Factors associated with low-lying intrauterine devices: a cross-sectional ultrasound study in a cohort of African-American women.
| dc.contributor.author | Moshesh, Malana | |
| dc.contributor.author | Saldana, Tina | |
| dc.contributor.author | Deans, Elizabeth | |
| dc.contributor.author | Cooper, Tracy | |
| dc.contributor.author | Baird, Donna | |
| dc.date.accessioned | 2024-06-03T14:39:17Z | |
| dc.date.available | 2024-06-03T14:39:17Z | |
| dc.date.issued | 2018-07 | |
| dc.description.abstract | ObjectiveThe object of this study is to examine factors and symptoms associated with low-lying IUDs as defined by ultrasound.Study designThis is a cross-sectional sub-study of participants in the Study of Environment, Life-style, and Fibroids (SELF). SELF participants had screening ultrasounds for fibroids at study enrollment; those with an IUD in place are included in this sub-study. Low-lying IUDs were identified and localized. Logistic regression was used to identify factors and symptoms associated with low-lying IUDs.ResultsAmong 168 women with IUDs at ultrasound, 28 (17%) had a low-lying IUD. Having a low-lying IUD was associated with low education level (≤high school: aOR 3.1 95% CI 1.14-8.55) and with increased BMI (p=.002). Women with a low-lying IUD were more likely to report a "big problem" with dysmenorrhea (the highest option of the Likert scale) as compared to women with a normally-positioned IUD (OR 3.2 95% CI 1.07-9.54).ConclusionOur study found that women with a low-lying IUD are more likely to be of lower education and higher BMI, and to report more dysmenorrhea.ImplicationsWomen who are obese may benefit from additional counseling and closer follow-up after IUD placement. Future research is warranted to investigate IUD placement and possible IUD migration among women who are obese. | |
| dc.identifier | S0010-7824(18)30095-7 | |
| dc.identifier.issn | 0010-7824 | |
| dc.identifier.issn | 1879-0518 | |
| dc.identifier.uri | ||
| dc.language | eng | |
| dc.publisher | Elsevier BV | |
| dc.relation.ispartof | Contraception | |
| dc.relation.isversionof | 10.1016/j.contraception.2018.02.018 | |
| dc.rights.uri | ||
| dc.subject | Humans | |
| dc.subject | Dysmenorrhea | |
| dc.subject | Ultrasonography | |
| dc.subject | Cohort Studies | |
| dc.subject | Cross-Sectional Studies | |
| dc.subject | Intrauterine Devices | |
| dc.subject | Adult | |
| dc.subject | Female | |
| dc.subject | Young Adult | |
| dc.subject | Black or African American | |
| dc.title | Factors associated with low-lying intrauterine devices: a cross-sectional ultrasound study in a cohort of African-American women. | |
| dc.type | Journal article | |
| duke.contributor.orcid | Deans, Elizabeth|0000-0002-6622-9663 | |
| pubs.begin-page | 25 | |
| pubs.end-page | 29 | |
| pubs.issue | 1 | |
| pubs.organisational-group | Duke | |
| pubs.organisational-group | School of Medicine | |
| pubs.organisational-group | Faculty | |
| pubs.organisational-group | Clinical Science Departments | |
| pubs.organisational-group | Obstetrics and Gynecology | |
| pubs.organisational-group | Obstetrics and Gynecology, Women's Community & Population Health | |
| pubs.publication-status | Published | |
| pubs.volume | 98 |
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