Adolescent experience with intrauterine device insertion and use: a retrospective cohort study

Contraception
Lisa L BayerPaula H Bednarek

Abstract

Adolescents contribute disproportionately to the epidemic level of unintended pregnancy in the USA. Intrauterine devices (IUDs) are highly effective but underutilized in this age group. We searched our electronic clinic database to identify females ≤ 19 years old who underwent attempted IUD insertion between January 2007 and June 2009. This retrospective cohort study primarily compared the insertion and postinsertion experiences between nulliparous and parous teens. Of the 307 charts reviewed, the majority of subjects were white (73.4%) and nulliparous (77.5%), with a median age of 18 years (range 15-19). The vast majority (96.4%, 296/307) had a successful IUD insertion upon first attempt; all of the 11 unsuccessful IUD insertion attempts were among nulliparous teens. Follow-up was available for 56% (172/307). During the first 12 months of use, there were 2.9% (5/172) IUD expulsions and 24.4% (42/172) removals, with no differences between nulliparous and parous teens. IUD continuation at 6 months was 83.3%. Pelvic inflammatory disease was diagnosed in 4.6% (8/172) of post-IUD insertions. There were no pregnancies reported in those teens with IUD continuation, while six were reported in subjects who underwent IUD removal. Indepe...Continue Reading

References

Nov 1, 1989·Journal of Adolescent Health Care : Official Publication of the Society for Adolescent Medicine·M L Balassone
Sep 1, 1995·Contraception·M J RosenbergP J Hillard
Aug 26, 1998·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·M Polaneczky, M Liblanc
Jan 30, 2002·Obstetrics and Gynecology·Nancy L StanwoodThomas R Konrad
Aug 4, 2004·Contraception·James Trussell
Dec 18, 2007·Contraception·Kathryn KostAkinrinola Bankole
May 16, 2009·Contraception·Elizabeth I Deans, David A Grimes
Jul 27, 2010·Contraception·Kendra L FlemingTina R Raine

❮ Previous
Next ❯

Citations

Sep 21, 2013·Lab Animal·Amanda C FisherDuane C Kraemer
Apr 11, 2015·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Hannat AkintomideJudith M Stephenson
Apr 20, 2014·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Marte BratlieErik Tandberg Askevold
Apr 10, 2015·The Journal of Family Planning and Reproductive Health Care·Alexandra M Hall, Beth A Kutler
Nov 19, 2013·Journal of Pediatric and Adolescent Gynecology·David L HowardJulie L Strickland
Oct 22, 2013·Nursing for Women's Health·Susan A Peck
Jun 15, 2013·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Yolanda A KirkhamMelanie P Ornstein
Nov 7, 2015·Journal of Pediatric and Adolescent Gynecology·Elisabeth H Quint
Sep 15, 2015·Contraception·Karla MaguireAnne R Davis
Oct 17, 2013·Pharmacotherapy·Gina M Prescott, Christina M Matthews
Sep 9, 2015·Obstetrics and Gynecology·Margaret AbrahamJeffrey F Peipert
Feb 3, 2015·The Nurse Practitioner·Kathryn AtkinDanielle Roncari
Feb 1, 2015·Gynécologie, obstétrique & fertilité·C GuicheteauV Lavoué
Jan 6, 2015·Journal of Pediatric and Adolescent Gynecology·Joy O Friedman
Nov 2, 2018·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Therese ForanVivienne O'Connor
Jan 11, 2019·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Marion BachofnerGabriele Merki-Feld
Oct 6, 2017·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Dina Mohamed Refaat Dakhly, Yasmin Ahmed Bassiouny
Dec 9, 2016·Archives of Gynecology and Obstetrics·Magdalini Patseadou, Lina Michala
Jan 24, 2021·Acta Obstetricia Et Gynecologica Scandinavica·M Valeria Bahamondes, Luis Bahamondes

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Bacterial Vaginosis

Bacterial vaginosis can increase the risk of sexually transmitted infections and in rare cases lead to pelvic inflammatory diseases. Discover the latest research on Bacterial Vaginosis here.

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Related Papers

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
Stephanie B Teal, S Elizabeth Romer
Journal of Pediatric and Adolescent Gynecology
Tia M AltonMeredith B Loveless
Journal of Pediatric and Adolescent Gynecology
Alina Toma, Mary Anne Jamieson
The New England Journal of Medicine
Brooke WinnerGina Secura
© 2021 Meta ULC. All rights reserved