Clinical outcomes of intrauterine device insertions by newly trained providers: The ECHO trial experience.

ABSTRACT:

Objectives

To assess the rates of failed insertion, expulsion, and perforation when intrauterine device (IUD) insertions were done by newly trained clinicians, and to examine factors that may affect these outcomes.

Study design

We evaluated skill-based outcomes following IUD insertion at 12 African sites in a secondary analysis of the Evidence for Contraceptive Options and HIV Outcomes (ECHO) randomized trial. Before trial initiation, we provided competency-based IUD training to clinicians and offered ongoing clinical support. We used Cox proportional hazards regression to examine factors associated with expulsion.

Results

Among 2582 IUD acceptors who underwent first attempted IUD insertion, 141 experienced insertion failure (5.46%) and seven had uterine perforation (

SUBMITTER: Yacobson I 

PROVIDER: S-EPMC10176026 | biostudies-literature | 2023

REPOSITORIES: biostudies-literature