Immediate post-abortion intrauterine contraceptive device insertion

ABSTRACT

To evaluate immediate post-abortion IUCD insertion, 200 women with spontaneous first trimester abortion were selected. IUCDs were inserted immediately post-abortion in 90 women, within 2-3 weeks after abortion in 30 women and after the first menses in 70 women. Blood loss was estimated during the first post-abortive 24 hours as well as the first and the second menses. All patients were followed for six months post insertion. In this study, it was found that the incidence of leukorrhea was significantly higher among post-abortion IUCD users than among non users. There was a significant reduction in the menstrual blood loss, in the incidence of menorrhagia and inter- mensrual bleeding in immediate post-abortion IUCD users in comparison to interval IUCD users. The incidence of other side effects and complications of IUCD [i.e. pain, infection, expulsion and pregnancy] in immediate post-abortion IUCD users were comparable or even lower than in the interval IUCD users. These data suggested that immediate post-abortion IUCD insertion is a safe and recommendable procedure