Better Contraceptive Choices: Insertion timing and effectiveness of intrauterine and other contraceptive methods post-abortion

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Better Contraceptive Choices: Insertion timing and effectiveness of intrauterine and other contraceptive methods post-abortion

Principal Investigator: Dr. Wendy Norman

Primary Contact: Weihong Chen, Research Coordinator, 604-875-2424 x 4894, Weihong.chen@ubc.ca

About the study: This project includes two randomized controlled trials:  1) Immediate vs. delayed insertion of intrauterine contraception after second trimester abortion; and, 2) Is FlexiT non-inferior to NovaT when inserted immediately after first-trimester abortion?  Comparing the effectiveness of copper intrauterine devices available in Canada. BC has a higher rate of abortion per thousand women of reproductive age than any Canadian province other than Quebec. We seek to find the most effective method to prevent unintended pregnancies among women seeking abortion in British Columbia. We hope to see that the interventions investigated in the project, such as inserting the IUC immediately after the second trimester abortion compared to the standard practice that delays the insertion to 4-6 weeks post abortion, will result in fewer unintended pregnancies.

Why is this research important? This research should produce compelling evidence of the highest scientific quality, permitting a change to the current device indication for world-wide use. We aim for international improvement in the delivery of highly effective long lasting contraception following both first and second trimester abortion.

Study Status: The uniqueness of this research project is that we have obtained consent from the participants to link the study data to the provincial health administrative data. This allows the team to have a close to 100% follow-up rate of the study outcomes for almost all the participants. The team has been busy analyzing the data and writing the manuscripts for publication.

Co-Investigators: Study 1: Janusz Kaczorowski, Judith Soon, Stirling Bryan, Rollin Brant, Lyda Dicus, Konia Trouton; Study 2: Jessica Chiles , Caroline Turner.

Funded by: Study 1: Canadian Institutes of Health Research; Study 2: Society of Family Planning.

Partners: BC Women’s Hospital + Health Centre

Study Documents:

Published Study 1 Protocol: http://www.ncbi.nlm.nih.gov/pubmed/21672213

Published Study 2 Protocol: http://www.ncbi.nlm.nih.gov/pubmed/22920273

Better Contraceptive Choices: Insertion timing and effectiveness of intrauterine and other contraceptive methods post-abortion

WHRI

Better Contraceptive Choices: Insertion timing and effectiveness of intrauterine and other contraceptive methods post-abortion

Principal Investigator: Dr. Wendy Norman

Primary Contact: Weihong Chen, Research Coordinator, 604-875-2424 x 4894, Weihong.chen@ubc.ca

About the study: This project includes two randomized controlled trials:  1) Immediate vs. delayed insertion of intrauterine contraception after second trimester abortion; and, 2) Is FlexiT non-inferior to NovaT when inserted immediately after first-trimester abortion?  Comparing the effectiveness of copper intrauterine devices available in Canada. BC has a higher rate of abortion per thousand women of reproductive age than any Canadian province other than Quebec. We seek to find the most effective method to prevent unintended pregnancies among women seeking abortion in British Columbia. We hope to see that the interventions investigated in the project, such as inserting the IUC immediately after the second trimester abortion compared to the standard practice that delays the insertion to 4-6 weeks post abortion, will result in fewer unintended pregnancies.

Why is this research important? This research should produce compelling evidence of the highest scientific quality, permitting a change to the current device indication for world-wide use. We aim for international improvement in the delivery of highly effective long lasting contraception following both first and second trimester abortion.

Study Status: The uniqueness of this research project is that we have obtained consent from the participants to link the study data to the provincial health administrative data. This allows the team to have a close to 100% follow-up rate of the study outcomes for almost all the participants. The team has been busy analyzing the data and writing the manuscripts for publication.

Co-Investigators: Study 1: Janusz Kaczorowski, Judith Soon, Stirling Bryan, Rollin Brant, Lyda Dicus, Konia Trouton; Study 2: Jessica Chiles , Caroline Turner.

Funded by: Study 1: Canadian Institutes of Health Research; Study 2: Society of Family Planning.

Partners: BC Women’s Hospital + Health Centre

Study Documents:

Published Study 1 Protocol: http://www.ncbi.nlm.nih.gov/pubmed/21672213

Published Study 2 Protocol: http://www.ncbi.nlm.nih.gov/pubmed/22920273

The Women’s Health Research Institute would like to acknowledge that we are uninvited guests on the unceded ancestral territories of the xʷməθkwəy̓əm (Musqueam), Skwxwú7mesh (Squamish), Stó:lo, and sel̓íl̓witulh (Tsleil-waututh) Nations.

As a provincial research institute committed to improving the health outcomes of women, including those across the 2SLGBTQIA+ spectrum, we recognize our responsibility in the collective effort towards establishing culturally safe health care systems and services that address health inequities among Indigenous peoples, especially Indigenous women, girls, and Two-spirit peoples.

We encourage all people involved in research to read both the Truth and Reconciliation Commission of Canada: Calls to Action and the In Plain Sight Report, and reflect on ways we can incorporate the recommendations into our work. As we gather in spaces together, we encourage you to reflect on your positionality on these lands and your personal commitments to reconciliation.

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