Immediate IUD insertion after second trimester abortion: implications for service delivery.

ABSTRACT:

Background

The availability of modern contraception including long-acting reversible contraceptives (LARC), is a fundamental component of postabortion care. Findings from a recent randomized controlled trial (RCT) in South Africa comparing immediate to delayed insertion of the copper intrauterine device (IUD) after medical abortion (MA) at 17-20 gestational weeks showed that immediate insertion resulted in higher IUD use at 6 weeks postabortion, but that expulsion rates were significantly higher than for delayed insertion. This study aims to explore barriers, facilitators, and context-specific factors relevant to the implementation of immediate IUD provision after second trimester medical abortion.

Methods

We performed a qualitative study alongside the RCT in which we conduc

SUBMITTER: Somefun O 

PROVIDER: S-EPMC8645068 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature