Preventing abortion and repeat abortion with the Gynefix intrauterine implant system : preliminary results

• Published in: Advances in contraception Vol. 14; no. 2; pp. 91 - 96
• Main Authors: BATAR, I, WILDEMEERSCH, D, VRIJENS, M, DELBARGE, W, TEMMERMAN, M, GBOLADE, B. A
• Format: Journal Article
• Language: English
• Published: Boston, MA Kluwer 01.06.1998; London; Dordrecht
• Subjects: Abortion, Induced; Biological and medical sciences; Birth control; Female; Gynecology. Andrology. Obstetrics; Humans; Intrauterine Devices, Copper; Medical sciences; Other methods of contraception. Sterilization; Pregnancy; Pregnancy, Unwanted - statistics & numerical data; Time Factors; Human; Prevention; Pregnancy disorders; Insertion; Intrauterine contraceptive device; Female; Contraceptive; Contraception; Copper; Abortion
• DOI: 10.1023/a:1006582515744
• ISSN: 0267-4874

The provision of immediate post-abortal contraception is important to reduce the number of unplanned pregnancies and the number of repeat abortions. Immediate post-abortal insertion of an IUD has many advantages and is an acceptable and safe method. However, side-effects and expulsion of conventional IUDs remain a problem. In an attempt to minimize these problems, the frameless intrauterine implant (IUI) was developed. Clinical studies conducted over the past 12 years have shown the validity of the anchoring concept. The design characteristics of the IUI (fixed, frameless and flexible) are responsible for the low expulsion, high effectiveness and high tolerance rates. This communication is the first report of clinical experience with the post-abortal version of Gynefix (Gynefix PT) in a limited number of women with pregnancies of less than 10 weeks' duration. This experience suggests that immediate post-abortal insertion of Gynefix PT is easy, safe and the implant appears to be as reliable and effective as interval insertion of the interval version. We conclude that the immediate post-abortal insertion of Gynefix PT is an important novel approach to reducing the incidence of repeat abortions.