Post Abortion IUD & Recurrent Abortion 2005-2006

NCT ID: NCT01776957

Last Updated: 2018-05-04

Basic Information

• Recruitment Status: TERMINATED
• Total Enrollment: 1308 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2012-07-31
• Study Completion Date: 2012-12-31

Brief Summary

The rate of repeat abortions will be lowest in those women who choose immediate insertion of an IUD post-abortion versus those who immediately choose oral contraceptive pills and those who indicate all other contraceptive choices including no contraception The provision by the health system of IUDs for immediate insertion will result in the lowest health system costs.

Detailed Description

The investigators intend to demonstrate whether there are statistically significant differences in the rates of repeat abortions between three groups: 1. women choosing to have an intrauterine device (IUD) inserted immediately post-abortion, 2. those choosing to begin oral contraceptives immediately post-abortion, and 3. all other choices for post abortion contraception including those stating an intention to obtain contraceptives at a later time or from an alternate location or to use no contraception. This data will then be used to conduct a cost-effectiveness analysis of health system provision for cost-free IUDs post-abortion. Thus, if providing a free IUD immediately post-abortion significantly reduces the rate of repeat abortions, it may be more cost- effective for health system services to provide free IUDs at abortion clinics than to field the costs associated with a higher rate of repeat abortions.

The researchers will conduct a retrospective observational cohort study by chart review. The researchers propose to review the charts of women undergoing abortions between January 1, 2005 and December 31, 2006 at Kelowna General Hospital's Women's Services Clinic. The researchers will record the following data from each chart: age, parity, gestational age, date of index therapeutic abortion (TA), dates of subsequent TAs, contraception used at the time of the index conception, contraceptive method chosen post-abortion, and outcome of follow-up at two weeks, such as expulsion of IUD. The researchers will also record the recurrent pregnancy rates.

Conditions

Induced Abortion

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: RETROSPECTIVE

Study Groups

IUD

Repeat abortion rate in women receiving IUDs immediately post-abortion

Device: Intrauterine device (IUD)

Intervention Type: DEVICE

Women choosing to have an intrauterine device (IUD) inserted immediately post-abortion

Interventions

Device: Intrauterine device (IUD)

Women choosing to have an intrauterine device (IUD) inserted immediately post-abortion

Intervention Type: DEVICE

Eligibility Criteria

Inclusion Criteria

• Female resident of Interior Health region seeking an abortion between January 1, 2005 and December 31, 2006

Exclusion Criteria

• Women undergoing abortions for fetal genetic abnormalities

• Minimum Eligible Age: 18 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

University of British Columbia

OTHER

Sponsor Role: lead

Responsible Party

Wendy Norman

Principle Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Wendy Norman, Dr.

Role: PRINCIPAL_INVESTIGATOR

University of British Columbia

Other Identifiers

H12-00829

Identifier Type: -

Identifier Source: org_study_id