The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception · 2025
Outcomes of medical abortion with an intrauterine device in situ: a retrospective review.
СтатьяНазвание и аннотация: Перевод в очереди
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Marsh Kiara, Cameron Sharon T
Аннотация
BACKGROUND: There is a lack of evidence on the outcomes of medical abortion with an intrauterine device (IUD) in situ. Guidelines recommend IUD removal prior to medical abortion, but retrieval is not always possible. This study examines the outcomes of medical abortion (< 12 weeks) in women where the IUD was removed prior to abortion and those where it remained in situ.
METHODS: A retrospective review of medical abortion outcomes < 12 weeks (complete abortion, incomplete abortion and ongoing pregnancy) at a single abortion service in Scotland over five years (2020-2024). Outcomes were compared for those with IUD removed pre abortion and those with the IUD left in situ.
RESULTS: Of 18,436 cases presenting for abortion, 98 (0.53%) reported that they had an IUD in situ. Of these, there were 61 cases (76%) who had a medical abortion (< 12 weeks) in whom the IUD was visible on a pre abortion ultrasound. In 46/61 (75%), the IUD was removed pre abortion and in 15/61 (25%) it was not retrievable. Complete abortion occurred in all cases where the IUD was removed and in 14/15 cases (93%) with the IUD left in situ. There was one ongoing pregnancy (IUD in situ group).
CONCLUSION: Medical abortion with an IUD in situ appears safe and effective showing comparable success and low complication rates to cases where the IUD is removed pre abortion. This supports clinical practice of proceeding to medical abortion in cases where the IUD cannot be retrieved.
METHODS: A retrospective review of medical abortion outcomes < 12 weeks (complete abortion, incomplete abortion and ongoing pregnancy) at a single abortion service in Scotland over five years (2020-2024). Outcomes were compared for those with IUD removed pre abortion and those with the IUD left in situ.
RESULTS: Of 18,436 cases presenting for abortion, 98 (0.53%) reported that they had an IUD in situ. Of these, there were 61 cases (76%) who had a medical abortion (< 12 weeks) in whom the IUD was visible on a pre abortion ultrasound. In 46/61 (75%), the IUD was removed pre abortion and in 15/61 (25%) it was not retrievable. Complete abortion occurred in all cases where the IUD was removed and in 14/15 cases (93%) with the IUD left in situ. There was one ongoing pregnancy (IUD in situ group).
CONCLUSION: Medical abortion with an IUD in situ appears safe and effective showing comparable success and low complication rates to cases where the IUD is removed pre abortion. This supports clinical practice of proceeding to medical abortion in cases where the IUD cannot be retrieved.