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Same-day intrauterine device placement is rarely complicated by pelvic infection.
Womens Health Issues. 2015 Jan-Feb; 25(1):22-7.WH

Abstract

PURPOSE

To compare rates of pelvic inflammatory disease (PID) among women who did and did not receive an intrauterine device (IUD) the day they sought emergency contraception (EC) or pregnancy testing.

METHODS

Women, 15 to 45 years of age, who sought EC or pregnancy testing from an urban family planning clinic completed surveys at the time of their clinic visit (August 22, 2011, to May 30, 2013) and 3 months after their clinic visit. The surveys assessed contraceptive use and symptoms, testing, and treatment for sexually transmitted infections (STI) and PID. We reviewed the medical records of participants who reported IUD placement within 3 months of enrollment and abstracted de-identified electronic medical record (EMR) data on all women who sought EC or pregnancy testing from the study clinic during the study period.

FINDINGS

During the study period, 1,060 women visited the study clinic; 272 completed both enrollment and follow-up surveys. Among survey completers with same-day IUD placement, PID in the 3 months after enrollment was not more common (1/28 [3.6%]; 95% CI, 0%-10.4%) than among women who did not have a same-day IUD placed (11/225 [4.9%]; 95% CI, 2.7%-8.6%; p = .71). Chart review and EMR data similarly showed that rates of PID within 3 months of seeking EC or pregnancy testing were low whether women opted for same-day or delayed IUD placement.

CONCLUSIONS

Same-day IUD placement was not associated with higher rates of PID. Concern for asymptomatic STI should not delay IUD placement, and efforts to increase the uptake of this highly effective reversible contraception should not be limited to populations at low risk of STI.

Authors+Show Affiliations

Department of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania.Department of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Epidemiology, University of Pittsburgh, Pittsburgh, Pennsylvania.Department of Medicine, Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania; Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.Department of Obstetrics, Gynecology & Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.Department of Medicine, University of California, Davis, Sacramento, California. Electronic address: ebschwarz@ucdavis.edu.

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

25445666

Citation

Papic, Melissa, et al. "Same-day Intrauterine Device Placement Is Rarely Complicated By Pelvic Infection." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 25, no. 1, 2015, pp. 22-7.
Papic M, Wang N, Parisi SM, et al. Same-day intrauterine device placement is rarely complicated by pelvic infection. Womens Health Issues. 2015;25(1):22-7.
Papic, M., Wang, N., Parisi, S. M., Baldauf, E., Updike, G., & Schwarz, E. B. (2015). Same-day intrauterine device placement is rarely complicated by pelvic infection. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 25(1), 22-7. https://doi.org/10.1016/j.whi.2014.09.006
Papic M, et al. Same-day Intrauterine Device Placement Is Rarely Complicated By Pelvic Infection. Womens Health Issues. 2015 Jan-Feb;25(1):22-7. PubMed PMID: 25445666.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Same-day intrauterine device placement is rarely complicated by pelvic infection. AU - Papic,Melissa, AU - Wang,Nan, AU - Parisi,Sara M, AU - Baldauf,Erin, AU - Updike,Glenn, AU - Schwarz,Eleanor Bimla, Y1 - 2014/11/26/ PY - 2014/05/13/received PY - 2014/09/02/revised PY - 2014/09/23/accepted PY - 2014/12/3/entrez PY - 2014/12/3/pubmed PY - 2015/11/4/medline SP - 22 EP - 7 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 25 IS - 1 N2 - PURPOSE: To compare rates of pelvic inflammatory disease (PID) among women who did and did not receive an intrauterine device (IUD) the day they sought emergency contraception (EC) or pregnancy testing. METHODS: Women, 15 to 45 years of age, who sought EC or pregnancy testing from an urban family planning clinic completed surveys at the time of their clinic visit (August 22, 2011, to May 30, 2013) and 3 months after their clinic visit. The surveys assessed contraceptive use and symptoms, testing, and treatment for sexually transmitted infections (STI) and PID. We reviewed the medical records of participants who reported IUD placement within 3 months of enrollment and abstracted de-identified electronic medical record (EMR) data on all women who sought EC or pregnancy testing from the study clinic during the study period. FINDINGS: During the study period, 1,060 women visited the study clinic; 272 completed both enrollment and follow-up surveys. Among survey completers with same-day IUD placement, PID in the 3 months after enrollment was not more common (1/28 [3.6%]; 95% CI, 0%-10.4%) than among women who did not have a same-day IUD placed (11/225 [4.9%]; 95% CI, 2.7%-8.6%; p = .71). Chart review and EMR data similarly showed that rates of PID within 3 months of seeking EC or pregnancy testing were low whether women opted for same-day or delayed IUD placement. CONCLUSIONS: Same-day IUD placement was not associated with higher rates of PID. Concern for asymptomatic STI should not delay IUD placement, and efforts to increase the uptake of this highly effective reversible contraception should not be limited to populations at low risk of STI. SN - 1878-4321 UR - https://www.unboundmedicine.com/medline/citation/25445666/Same_day_intrauterine_device_placement_is_rarely_complicated_by_pelvic_infection_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1049-3867(14)00113-3 DB - PRIME DP - Unbound Medicine ER -