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Today a large proportion of early abortions are medical, in accordance to the woman's choice. The main objective of the present study was to compare, in a randomised fashion, initiation of intrauterine contraception (IUC) at about 1 week versus 3 to 4 weeks post medical abortion with regard to expulsions and safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Delayed IUC insertion | Active Comparator | Patients randomised to delayed, routine, insertion had their IUC inserted at 3-4 weeks (day 21-35 after mifepristone treatment |
|
| Early IUC insertion | Active Comparator | Patients randomised to early insertion had their IUC inserted on day 5-9 after mifepristone treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Timing of IUC insertion | Other | Patients randomised to early insertion had their IUC inserted on day 5-9 after mifepristone treatment while patients randomised to delayed insertion had the IUC insertion at about 3 to 4 weeks after mifepristone. |
| Measure | Description | Time Frame |
|---|---|---|
| Expulsion | Expulsions are recorded up to 6 months after the IUC insertion | 6 months after IUC insertion |
| Measure | Description | Time Frame |
|---|---|---|
| PID | Pelvic inflammatory disease reported or diagnosed at FU | within 6 months of IUC insertion |
| serum hemoglobin | S-Hb was measured at IUC insertion and at 4 weeks post insertion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kristina Gemzell Danielsson, MD, PhD | WHO centre, Dept of Women's and Childrens' Health, Div of Obstetrics and Gynecology, Karolinska Institutet/ Karolinska Univeristy Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| WHO centre, Karolinska University Hospital | Stockholm | 17176 | Sweden |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23155432 | Derived | Saav I, Stephansson O, Gemzell-Danielsson K. Early versus delayed insertion of intrauterine contraception after medical abortion - a randomized controlled trial. PLoS One. 2012;7(11):e48948. doi: 10.1371/journal.pone.0048948. Epub 2012 Nov 14. |
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|
| 4 weeks post IUC insertion |
| Compliance | impact on the number of women who return for IUC insertion, and compliance with IUC use during the first 6 months following insertion | 6 months |
| Bleeding patterns | Bleeding patterns during the first 4 weeks post IUC insertion | 4 weeks |