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A randomized comparative study of three IUDs: Nova-T, MLCu375 and MLAgCu250 in New Zealand: 1-year results

Abstract

A randomized comparative study was made in New Zealand of three models of copper IUDs, the Nova-T, MLCu375 and MLAgCu250, with interval acceptors. At 1 year, the Multiloads (MLs) had lower net termination rates for accidental pregnancy, expulsion, pain/bleeding, other medical removals and infections (use-related terminations) than the Nova-T. These rates were significantly lower for the MLAgCu250 than the Nova-T for accidental pregnancy, expulsion and infection. The MLCu375 had significantly fewer removals for pain/bleeding and for other medical removals than the Nova-T. The MLAgCu250 had a significantly lower accidental pregnancy rate than the MLCu375. The Multiloads had significantly higher relevant use-related continuation rates than the Nova-T.

Resumé

On a effectué en Nouvelle-Zélande une étude comparative randomisée sur trois modèles de DIU au cuivre-le Nova-T, le MLCu375 et le MLAgCu250 avec, par intervalles, des sujets accepteurs. Au bout d'un an, on avait enregistré avec les dispositifs Multiload des pourcentages nets d'interruption moins élevés qu'avec le Nova-T, interruptions occasionnées par des grossesses accidentelles, des expulsions, des douleurs ou saignements, et par d'autres raisons d'ordre médical ou infectieux (interruptions liées à leur utilisation). Ces pourcentages étaient significativement plus faibles pour ce qui concerne les grossesses accidentelles, expulsion et infection avec le port du MLAgCu250 que dans le cas du Nova-T. Pour ce qui est du MLCu375, les retraits à la suite de douleurs/saignements et pour d'autres raisons médicales étaient significativement moins nombreux que dans le cas du Nova-T. Le MLAgCu250 a produit un pourcentage de grossesses accidentelles significativement plus faible que le MLCu375. Les dispositifs Multiload ont entraîné des pourcentages de continuation correspondants d'utilisation plus élevés que le dispositif Nova-T.

Resumen

Se realizó en Nueva Zelanda un estudio comparativo al azar de tres modelos de DIU de cobre: el Nova-T, el MLCu375 y el MLAgCu250, con sujetos aceptadores a intervalos. Al cabo de un año, se habían registrado con los dispositivos Multiload porcentajes netos de interrupción menos elevados que con el Nova-T para casos de interrupción ocasionados por embarazo accidental, expulsión, dolores/pérdidas de sangre, o bien por otras razones médicas o de infección (interrupciones relacionadas con su utilización). Estos porcentajes eran significativamente inferiores con el MLAgCu250 que con el Nova-T en los casos de embarazo accidental, expulsión e infección. Con el MLCu375, hubo menos casos en los que fue necesario retirar el dispositivo debido a dolores/pérdidas de sangre y otras razones médicas, que con el Nova-T. El MLAgCu250 produjo un porcentaje de embarazos accidentales significativamente inferior al del MLCu375. Los dispositivos Multiload registraron porcentajes de continuación correspondientes a utilización más elevados que el dispositivo Nova-T.

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References

  1. LuukkainenT., NielsenN.-C., NygrenK.-G., PyoralaT. and KosonenA. (1979). Randomized comparison of clinical performance of two copper-releasing IUDs, Nova-T and Copper T 200 in Denmark, Finland and Sweden.Contraception,19, 1–9

    CAS  PubMed  Google Scholar 

  2. ThieryM., van derPasH. and vanKetsH. (1985). The MLCu375 intrauterine contraceptive device.Adv. Contracept.,1, 37–44

    CAS  PubMed  Google Scholar 

  3. JarvelaS. (1981). Problems in the comparison of clinical performance of IUDs.Contracept. Deliv. Syst.,2, 87–92

    CAS  PubMed  Google Scholar 

  4. MishellD.R. (1975). In:Analysis of Intrauterine Contraception, F.Hefnawi and S.Segal, eds., Amsterdam, North Holland, pp. 1–7

    Google Scholar 

  5. NygrenK., NielsenN., PyoralaT., AllonenH. and LuukkainenT. (1981). Intrauterine contraception with Nova-T and Copper-T-200 during three years.Contraception,24:3, 529–542

    CAS  PubMed  Google Scholar 

  6. ThieryM., van derPasH. and vanOsW.A.A. (1982). Performance of ML IUDs with different copper loads.Contracept. Deliv. Syst.,3, 229

    Google Scholar 

  7. WilsonJ.C. (1982). A randomised trial and a comparative study of the Copper 7 200 and the Multiload Copper 250 intrauterine devices.Aust. NZ Obstet. Gynaecol.,22, 34–37

    CAS  Google Scholar 

  8. IUDs-A new look (1988).Population Reports B, 5

  9. ThieryM., van derPasH., vanOsW.A.A., TauberP.F., DombrowiczN., MacDonald J.S., HaspelsA.A., DrogendijkA.C., vanKetsH. and BoogersW. (1978). Three years experience with the MLCu250, a new copper-wired intrauterine contraceptive device.Advances in Planned Parenthood,XIII, 35–40

    Google Scholar 

  10. NewtonJ., IllingworthR., EliasJ. and McEwanJ. (1977). Continuous intrauterine copper contraception for 3 years: comparison of replacement at 2 years with continuation of use.Br. Med. J.,1, 197–199

    CAS  PubMed  Google Scholar 

  11. TatumH.J., SchmidtF.H. and JainA.K. (1976). Management and outcome of pregnancies with the Copper T intrauterine device.Am. J. Obstet. Gynecol.,126, 869–879

    CAS  PubMed  Google Scholar 

  12. Jain, A.K., Kahn, H.S., Snowden, R. and Tatum, J.K. (1984). (FDA) Contemp. Obstet.,

  13. Stewart TaylorE., McMillanJ.H., GreerB.E., DroegemuellerW. and ThompsonH.E. (1975).The intrauterine device and the tubo-ovarian abscess.Am. J. Obstet. Gynecol.,123, 338–348

    Google Scholar 

  14. PotterR.G.Jr. (1966). Application of life-table techniques to measurement of contraceptive effectiveness.Demography,3, 297–304

    Google Scholar 

  15. AzenS.P., RoyS. et al. (1977). A new procedure for the statistical evaluation of intrauterine contraception.Am. J. Obstet. Gynecol.,128, 329–335

    CAS  PubMed  Google Scholar 

  16. TietzeC. and LewitS. (1973). Recommended procedures for the statistical evaluation of intrauterine contraception.Stud. Fam. Plann.,4, 35

    CAS  PubMed  Google Scholar 

  17. DeCastroA. and AnguianoJ.M. (1986). Comparative performance of two copper IUDs: Nova-T and MLCu375.Adv. Contracept.,2, 155–159

    PubMed  Google Scholar 

  18. RhemrevP.E.R., vanOsW.A.A., KleinhoutJ. and NooyerC.C.A. (1985). Comparison of three Multiload IUDs: MLCu250, MLCu375 and MLAgCu250.Adv. Contracept.,1, 31–36

    Article  CAS  PubMed  Google Scholar 

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Wilson, J.C. A randomized comparative study of three IUDs: Nova-T, MLCu375 and MLAgCu250 in New Zealand: 1-year results. Adv Contracept 5, 23–30 (1989). https://doi.org/10.1007/BF02340130

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  • DOI: https://doi.org/10.1007/BF02340130

Keywords

  • Public Health
  • Copper
  • Pregnancy Rate
  • Termination Rate
  • Continuation Rate