Post Abortion IUD & Recurrent Abortion 2001-2004

Terminated

• Conditions: Abortion Rate
• Interventions: Device: Intrauterine device (IUD)

• Registration Number: NCT00965770
• Lead Sponsor: University of British Columbia

Brief Summary

It has been shown that the immediate insertion of intrauterine devices (IUDs) post-abortion prevents repeat abortions. The researchers hypothesize that providing free IUDs post-abortion will be associated with a lower rate of repeat abortion in a Canadian population. Further, the researchers hypothesize that providing free IUDs post-abortion will be associated with decreased costs for the health care system.

Detailed Description

The researchers 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.

The researchers will conduct a retrospective observational cohort study by chart review. The researchers propose to review the charts of 600 women undergoing abortions between January 1, 2001 and December 31, 2004 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.

Study Timeline

• Study First Submitted: 2009-08-24
• Study First Submitted QC: 2009-08-25
• Study First Posted: 2009-08-26
• Study Start: 2011-05
• Primary Completion: 2011-12
• Study Completion: 2011-12
• Status Verified: 2018-05
• Last Update Submitted: 2018-05-01
• Last Update Posted: 2018-05-04

Recruitment & Eligibility

• Status: TERMINATED
• Sex: Female
• Target Recruitment: 1101

Inclusion Criteria

• Female resident of Interior Health region seeking an abortion between January 1, 2001 and December 31, 2004

Exclusion Criteria

• Women undergoing abortions for fetal genetic abnormalities

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
IUD	Intrauterine device (IUD)	Repeat abortion rate in women receiving IUDs immediately post-abortion

Primary Outcome Measures

Name	Time	Method
The proportion of repeat abortions at five years from the index abortions.	5 years

Secondary Outcome Measures

Name	Time	Method
A cost-effectiveness analysis of providing free IUDs to women immediately post-abortion; correlation of repeat and index abortions with obstetrical, demographic and contraceptive history factors.	2 months

Trial Locations

Locations (1)

Women's Services Clinic, Kelowna General Hospital; 🇨🇦 Kelowna, British Columbia, Canada