Cochrane · systematic review · CD013565
Immediate versus delayed postabortal insertion of contraceptive implant
Sothornwit, J, Eamudomkarn, N, Lumbiganon, P, et al. · Cochrane Database of Systematic Reviews · 2022 · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 50%Moderate 4 · 50%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 compared to delayed postabortion insertion of contraceptive implants for contraception following abortion
Population: women who experienced abortions and requested a reversible contraceptive method
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Utilization—at 6 months postabortion Immediate vs delayed postabortion insertion of contraceptive implants | RR 1.1 [1.05, 1.15] | 3 studies · 1103 participants | Low Downgraded: imprecision, inconsistency |
Unintended pregnancy—at 6 months postabortion Immediate vs delayed postabortion insertion of contraceptive implants | RR 0.25 [0.08, 0.77] | 3 studies · 1029 participants | Moderate Downgraded: imprecision |
Rate of initiation of contraceptive implants—following medical abortion at Immediate vs delayed postabortion insertion of contraceptive implants | RR 1.26 [1.21, 1.32] | 2 studies · 1014 participants | Moderate Downgraded: inconsistency |
Rate of initiation of contraceptive implants—following surgical abortion at Immediate vs delayed postabortion insertion of contraceptive implants | RR 2.32 [1.79, 3.01] | 1 study · 148 participants | Low Downgraded: risk of bias, imprecision |
Failure rate of medical abortion—overall failure rate at Immediate vs delayed postabortion insertion of contraceptive implants | RR 1.18 [0.58, 2.4] | 2 studies · 1001 participants | Moderate Downgraded: imprecision |
Failure rate of medical abortion—require extra medication for complete abortion at Immediate vs delayed postabortion insertion of contraceptive implants | RR 1.18 [0.44, 3.2] | 2 studies · 1001 participants | Low Downgraded: imprecision, inconsistency |
Failure rate of medical abortion—require surgery for complete abortion at Immediate vs delayed postabortion insertion of contraceptive implants | RR 1.28 [0.71, 2.3] | 2 studies · 1001 participants | Moderate Downgraded: imprecision |
Bleeding side effects—at 1 month postabortion Immediate vs delayed postabortion insertion of contraceptive implants | RR 1 [0.88, 1.14] | 1 study · 462 participants | Low Downgraded: risk of bias, imprecision |