Evidence map›Paper›PMID 34166648›Full record

Trial reportContraception2021

Rates of pregnancy among levonorgestrel and copper intrauterine emergency contraception initiators: Implications for backup contraception recommendations.

Kathryn E Fay, Amelia C Clement, Alexandra Gero, Jennifer E Kaiser, Jessica N Sanders, Abena A BakenRa, David K Turok

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Contraception, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Kathryn E FayUniversity of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States. Electronic address: kathryn.fay@hsc.utah.edu.
Amelia C ClementUniversity of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States.
Alexandra GeroUniversity of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States.
Jennifer E KaiserUniversity of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States.
Jessica N SandersUniversity of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States.
Abena A BakenRaUniversity of California Berkeley School of Public Health, Berkeley, CA, United States.
David K TurokUniversity of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, UT, United States.
University of Utah · USBerkeley Public Health Division · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
University of Utah Center for Clinical and Translational ScienceUL1TR001067 · NCATS · UNIVERSITY OF UTAH · PI DERE, WILLARD H., HESS, RACHEL · 2013 to 2017
$19.8M
UNIVERSITY OF UTAH CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE-UL1: BPCAUL1RR025764 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$19.4M
University of Utah Center for Clinical and Translational Science-UL1UL1TR000105 · NCATS · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2012 to 2013
$5.1M
RCT Assessing Pregnancy with Intrauterine Devices for Emergency ContraceptionR01HD083340 · NICHD · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI David Turok · 2015 to 2026
$3.6M
Transdisciplinary Harvard WRHR Career Development for Gynecologists and ObstetriciansK12HD103096 · NICHD · BRIGHAM AND WOMEN'S HOSPITAL · PI NOUR, NAWAL M. · 2020 to 2024
$1.5M
Midcareer Investigator Award in Patient-Oriented Research K24K24HD087436 · NICHD · UNIVERSITY OF UTAH · PI TUROK, DAVID · 2017 to 2021
$942k
Leveraging Linked Data to Evaluate Social and Spatial Disparities in Contraception Access and Regional Program ImpactsK01HS027220 · AHRQ · UNIVERSITY OF UTAH · PI SANDERS, JESSICA N · 2020 to 2022
$471k
AHRQ HHS K01 HS027220NCATS NIH HHS UL1 TR000105NCATS NIH HHS UL1 TR001067NCATS NIH HHS UL1 TR002538NCRR NIH HHS UL1 RR025764NICHD NIH HHS K12 HD103096NICHD NIH HHS K24 HD087436NICHD NIH HHS R01 HD083340
6 · The paper itself

Abstract

objectiveThis study assessed the timing, frequency, use of backup method and 1-month pregnancy rates among individuals who had an intrauterine device (IUD) placed as emergency contraception and reported intercourse within 7 days post-placement. STUDY

designIn this secondary analysis of a randomized control trial of IUDs for emergency contraception, 518 individuals reporting unprotected intercourse in the preceding 5 days had a 52 mg levonorgestrel intrauterine system (IUS) or 380 mm

resultsRapid return to sexual activity was common and use of backup contraception was rare, regardless of type of IUD placed. Of participants who resumed penile-vaginal intercourse in the first month, most (286/446, 64.1%) participants reported intercourse within 7 days of IUD placement; only 16.4% (74/446) used condoms or withdrawal. No pregnancies occurred among users of the levonorgestrel IUS who reported intercourse within 7 days of placement (0/138, 0.0%, 95% CI 0.0%, 2.6%) nor among users of the 380mm

conclusionPregnancy rates are low after placement of an IUD for emergency contraception, even among the many who resume intercourse within days following IUD placement without use of backup contraception. IMPLICATIONS: Clinical guidelines should facilitate access to contraception, including elimination of unnecessary recommendations for backup contraception or abstinence in the 7 days following 52 mg levonorgestrel intrauterine system.

Indexed as

Contraception, PostcoitalIntrauterine Devices, CopperIntrauterine Devices, MedicatedFemaleHumansLevonorgestrelPregnancyPregnancy RateLevonorgestrelBackup contraceptionIntrauterine devicePractice guidelines

Identifiers

PMID34166648
PMCPMC9112236
OpenAlexW3174286917

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.