C. Melville


  • close

    Interval insertion of IUDs after induced termination
    of pregnancy: do women come back?
    Melville, C; McInally, J; Struthers, G; Crombie, A
    NHS Ayrshire & Arran, UK
    Background: Long-acting reversible contraceptive methods are
    recognised as the most effective methods of contraception. Our
    termination of pregnancy (TOP) service offers IUD insertion at
    the time of surgical TOPs however IUD insertion is not available
    at the time of medical TOP. In 2010 we launched a post-TOP
    IUD fitting service. Women are offered an appointment 28 days
    after their medical procedure in line with FSRH guidance. We
    reviewed this service in order to inform future provision and to
    determine whether women would return for this appointment.
    Methods: A retrospective review of cases was performed using the
    electronic patient record (Eclipse) and the ward appointment
    diaries. The number of IUD appointments arranged, the number
    of patients who attended, and the type of IUD inserted were
    collected for the first 12 month period of the service (January–
    December 2010).
    Results: In the first year of the service, 76 IUD fitting
    appointments were made for women after induced TOP. Of these
    76, 29 women attended (38%). The DNA (did not attend) rate
    was 62%. Nineteen IUS devices were inserted and 10 copper
    Conclusion: Although the DNA rate of 62% is high, this is
    reflected in other similar services and for other follow up
    appointments after induced TOP. Ideally, IUD insertion would be 

    available at the time of all induced TOPs, however with our
    current staffing model this is not possible. To increase attendance
    at the IUD service, we recommend using a text reminder service.