of repeat unintended pregnancy. Immediate postabortion IUD placement is not recommended in the setting of postprocedure hemorrhage, uterine perforation, infection, or hematometra. Otherwise, there are few contraindications to IUD placement following surgical abortion. Sexually transmitted infection screening should follow US Centers for Disease Control and Prevention guidelines. No additional antibiotics are needed beyond those used for the abortion. Placing immediate postabortion IUDs makes highly-effective long-acting reversible contraception more accessible to women.
authors.affiliation: Department of Obstetrics and Gynecology, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Mail code UHN50, Portland, OR 97239, USA.
authors.forename: Eva
authors.initials: E
authors.lastname: Patil
authors.affiliation: Department of Obstetrics and Gynecology, Oregon Health & Science University, 3181 Southwest Sam Jackson Park Road, Mail code UHN50, Portland, OR 97239, USA. Electronic address: bednarek@ohsu.edu.
authors.forename: Paula H
authors.initials: PH
authors.lastname: Bednarek
mesh_terms: D000028:Abortion, Induced; D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000379:methods*; D005193:Family Planning Services; D005260:Female; D006801:Humans; D007433:Intrauterine Device Expulsion; D007434:Intrauterine Devices; D011183:Postoperative Complications; D011247:Pregnancy; D049168:Pregnancy, Unplanned; D018570:Risk Assessment; D014481:United States; D016387:Women's Health
keywords: Contraception; Intrauterine device; Postabortion intrauterine device insertion; Postaspiration intrauterine device insertion; Postdilation and evacuation intrauterine device