Article
Surgery
Salvatore Giovanni Vitale, Attilio Di Spiezio Sardo, Gaetano Riemma, Pasquale De Franciscis, Luis Alonso Pacheco, Jose Carugno
Summary: This study investigated the opinions of gynecologists on the in-office hysteroscopic removal of retained or fragmented intrauterine devices (IUDs) without anesthesia. The majority of gynecologists considered this procedure to be feasible and easy, with the Levonorgestrel-based IUD being the most commonly available and Copper T IUDs being the most frequently retained or fragmented types.
UPDATES IN SURGERY
(2022)
Article
Public, Environmental & Occupational Health
Guglielmo Stabile, Caterina Godina, Francesco Cracco, Francesco Paolo Mangino, Melania Canton, Federico Romano, Giuseppe Ricci
Summary: This article reports a case of hysteroscopic removal of IUD in early pregnancy, highlighting the safety and efficacy of this method. It also suggests that maintaining low infusion pressure during the procedure can help avoid potential damage and displacement.
Article
Obstetrics & Gynecology
Ahmed Abdel-Ghany, Eissa Khalifa, Mohamed Zeen El-Din, Emad Ibrahim, Ameer Abdallah, Mahmoud Abdel-Aziz, Mazen Abdel-Rasheed, Alaa Abdel-Azim
Summary: This study found that IUD insertion during elective LSCS had a significantly lower incidence of failed insertion and uterine perforation compared to insertion six weeks postoperative. However, patients who had IUD inserted during elective LSCS had a significantly higher incidence of missed threads. There were no significant differences between both groups regarding menorrhagia, vaginal infection, IUD displacement/expulsion, or unintended pregnancy.
BMC PREGNANCY AND CHILDBIRTH
(2022)
Article
Obstetrics & Gynecology
Alison C. Fitzgerald, Jonathan G. Shaw, Kate A. Shaw
Summary: This study explores the relationship between inpatient postpartum intrauterine device placement, reimbursement costs, and unintended pregnancies. The research found that although the upfront costs of inpatient placement are higher, the overall costs are lower, saving insurance costs and preventing additional pregnancies. The study supports private insurers fully reimbursing inpatient postpartum intrauterine device placement.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Acoustics
E. M. M. Yamaguti, E. T. Sontag dos Reis, W. P. Martins, M. N. Nadai, N. F. Soares, F. da Silva Costa, C. S. Vieira
Summary: This study describes the feasibility of an ultrasound-guided repositioning technique for partially expelled intrauterine devices (IUDs) without sedation. The results showed that the procedure was successful in majority of the cases with no serious complications.
ULTRASOUND IN OBSTETRICS & GYNECOLOGY
(2023)
Article
Public, Environmental & Occupational Health
Kendal Danna, Grace Jaworski, Bakoly Rahaivondrafahitra, Francia Rasoanirina, Anthony Nwala, Masauso Nqumayo, Gina Smith, Pierre Moon, Ashley Jackson, Sarah Thurston, Amanda Kalamar
Summary: This study investigates the profiles and satisfaction levels of hormonal IUD users in low- and middle-income countries over a 12-month period. The findings suggest high rates of satisfaction and continuation among users in these countries, indicating that the hormonal IUD could be a well-received and effective contraceptive option in lower resource settings.
REPRODUCTIVE HEALTH
(2022)
Article
Multidisciplinary Sciences
Esther Canovas, Duska Beric, Rebeca Jara, Eduardo Cazorla
Summary: This study investigated factors influencing intrauterine fragment retention after device rupture. The main factors positively influencing complete expulsion of the fragmented IUD were elapsed time of 45 days or more, intercurrent menstruation or spontaneous fracture. It is recommended to observe for at least 1.5 months after fracture, allowing at least one intercurrent period to elapse prior to any therapeutic intervention.
Article
Obstetrics & Gynecology
Jilan Jiang, Shoufang Bian, Sen Li, Shuying Wang
Summary: This study aimed to explore the risk factors for intrauterine device (IUD) embedment in postmenopausal women. The study found that prior IUD removal failure, V-shaped IUD, and a smaller uterine volume were risk factors for IUD embedment in menopausal women.
MENOPAUSE-THE JOURNAL OF THE NORTH AMERICAN MENOPAUSE SOCIETY
(2023)
Article
Public, Environmental & Occupational Health
Isabella A. Chaves, Thais Baeta, Gabriella B. Dolabella, Luma R. Barbosa, Natalia M. Almeida, Flavia R. Oliveira, Elaine C. Oliveira, Agnaldo L. Silva-Filho, Ana Luiza Lunardi Rocha
Summary: This study aimed to assess pain scores at the insertion of the 52 mg levonorgestrel-releasing intrauterine system (LNG-IUS) among different groups of women. Results showed that nulligravidas experienced higher pain scores compared to women with previous vaginal delivery or elective caesarean-delivery without previous labor.
