Document Detail

Failure in intrauterine contraception. Analysis of 137 cases of unfavourable outcome.
MedLine Citation:
PMID:  1589253     Owner:  NLM     Status:  MEDLINE    
137 cases of unfavourable outcome in IUD insertion (i.e. early removal or expulsion because of complications) were investigated as regards age, parity, previous intrauterine contraception, previous induced abortion, type of device inserted, and type of complications observed. Moreover, this group was compared for each feature mentioned with a control group of 454 women who successfully concluded the prescribed period from the insertion. All the devices were inserted with a significantly higher rate of favourable outcome in pluriparous versus nulliparous patients; age probably didn't affect the outcome, but strongly conditioned the prevalence of particular complications such as PID and abnormal bleeding. Progesterone-loaded IUD didn't show a more favourable outcome than copper devices.
The factors associated with 137 cases of IUD expulsion or early removal due to complications were investigated in a case-control study conducted at an Italian family planning clinic. The 454 controls were women who did not experience adverse IUD outcomes. Complications in the study group included: bleeding (35%), expulsion (13%), pregnancy (13%), pelvic pain (15%), and pelvic inflammatory disease (24%). The majority of complications occurred 6-12 months after IUD insertion. Previous IUD use and the type of IUD inserted were unrelated to outcome. Most significant in terms of outcome was parity. There was a statistically significant (p .001) difference between the percentage of nulliparae in the study group (34%) compared with the control group (17%). Although most of the nulliparae in the study group were under 20 years of age, age did not have a significant correlation with IUD outcome. Pelvic inflammatory disease was significantly more prevalent in women under 30 years of age, while excessive bleeding was more common in cases above this age.
E Calzolari; R Masciangelo; G Ciampaglia; M Steffè; C Parisi; S Maisano; C Pavia; D Dattilo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Panminerva medica     Volume:  34     ISSN:  0031-0808     ISO Abbreviation:  Panminerva Med     Publication Date:    1992 Jan-Mar
Date Detail:
Created Date:  1992-06-19     Completed Date:  1992-06-19     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0421110     Medline TA:  Panminerva Med     Country:  ITALY    
Other Details:
Languages:  eng     Pagination:  19-23     Citation Subset:  IM; J    
II Department of Obstetrics and Gynecology, S. Anna Hospital, Rome.
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MeSH Terms
Age Factors
Intrauterine Devices / adverse effects*
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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