{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T21:35:21Z","timestamp":1775684121424,"version":"3.50.1"},"reference-count":16,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2011,12,8]]},"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>A \u2018fast-track\u2019 referral system for intrauterine contraception was established in 2007 between the medical abortion service at the Royal Infirmary of Edinburgh and the principal family planning clinic (FPC) in Edinburgh.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Case note review of women fast-tracked for intrauterine contraception after medical abortion between January 2007 and June 2009. Main outcome measures were numbers of women referred, attendance rates, interval to insertion, devices chosen and known complication rates.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of the 237 women referred, 126 (53%) attended for intrauterine contraception insertion. Attenders were slightly but significantly older than non-attenders (mean ages of 30 and 27 years, respectively; <jats:italic>p<\/jats:italic>=0.003), less likely to live in an area of deprivation (<jats:italic>p<\/jats:italic>=0.045) and were significantly more likely to have attended the FPC in the past (<jats:italic>p<\/jats:italic>&lt;0.0001). Most attenders (90%; <jats:italic>n<\/jats:italic>=113) proceeded to have an intrauterine method inserted; 57% (<jats:italic>n<\/jats:italic>=64) chose the levonorgestrel intrauterine system and 43% (<jats:italic>n<\/jats:italic>=49) chose a copper intrauterine device. The median interval to insertion was 21 (range 0\u201354) days. Of those women (<jats:italic>n<\/jats:italic>=55) who attended for routine follow-up 6 weeks later (49%), there were four (7.2%) cases of expulsion, two (3.6%) requests for removal and four (7.2%) cases of suspected infection.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Only half the women fast-tracked for intrauterine contraception actually attended and these tended to be women who were pre-existing clients of the FPC. Consideration should therefore be given to provision of immediate insertion where possible.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2011-100166","type":"journal-article","created":{"date-parts":[[2012,1,31]],"date-time":"2012-01-31T21:44:06Z","timestamp":1328046246000},"page":"175-178","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Assessment of a \u2018fast-track\u2019 referral service for intrauterine contraception following early medical abortion: Table 1"],"prefix":"10.1136","volume":"38","author":[{"given":"Sharon T","family":"Cameron","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nayani","family":"Berugoda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Johnstone","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Glasier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,1,31]]},"reference":[{"key":"2025090222034246000_38.3.175.1","unstructured":"Faculty of Sexual and Reproductive Health Care Clinical Effectiveness Unit. Intrauterine Contraception. 2007. http:\/\/www.fsrh.org\/pdfs\/CEUGuidanceIntrauterineContraceptionNov07.pdf [accessed 28 May 2011]."},{"key":"2025090222034246000_38.3.175.2","unstructured":"National Institute for Health and Clinical Excellence. Long-acting Reversible Methods of Contraception. 2005. http:\/\/www.nice.org.uk\/CG030fullguideline [accessed 14 June 2011]."},{"key":"2025090222034246000_38.3.175.3","unstructured":"Information Services Division, NHS National Services Scotland. Scottish Abortion Statistics. 2009. http:\/\/www.isdscotland.org\/isd\/1918.html#Activity_in_2009 [accessed 9 May 2011]."},{"key":"2025090222034246000_38.3.175.4","unstructured":"Department of Health. Abortion Statistics, England and Wales: 2009. 2010. http:\/\/www.dh.gov.uk\/en\/Publicationsandstatistics\/Publications\/PublicationsStatistics\/DH_116039 [accessed 28 May 2011]."},{"key":"2025090222034246000_38.3.175.5","unstructured":"Royal College of Obstetricians and Gynaecologists. Standards for Gynaecology \u2013 Report of a Working Party. 2008. http:\/\/www.rcog.org.uk\/catalog\/book\/standards-gynaecology-report-working-party [accessed 22 August 2011]."},{"key":"2025090222034246000_38.3.175.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.003"},{"key":"2025090222034246000_38.3.175.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.013"},{"key":"2025090222034246000_38.3.175.8","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1016\/j.contraception.2010.03.003","article-title":"Post abortion contraception and its effect on repeat abortions in Auckland, New Zealand","volume":"82","author":"Roberts","year":"2010","journal-title":"Contraception"},{"key":"2025090222034246000_38.3.175.9","unstructured":"McLoone P . Carstairs Scores for Scottish Postcode Sectors from the 2001 Census \u2013 Report. 2004. http:\/\/www.sphsu.mrc.ac.uk\/sitepage.php?page=carstairs [accessed 9 May 2011]."},{"key":"2025090222034246000_38.3.175.10","doi-asserted-by":"crossref","first-page":"216","DOI":"10.1016\/j.contraception.2008.09.003","article-title":"Barriers associated with the failure to return for intrauterine device insertion following first-trimester abortion","volume":"79","author":"Stanek","year":"2009","journal-title":"Contraception"},{"key":"2025090222034246000_38.3.175.11","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.contraception.2010.01.015","article-title":"Benefits of using a digital video disk for providing information about abortion to women requesting termination of pregnancy","volume":"81","author":"Powell-Jackson","year":"2010","journal-title":"Contraception"},{"key":"2025090222034246000_38.3.175.12","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1016\/j.contraception.2008.03.008","article-title":"Increasing intrauterine contraception use by reducing barriers to post-abortal and interval insertion","volume":"78","author":"Goodman","year":"2008","journal-title":"Contraception"},{"key":"2025090222034246000_38.3.175.13","unstructured":"Department of Health. Evaluation of Early Medical Abortion (EMA) Pilot Sites. 2008. http:\/\/www.dh.gov.uk\/en\/AdvanceSearchResult\/index.htm?searchTerms=early+medical+abortion [accessed 9 May 2011]."},{"key":"2025090222034246000_38.3.175.14","doi-asserted-by":"crossref","unstructured":"Grimes DA Lopez LM Schulz KF . Immediate postabortal insertion of intrauterine devices. Cochrane Database Syst Rev 2010;6:CD001777.","DOI":"10.1002\/14651858.CD001777.pub3"},{"key":"2025090222034246000_38.3.175.15","doi-asserted-by":"crossref","first-page":"517","DOI":"10.1016\/j.contraception.2010.10.006","article-title":"Intrauterine device insertion after medical abortion","volume":"83","author":"Betstadt","year":"2011","journal-title":"Contraception"},{"key":"2025090222034246000_38.3.175.16","doi-asserted-by":"publisher","DOI":"10.1783\/147118910793048719"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2011-100166","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T05:03:54Z","timestamp":1756875834000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2011-100166"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,31]]},"references-count":16,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2012,7,11]]},"published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1136\/jfprhc-2011-100166"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2011-100166","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,1,31]]}}}