IUD use among parous women and risk of uterine perforation: a secondary analysis.

Abstract:

OBJECTIVE:The objective of the study was to determine if delivery and lactation are risk factors for complete intrauterine device perforations. STUDY DESIGN:We performed a reanalysis of the European Active Surveillance Study on Intra-Uterine Devices data set using complete penetration of the myometrium as the definition for perforation. RESULTS:Of the 61,448 women enrolled (70% levonorgestrel, 30% copper devices), we identified 58 complete perforations, 30 of which occurred in lactating women. Incidence per 1000 insertions was 4.5 (95% confidence interval [CI]: 3.0-6.4) for lactating and 0.6 (95% CI: 0.4-0.9) for nonlactating women. Time since delivery was also associated with perforation risk. CONCLUSIONS:Lactation and delivery are independent cofactors for perforation. Results do not differ when restricting the definition of perforation.

journal_name

Contraception

journal_title

Contraception

authors

Heinemann K,Barnett C,Reed S,Möhner S,Do Minh T

doi

10.1016/j.contraception.2017.03.007

subject

Has Abstract

pub_date

2017-06-01 00:00:00

pages

605-607

issue

6

eissn

0010-7824

issn

1879-0518

pii

S0010-7824(17)30087-2

journal_volume

95

pub_type

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