Same-Day Intrauterine Device Placement is Rarely Complicated by Pelvic Infection

Melissa Papic, Nan Wang, Sara M. Parisi, Erin Baldauf, Glenn Updike, Eleanor Schwarz

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Purpose: To compare rates of pelvic inflammatory disease (PID) among women who did and did not receive an intrauterine device (IUD) the day they sought emergency contraception (EC) or pregnancy testing. Methods: Women, 15 to 45years of age, who sought EC or pregnancy testing from an urban family planning clinic completed surveys at the time of their clinic visit (August 22, 2011, to May 30, 2013) and 3 months after their clinic visit. The surveys assessed contraceptive use and symptoms, testing, and treatment for sexually transmitted infections (STI) and PID. We reviewed the medical records of participants who reported IUD placement within 3months of enrollment and abstracted de-identified electronic medical record (EMR) data on all women who sought EC or pregnancy testing from the study clinic during the study period. Findings: During the study period, 1,060 women visited the study clinic; 272 completed both enrollment and follow-up surveys. Among survey completers with same-day IUD placement, PID in the 3months after enrollment was not more common (1/28 [3.6%]; 95% CI, 0%-10.4%) than among women who did not have a same-day IUD placed (11/225 [4.9%]; 95% CI, 2.7%-8.6%; p=71). Chart review and EMR data similarly showed that rates of PID within 3months of seeking EC or pregnancy testing were low whether women opted for same-day or delayed IUD placement. Conclusions: Same-day IUD placement was not associated with higher rates of PID. Concern for asymptomatic STI should not delay IUD placement, and efforts to increase the uptake of this highly effective reversible contraception should not be limited to populations at low risk of STI.

Original languageEnglish (US)
Pages (from-to)22-27
Number of pages6
JournalWomen's Health Issues
Volume25
Issue number1
DOIs
StatePublished - Jan 1 2015

Fingerprint

Pelvic Infection
Intrauterine Devices
Pelvic Inflammatory Disease
contraception
Postcoital Contraception
pregnancy
Disease
Sexually Transmitted Diseases
Pregnancy
Electronic Health Records
Ambulatory Care
electronics
City Planning
urban planning
contraceptive
family planning
Family Planning Services
Contraceptive Agents
Contraception
Medical Records

ASJC Scopus subject areas

  • Health(social science)
  • Obstetrics and Gynecology
  • Public Health, Environmental and Occupational Health
  • Maternity and Midwifery

Cite this

Same-Day Intrauterine Device Placement is Rarely Complicated by Pelvic Infection. / Papic, Melissa; Wang, Nan; Parisi, Sara M.; Baldauf, Erin; Updike, Glenn; Schwarz, Eleanor.

In: Women's Health Issues, Vol. 25, No. 1, 01.01.2015, p. 22-27.

Research output: Contribution to journalArticle

Papic, Melissa ; Wang, Nan ; Parisi, Sara M. ; Baldauf, Erin ; Updike, Glenn ; Schwarz, Eleanor. / Same-Day Intrauterine Device Placement is Rarely Complicated by Pelvic Infection. In: Women's Health Issues. 2015 ; Vol. 25, No. 1. pp. 22-27.
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abstract = "Purpose: To compare rates of pelvic inflammatory disease (PID) among women who did and did not receive an intrauterine device (IUD) the day they sought emergency contraception (EC) or pregnancy testing. Methods: Women, 15 to 45years of age, who sought EC or pregnancy testing from an urban family planning clinic completed surveys at the time of their clinic visit (August 22, 2011, to May 30, 2013) and 3 months after their clinic visit. The surveys assessed contraceptive use and symptoms, testing, and treatment for sexually transmitted infections (STI) and PID. We reviewed the medical records of participants who reported IUD placement within 3months of enrollment and abstracted de-identified electronic medical record (EMR) data on all women who sought EC or pregnancy testing from the study clinic during the study period. Findings: During the study period, 1,060 women visited the study clinic; 272 completed both enrollment and follow-up surveys. Among survey completers with same-day IUD placement, PID in the 3months after enrollment was not more common (1/28 [3.6{\%}]; 95{\%} CI, 0{\%}-10.4{\%}) than among women who did not have a same-day IUD placed (11/225 [4.9{\%}]; 95{\%} CI, 2.7{\%}-8.6{\%}; p=71). Chart review and EMR data similarly showed that rates of PID within 3months of seeking EC or pregnancy testing were low whether women opted for same-day or delayed IUD placement. Conclusions: Same-day IUD placement was not associated with higher rates of PID. Concern for asymptomatic STI should not delay IUD placement, and efforts to increase the uptake of this highly effective reversible contraception should not be limited to populations at low risk of STI.",
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