Post-abortion long-acting reversible contraception in a sample of Italian women: intrauterine device versus subdermal implant.
Long-acting reversible contraceptives (LARC) represent an especially effective kind of post-abortion contraception. We aimed at assessing satisfaction, discontinuation, efficacy, and tolerability associated with either levonorgestrel intrauterine device (L-IUCD), the copper intrauterine device (C-IUCD) and implant (IMP) after termination of pregnancy (TOP). We recorded baseline data about the patients and performed phone surveys at 3, 6 and 12 months after insertion to assess the bleeding profile. Furthermore, women were inquired about possible adverse events, satisfaction, and discontinuation at 12 months after insertion. LARC continuers (>12 months after TOP) were divided into three groups: L-IUCD (n = 47), C-IUCD (n = 6) and IMP (n = 36). Satisfaction rates among L-IUCD users were higher than among IMP users (100% vs. 72.2%, p < .05). A higher, yet not significant, share of patients decided to withdraw contraception in IMP group (3.6% in IUCD group and 12.2% in IMP group). The bleeding profile was significantly more favorable among L-IUCD users than among IMP users. Finally, the reported rate of treatment-associated adverse events did not differ significantly among the groups. L-IUCD insertion after TOP is associated with higher satisfaction and lower discontinuation rates than IMP. Such pattern could be attributed to a more favorable bleeding profile.
['Piva|I|I|', 'Brusca|F|F|', 'Tassinati|F|F|', 'Bonipozzi|S|S|', 'Palano|A|A|', 'Sassi|M T|MT|', 'Bonaccorsi|G|G|', 'Morano|D|D|', 'Martinello|R|R|', 'Scutiero|G|G|', 'Indraccolo|U|U|http://orcid.org/0000-0002-7660-6864', 'Greco|P|P|']
D000028:Abortion, Induced D000328:Adult D003267:Contraception D004343:Drug Implants D005260:Female D006801:Humans D007434:Intrauterine Devices D007558:Italy D016912:Levonorgestrel D000075523:Long-Acting Reversible Contraception D017060:Patient Satisfaction D011446:Prospective Studies D055815:Young Adult
implant termination of pregnancy Long-acting contraceptives intrauterine contraceptive device