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Little is known about long\u2010term outcomes of women choosing an IUD after early medical abortion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>We present secondary outcome data of continuation rates, factors associated with continuation and discontinuation, choice of IUD type, women's satisfaction with IUD, and IUD expulsions, subsequent pregnancies, and abortions within 1\u2009year post\u2010abortion in a randomized, controlled, multicenter trial on IUD placement within 48\u2009hours compared with placement 2\u20134\u2009weeks after medical abortion up to 63\u2009days\u2019 gestation (<jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link> NCT03603145).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 240 women studied, 112\/120 (93.3%) in the intervention group vs 113\/120 (94.2%) in the control group completed the 12\u2010month follow\u2010up. The rate of IUD use at 12\u2009months was 84\/112 (75%) in the intervention group vs 75\/113 (66.4%) in the control group (<jats:italic>P<\/jats:italic>\u2009=\u20090.19). Attendance at the IUD placement visit was the only predictor of long\u2010term IUD use (relative risk [RR]\u2009=\u20095.7, 95% confidence interval [CI] 2.03\u201316.0; <jats:italic>P<\/jats:italic>\u2009=\u20090.001). The main reason for choosing an IUD was high contraceptive effectiveness. The most common reasons for IUD discontinuation were bleeding problems and abdominal pain. IUD expulsion was rare and did not differ between groups. Satisfaction among IUD users at 1\u2009year was high (&gt;94%) and the majority of all participants would recommend IUD to a friend (65.8%). Use of no contraception and experience of unprotected intercourse were less common in the intervention group (11\/112 [9.8%] vs 25\/113 [22.1%], <jats:italic>P<\/jats:italic>\u2009=\u20090.02 and 17\/112 [15.2%] vs 32\/113 [28.3%], <jats:italic>P<\/jats:italic>\u2009=\u20090.02, respectively). There was no difference in the rate of subsequent pregnancies and abortions (pregnancies 14\/112, 12.5% in the intervention group vs 8\/113, 7.1% in the control group, <jats:italic>P<\/jats:italic>\u2009=\u20090.19; abortions 5\/112, 4.5% vs 3\/113, 2.7%, <jats:italic>P<\/jats:italic>\u2009=\u20090.5).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>IUD placement after medical abortion led to high continuation and satisfaction rates with no difference between groups. We found no difference in IUD expulsions after immediate compared with later placement. Unprotected intercourse was significantly less common in the immediate group. In clinical practice, immediate placement of IUDs available free of charge at the abortion clinic is likely to increase attendance to the placement visit and continued use of IUDs after abortion.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14662","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T05:36:01Z","timestamp":1692855361000},"page":"1694-1702","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["One\u2010year follow up of contraceptive use and pregnancy rates after early medical abortion: Secondary outcomes from a randomized controlled trial of immediate post\u2010abortion placement of intrauterine devices"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6061-3982","authenticated-orcid":false,"given":"Sara","family":"Hogmark","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet  Stockholm Sweden"},{"name":"Center for Clinical Research Dalarna Uppsala University  Falun Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2813-7642","authenticated-orcid":false,"given":"Niklas","family":"Envall","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet  Stockholm Sweden"},{"name":"School of Health and Welfare Dalarna University  Falun Sweden"},{"name":"Department of Women's and Children's Health Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6516-1444","authenticated-orcid":false,"given":"Kristina","family":"Gemzell\u2010Danielsson","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Karolinska Institutet  Stockholm Sweden"},{"name":"World Health Organization Collaborating Center for Research and Research Training in Human Reproduction  Stockholm Sweden"},{"name":"Department of Gynecology and Reproductive medicine Karolinska University Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7184-9165","authenticated-orcid":false,"given":"Helena","family":"Kopp\u00a0Kallner","sequence":"additional","affiliation":[{"name":"Department of Clinical Sciences Danderyd Hospital, Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Obstetrics and Gynecology Danderyd Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,8,23]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30315-6"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.ss7110a1"},{"key":"e_1_2_8_4_1","unstructured":"Swedish National Board of Health and Welfare.Statistik om aborter 2021 (Abortion statistics). 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