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Post Abortion IUD & Recurrent Abortion 2005-2006

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01776957
Recruitment Status : Terminated (This study is a retrospective chart review study, not a clinical trial.)
First Posted : January 28, 2013
Last Update Posted : May 4, 2018
Information provided by (Responsible Party):
Wendy Norman, University of British Columbia

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.

Condition or disease Intervention/treatment
Induced Abortion Device: Device: Intrauterine device (IUD)

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.

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Study Type : Observational
Actual Enrollment : 1308 participants
Observational Model: Cohort
Time Perspective: Retrospective
Official Title: Preventing Repeat Abortion: Is the Immediate Insertion of Intrauterine Devices Post-abortion a Cost-effective Option Associated With Fewer Repeat Abortions? Findings From 2005-2006 Data
Study Start Date : July 2012
Actual Primary Completion Date : December 2012
Actual Study Completion Date : December 2012

Group/Cohort Intervention/treatment
Repeat abortion rate in women receiving IUDs immediately post-abortion
Device: Device: Intrauterine device (IUD)
Women choosing to have an intrauterine device (IUD) inserted immediately post-abortion

Primary Outcome Measures :
  1. The proportion of repeat abortions at five years from the index abortions [ Time Frame: 5 years ]

Secondary Outcome Measures :
  1. Correlation of repeat and index abortions with obstetrical, demographic and contraceptive history factors. [ Time Frame: 2 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Female resident of Interior Health region seeking an abortion

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01776957

Sponsors and Collaborators
University of British Columbia
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Principal Investigator: Wendy Norman, Dr. University of British Columbia

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Responsible Party: Wendy Norman, Principle Investigator, University of British Columbia Identifier: NCT01776957     History of Changes
Other Study ID Numbers: H12-00829
First Posted: January 28, 2013    Key Record Dates
Last Update Posted: May 4, 2018
Last Verified: May 2018
Keywords provided by Wendy Norman, University of British Columbia:
Abortion rate
Intrauterine device