EUROPEAN JOURNAL OF CONTRACEPTION AND REPRODUCTIVE HEALTH CARE
(2021)
Article
Obstetrics & Gynecology
Elsayed Elshamy, Ahmed Nofal, Dalia Ibrrahim
Summary: The expulsion rate of LNG-IUS is higher than copper IUD when inserted postplacentally, yet the continuation and acceptability rates were comparable between the two groups.
JOURNAL OF OBSTETRICS AND GYNECOLOGY OF INDIA
(2021)
Article
Obstetrics & Gynecology
Karin Lichtenstein Liljeblad, Helena Kopp Kallner, Jan Brynhildsen
Summary: The study found that early hormonal intrauterine device insertion after vaginal delivery is associated with high expulsion rates, but women who chose this method showed a high continuation rate. For well-informed women, the advantages of early insertion may balance the risk of expulsion.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2022)
Article
Medicine, Research & Experimental
Thuany Bento Herculano, Fernanda Garanhani Surita, Cassia Raquel Teatin Juliato, Patricia Moretti Rehder
Summary: This study aims to evaluate the best way to insert post-placental IUDs in the immediate postpartum period, analyzing discomfort during insertion, expulsion rate, uterine perforation rate, and proper positioning 40-60 days postpartum. The study will be a randomized, controlled, open clinical trial, with a sample size of 186 women.
Article
Obstetrics & Gynecology
Christy M. Boraas, Jessica N. Sanders, E. Bimla Schwarz, Ivana Thompson, David K. Turok
Summary: The placement of a levonorgestrel-releasing intrauterine system (52-mg) 6-14 days after unprotected intercourse reduces the likelihood of pregnancy.
OBSTETRICS AND GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Mary S. Anthony, Susan D. Reed, Mary Anne Armstrong, Darios Getahun, Jennifer L. Gatz, Catherine W. Saltus, Xiaolei Zhou, Juliane Schoendorf, Debbie A. Postlethwaite, Tina Raine-Bennett, Michael J. Fassett, Jeffrey F. Peipert, Mary E. Ritchey, Laura E. Ichikawa, Richard Lynen, Amy L. Alabaster, Maqdooda Merchant, Vicki Y. Chiu, Jiaxiao M. Shi, Fagen Xie, Siu L. Hui, Jinyi Wang, Shannon Hunter, Jennifer Bartsch, Ann-Kathrin Frenz, Giulia Chillemi, Theresa M. Im, Harpreet S. Takhar, Alex Asiimwe
Summary: The study aimed to investigate risk factors related to intrauterine devices, including breastfeeding status, timing of insertion after delivery, and uterine perforation, device expulsion. By collaborating with multiple institutions, a large and diverse study population was obtained.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2021)
Article
Surgery
Jigang Jing
Summary: A 34-year-old woman with a history of cesarean section and IUD insertion presented with a ruptured abdominal wall abscess. Ultrasound showed the migrated IUD between the bladder and abdominal wall. Surgery confirmed the migration and the patient recovered after IUD removal. This case highlights the importance of prompt removal of migrated IUD and regular ultrasound examination for early diagnosis.
FRONTIERS IN SURGERY
(2023)
Review
Obstetrics & Gynecology
Mia Schmidt-Hansen, Sharon Cameron, Patricia A. Lohr, Elise Hasler
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2020)
Article
Obstetrics & Gynecology
Nathalie Kapp, Patricia A. Lohr
BEST PRACTICE & RESEARCH CLINICAL OBSTETRICS & GYNAECOLOGY
(2020)
Review
Family Studies
Mia Schmidt-Hansen, Patricia A. Lohr, Sharon Cameron, Elise Hasler
Summary: When considering abortion between 13 and 23 weeks gestation, the choice between surgical and medical methods may impact the completion of abortion, with medical methods showing a higher rate of incomplete abortion requiring surgical intervention. However, other complications such as hemorrhage, uterine injury, and infection did not significantly differ between the two methods. Patient satisfaction may vary, depending on measurement methods.
BMJ SEXUAL & REPRODUCTIVE HEALTH
(2021)
Editorial Material
Family Studies
Deborah J. Bateson, Patricia A. Lohr, Wendy V. Norman, Caroline Moreau, Kristina Gemzell-Danielsson, Paul D. Blumenthal, Lesley Hoggart, Hang-Wun Raymond Li, Abigail R. A. Aiken, Kirsten I. Black
BMJ SEXUAL & REPRODUCTIVE HEALTH
(2020)
Review
Obstetrics & Gynecology
Mia Schmidt-Hansen, Anuja Pandey, Patricia A. Lohr, Michael Nevill, Peter Taylor, Elise Hasler, Sharon Cameron
Summary: A systematic review found that the upper gestational limit for home expulsion in medical abortion is 10 weeks, and further research is needed to determine whether this limit can be extended beyond 10 weeks.
