OBJECTIVE: To compare intrauterine device (IUD) use at 6 months in @entity1 randomized to receive an intrauterine @entity920 contraceptive 1 week compared with 1 month after medical abortion. METHODS: We recruited @entity1 undergoing medical abortion with @entity3927 and @entity396 and choosing the @entity920 IUD for contraception. We randomly assigned @entity1 to "immediate" insertion 1 week after @entity3927 or "delayed" insertion 4-6 weeks later. We followed rates of IUD insertion, 6-month utilization, expulsion, removal, and pregnancy. @entity1 recorded @entity548 in a diary for 4 weeks. RESULTS: We randomized 156 @entity1 . We inserted an IUD in 97% of @entity1 in the immediate group and 76% in the delayed group (P<.001). At 6 months, 69% of @entity1 in the immediate group used the IUD compared with 60% in the delayed group (P=.24). Expulsion rates were comparable; 12% (8 of 69) in the immediate group compared with 11% (7 of 65) in the delayed group. Removals occurred in 14% (10 of 69) of immediate and 8% (5 of 65) of delayed group @entity1 (P=.21). Four pregnancies occurred in delayed group @entity1 who did not return for IUD insertion (P=.09). The immediate and delayed groups reported a median of 20 and 19 @entity548 or spotting days, respectively (P=.15). We detected no cases of serious @entity281 , uterine perforation, or @entity548 . CONCLUSION: Immediate insertion increased uptake of the IUD without increasing expulsions or @entity548 . CLINICAL TRIAL REGISTRATION: Clinicaltrials.gov, www.clinialtrials.gov, . LEVEL OF EVIDENCE: I.

Timing of XXXX intrauterine device insertion after medical abortion: a randomized controlled trial.

@entity1 :: ('9606', 'Species') :: ['participants', 'women', 'Participants'] @entity548 :: ('MESH:D006470', 'Disease') :: ['hemorrhage', 'bleeding'] @entity396 :: ('MESH:D016595', 'Chemical') :: ['misoprostol'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity920 :: ('MESH:D003300', 'Chemical') :: ['copper'] @entity3927 :: ('MESH:D015735', 'Chemical') :: ['mifepristone']
@entity920 :: (MESH:D003300,Chemical) :: ['copper']
