viernes, 11 de mayo de 2012

DIU como anticonceptivo de emergencia

El problema es definir cuando empieza la vida, entonces decir si un metodo anticonceptivo es abortivo, o no, tiene que ver con este concepto previo.
Sin entrar en la discusion filosofica sobre el comienzo de la vida, aca un review donde muestra la alta efectividad del DIU como metodo anticonceptivo de emergencia.
 BACKGROUND Intrauterine devices (IUDs) have been studied for use for emergency contraception for at least 35 years. IUDs are safe and highly effective for emergency contraception and regular contraception, and are extremely cost-effective as an ongoing method. The objective of this study was to evaluate the existing data to estimate the efficacy of IUDs for emergency contraception.
RESULTS The 42 studies (of 274 retrieved) that met our inclusion criteria were conducted in six countries between 1979 and 2011 and included eight different types of IUD and 7034 women. The maximum timeframe from intercourse to insertion of the IUD ranged from 2 days to 10 or more days; the majority of insertions (74% of studies) occurred within 5 days of intercourse. The pregnancy rate (excluding one outlier study) was 0.09%.
CONCLUSIONS IUDs are a highly effective method of contraception after unprotected intercourse. Because they are safe for the majority of women, highly effective and cost-effective when left in place as ongoing contraception, whenever clinically feasible IUDs should be included in the range of emergency contraception options offered to patients presenting after unprotected intercourse. This review is limited by the fact that the original studies did not provide sufficient data on the delay between intercourse and insertion of the IUD, parity, cycle day of intercourse or IUD type to allow analysis by any of these variables.
The efficacy of intrauterine devices for emergency contraception: a systematic review of 35 years of experience
Cleland K. et al
Hum. Reprod.doi: 10.1093/humrep/des140

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