Abstract
Between December 1962 and January 1968, 301 private patients (ages 17-34) were inserted with either the Lippes loop or the Margulies spiral; the latter being abandoned after 1 year due to frequency of bleeding and irritation to husband during intercourse. While the study was limited (1st 3 years) to women with 2 or more children who were living with their husbands, it has since been expanded to include 3 nulliparous women and 14 with a parity of 1. All women attended preinsertion lectures since patient orientation is considered necessary to reduce the number of IUD removals. Follow-up in the 1st 4 years consisted of examination 1 month after insertion followed by regular 6-month checkups; follow-up was later done by telephone conversation. Results based on 642 woman-years of use show 30 removals for bleeding and pain, 6 due to lack of confidence, 2 because of infection, 7 for hysterectomies, 13 for desired pregnancies, 1 because of endometriosis, 8 no longer needed the device, and 10 were lost to follow-up. From a study group of 269, 192 (71%) devices remained in place. The pregnancy rate was 3.2/100 woman-years of use.
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