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 45 years 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 3 months 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 3 months 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 3 months
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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Biography
Melissa Papic, BS, is a Data Manager in the Department of Epidemiology at the University of Pittsburgh. Her research interests include women's health, and maternal and child health research.
Biography
Nan Wang, BS, is a Medical Student at the University of Pittsburgh School of Medicine.
Biography
Sara M. Parisi, MS, MPH, is a Data Analyst in the Department of Epidemiology at the University of Pittsburgh. Her research interests include women's health, and maternal and child health research.
Biography
Erin Baldauf, MEd, is a Research Coordinator at the Center for Research on Health Care at the University of Pittsburgh. Her research interests include women's health research.
Biography
Glenn Updike, MD, is the Medical Director at the Magee-Womens Hospital Outpatient Clinic; and Assistant Professor in the Department of Obstetrics, Gynecology, & Reproductive Sciences at the University of Pittsburgh. His research interests include women's health research.
Biography
Eleanor Bimla Schwarz, MD, MS, is a Professor of Medicine at the University of California, Davis. Her research interests include women's health, and maternal and child health research.
Article info
Publication history
Published online: November 25, 2014
Accepted:
September 23,
2014
Received in revised form:
September 2,
2014
Received:
May 13,
2014
Footnotes
Funding: R01PG000859 from Department of Health and Human Services Office of Population Affairs (PI, Schwarz).
Potential Conflicts of Interest: None.
Identification
Copyright
© 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.
