Efficacy and tolerance of immediate post-abortion IUD contraception 

Efficacy and tolerance of immediate post-abortion IUD


V. Liberis, N. Koutlaki, I. Tsikrikoni, T. Chartabas, P. Tsikouras,

G. Galazios 

Department of Obstetrics & Gynaecology, Democritus University

of Thrace, Alexandroupolis, Greece 

Objective: To assess the efficacy and

tolerance of IUD insertion for the initiation of contraception immediately after

induced abortion before the 10th week of gestation, according to different types

of anesthesia. 

Methods: One hundred and ninety-eight parous women who referred

to the Department of Family Planning of our clinic due to an unwanted pregnancy

below 10th week in the years 1998–2002 were included in the study. After a

counseling session concerning initiation of contraception, all women gave their

consent to be subjected to IUD insertion immediately after abortion. General

intravenous anesthesia was performed on 107 of them while in the rest 91 IUDs

were placed under paracervical blockade. The type of anesthesia was selected

according to the medical history of the women, to the personal preference of

each one of them as well as to their willing to minimize the time for the

scheduled abortion. A clinical and ultrasound follow up was performed on all

women immediately after operation, 2 weeks, 6 weeks and 1 year after operation.

Immediate or late complications were evaluated such as unsuccessful operation,

IUD expulsion, postoperative pain, genital infections, abnormal bleeding,

improper placement of the IUD, as well as the contraceptive efficacy of the


Results: In the group of women who were subjected to paracervical

blockade a statistically significant difference was observed concerning the

inability to have the operation completed (p50.05), as well as the lack of

immediate postoperative pain (p50.01). No significant differences were noticed

between the two groups concerning the rest of the parameters evaluated. 

Conclusions: IUD insertion immediately after induced early abortion by use of

paracervical blockade is a safe and well – tolerated method, which both

facilitates family planning services by simplifying the medical part of the

procedure and releases the women from the need of a late start of contraception.

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