{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T08:26:18Z","timestamp":1787127978258,"version":"build-2736575974"},"reference-count":19,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T00:00:00Z","timestamp":1766016000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2026,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare intrauterine device (IUD) expulsion rates between medication and procedural abortion management for induced or spontaneous abortion and identify risk factors for expulsion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a retrospective cohort study of patients undergoing medication or procedural management of induced or spontaneous abortion \u226410 weeks\u2019 gestation at a specialty clinic within a single academic center between 2010 and 2023. Included patients received a copper or levonorgestrel IUD at the time of uterine aspiration or within 30 days of medication management and had clinical or radiographical follow-up describing the IUD. The primary outcome was partial or complete IUD expulsion. Secondary analyses examined associations between clinical variables and expulsion risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 410 patients, 60 received medication for induced or spontaneous abortion, and 350 underwent procedural management for induced or spontaneous abortion. The IUD expulsion rate was 12% following medication management and 11% following procedural management, with no statistically significant difference. In a regression analysis, indication, treatment method, gestational age, and IUD type were not associated with IUD expulsion. Gravidity was the only independent risk factor (OR: 1.21; 95% CI: 1.09\u20131.35).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>IUD expulsion rate after procedural or medication management of induced or spontaneous abortion was approximately 11% and did not differ by indication or treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15409996251410003","type":"journal-article","created":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T07:24:55Z","timestamp":1767079495000},"page":"492-496","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Intrauterine Device Expulsion After Medication Versus Procedural Management of Induced and Spontaneous Abortion: A Retrospective Study"],"prefix":"10.1177","volume":"35","author":[{"given":"Kyler","family":"McVay","sequence":"first","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Snyder","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathanael","family":"Koelper","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea H.","family":"Roe","sequence":"additional","affiliation":[{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."},{"name":"Department of Obstetrics and Gynecology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,18]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.013"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.06.102"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.003"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2011-100166"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2004.03.009"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1011600"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0010-7824(02)00244-3"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0048948"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.07.063"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14662"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2016.10.012"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005000"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2022.03.062"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.10.006"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002400"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6503a1"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001587"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31822ade67"},{"key":"e_1_3_3_20_2","unstructured":"American College of Obstetricians and Gynecologists. Pain Management for In-Office Uterine and Cervical Procedures. 2025. Available from: https:\/\/www.acog.org\/clinical\/clinical-guidance\/clinical-consensus\/articles\/2025\/05\/pain-management-for-in-office-uterine-and-cervical-procedures"}],"container-title":["Journal of Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15409996251410003","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15409996251410003","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15409996251410003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T07:51:53Z","timestamp":1787125913000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15409996251410003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,18]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5,1]]}},"alternative-id":["10.1177\/15409996251410003"],"URL":"https:\/\/doi.org\/10.1177\/15409996251410003","relation":{},"ISSN":["1540-9996","1931-843X"],"issn-type":[{"value":"1540-9996","type":"print"},{"value":"1931-843X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,18]]}}}