Cochrane · systematic review · CD001777

Immediate postabortal insertion of intrauterine devices

Okusanya, BO, Oduwole, O, Effa, EE · Cochrane Database of Systematic Reviews · 2014 · Cochrane Library

Fertility RegulationAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
13
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 13 · 100%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Immediate versus delayed insertion (LNG‐IUS or CuT380A IUD) for

Population: patients with
5 questions
OutcomeEffectEvidenceStatus / GRADE
Expulsion by 6 months Rate in percentage
Immediate vs delayed insertion (LNG‐IUS or CuT380A IUD) for
RR 2.9 [1.25, 6.71]3 studies · 878 participantsModerate
Downgraded: risk of bias
Removal by 6 months Rate in percentage
Immediate vs delayed insertion (LNG‐IUS or CuT380A IUD) for
RR 2.01 [0.99, 4.06]2 studies · 790 participantsModerate
Downgraded: risk of bias
Use at 6 months Rate in percentage
Immediate vs delayed insertion (LNG‐IUS or CuT380A IUD) for
RR 1.4 [1.24, 1.58]3 studies · 878 participantsModerate
Pregnancy at six months Rate in percentage
Immediate vs delayed insertion (LNG‐IUS or CuT380A IUD) for
RR 0.37 [0.12, 1.14]3 studies · 878 participantsModerate
upper genital tract infection Rate in percentage
Immediate vs delayed insertion (LNG‐IUS or CuT380A IUD) for
OR 1 [0.32, 3.14]3 studies · 878 participantsModerate

TCu 220C compared to Lippes Loop for immediate insertion post‐abortion

Population: patients with immediate insertion post‐abortion
4 questions
OutcomeEffectEvidenceStatus / GRADE
Discontinuation due to perforation (750 days) Tietze‐Potter gross rate (Discontinuation in percentages
TCu 220C vs Lippes Loop
RR 0.92 [0.13, 6.6]2 studies · 2269 participantsModerate
Downgraded: risk of bias
Discontinuation due to pelvic inflammatory disease (750 days)
TCu 220C vs Lippes Loop
RR 1.17 [0.29, 4.71]2 studies · 2269 participantsModerate
Discontinuation rate due to pregnancy (750days)
TCu 220C vs Lippes Loop
RR 0.38 [0.2, 0.72]2 studies · 2269 participantsModerate
Downgraded: risk of bias
Discontinuation rate due to expulsion (750 days) Tietze‐Potter gross rate (Discontinuation in percentages)
TCu 220C vs Lippes Loop
RR 0.51 [0.3, 0.88]2 studies · 2269 participantsModerate
Downgraded: risk of bias

TCu 220C compared to Copper 7 for Immediate insertion Post abortion

Population: patients with Immediate insertion Post abortion
4 questions
OutcomeEffectEvidenceStatus / GRADE
Discontinuation due to pregnancy (750 days)
TCu 220C vs Copper 7
RR 0.44 [0.04, 4.83]2 studies · 2274 participantsModerate
Downgraded: risk of bias
Discontinuation due to expulsion (750 days)
TCu 220C vs Copper 7
RR 0.46 [0.14, 1.5]2 studies · 2274 participantsModerate
Downgraded: risk of bias
Discontinuation due to pelvic inflammation
TCu 220C vs Copper 7
no estimate extracted2 studies · 2274 participantsModerate
Downgraded: risk of bias
Discontinuation due to perforation
TCu 220C vs Copper 7
no estimate extracted2 studies · 2274 participantsModerate
Downgraded: risk of bias