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Prevalence and predictors of initiation of intrauterine devices and subdermal implants immediately after surgical abortion

Contraception May 18, 2019

Roe AH, et al. - Researchers sought to determine the uptake of long-acting reversible contraception (LARC) methods immediately after surgical abortion in a system that makes these methods readily available. In addition, they examined how immediate post-abortion intrauterine device (IUD) and implant initiation could be predicted by demographic, medical, social, and visit-specific factors. In this retrospective cohort study, they identified 26,858 surgical abortion patients; among these, immediate post-abortion LARC was received by 25.4%: 14.2%, 4.2%, and 7.0% received a levonorgestrel intrauterine system, copper IUD, and implant, respectively. They noted lower odds of initiating an IUD among Black women compared to White women. Compared to nulliparous women, multiparous women exhibited greater odds of initiating an IUD or implant. Age was identified to be the strongest predictor of implant initiation (<18 versus≥35), but it was not associated with IUD uptake. An increase in implant uptake from 2.4% (2012) to 8.7% (2017) was noted however IUD uptake remained fairly constant.
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