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA
(2021)
Article
Education & Educational Research
Pollyanna Cohen, Jonathan Mayhew, Faye Gishen, Henry W. W. Potts, Patricia A. Lohr, Jayne Kavanagh
Summary: The study surveyed students at University College London Medical School on their opinions of abortion teaching and their attitudes towards abortion. The majority of students supported the right to choose abortion and found the teaching important and diverse, but some students with anti-abortion beliefs expressed lower willingness to be involved in future abortion care.
BMC MEDICAL EDUCATION
(2021)
Article
Obstetrics & Gynecology
A. R. A. Aiken, P. A. Lohr, J. Lord, N. Ghosh, J. Starling
Summary: A comparison study of over 52,000 women shows that medical abortion without ultrasound via telemedicine is safe, effective, and improves access to care.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2021)
Editorial Material
Obstetrics & Gynecology
Patricia A. Lohr
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2022)
Article
Family Studies
Rebecca Blaylock, Shelly Makleff, Katherine C. Whitehouse, Patricia A. Lohr
Summary: Our study analyzed qualitative data to examine patient perspectives on abortion method choice and barriers to meeting them. Participants' preferences for abortion method were shaped by factors such as prior experience, accessibility, perceptions of risk, and information gathering. Providers should aim to restore and expand treatment options for abortion when possible, especially in response to constraints imposed by the COVID-19 pandemic.
BMJ SEXUAL & REPRODUCTIVE HEALTH
(2022)
Editorial Material
Family Studies
Ceres Hammenga, David Craig, Patricia A. Lohr
BMJ SEXUAL & REPRODUCTIVE HEALTH
(2022)
Article
Obstetrics & Gynecology
Katherine C. Whitehouse, Tara Shochet, Patricia A. Lohr
Summary: This study assessed the effectiveness of a low-sensitivity pregnancy test in identifying ongoing pregnancy after medication abortion at 64 to 70 days of gestation. The results showed that the low-sensitivity pregnancy test had high sensitivity and negative predictive value for detecting ongoing pregnancy.
Article
Family Studies
Patricia A. Lohr, Maria Lewandowska, Rebecca Meiksin, Natasha Salaria, Sharon Cameron, Rachel H. Scott, Jennifer Reiter, Melissa J. Palmer, Rebecca S. French, Kaye Wellings
Summary: This study interviewed 30 women who had undergone abortion in England, Scotland, or Wales and found that there was overwhelming support for using medical abortion pills at home and continuing the telemedical model. The reasons cited for this support included convenience, comfort, reduced stigma, privacy, and respect for autonomy.
BMJ SEXUAL & REPRODUCTIVE HEALTH
(2022)
Article
Family Studies
Catriona Rennison, Emily Jane Woodhead, Corrina Horan, Patricia A. Lohr, Jayne Kavanagh
Summary: This study investigated the current provision of undergraduate abortion education in UK medical schools. The findings showed significant variations in the attention given to abortion education among medical schools, with most educators facing barriers and expressing a need for further guidance.
BMJ SEXUAL & REPRODUCTIVE HEALTH
(2022)
Article
Obstetrics & Gynecology
Maria Lewandowska, Daniel J. Carter, Antonio Gasparrini, Patricia A. Lohr, Kaye Wellings
Summary: The approval of home use of misoprostol in England for early medical abortions had a positive impact on abortion access. The proportion of medical abortions increased and the gestational age decreased after the approval. This improvement was more significant in deprived areas but not equal across all racial/ethnic groups.
INTERNATIONAL JOURNAL OF GYNECOLOGY & OBSTETRICS
(2023)
Review
Obstetrics & Gynecology
Laura E. O'Shea, Patricia A. Lohr, Jonathan Lord, Elise Hasler, Sharon Cameron
Summary: This study analyzed 15 randomized controlled trials and found that using osmotic dilators, misoprostol, or mifepristone before abortion can improve the smoothness of the procedure at 14 to 16 weeks of gestation; for pregnancies at 16(+1) to 19(+0) weeks' gestation, osmotic dilators or misoprostol are more effective; and for pregnancies at 19(+1) to 24(+0) weeks' gestation, using osmotic dilators alone or in combination with mifepristone is more effective. Future research should focus on the effectiveness of pharmacologic agents alone beyond 16(+0) weeks' gestation and the optimal timing of dilator placement.
AMERICAN JOURNAL OF OBSTETRICS & GYNECOLOGY MFM
(2021)
