Interim insertion of Multiload Cu 250 IUCD

299 women (58 who were nulliparous) were fitted with a Multiload Cu250 IUD in 5 family planning clinics in Birmingham London and Edinburgh between May 1979 and September 1980. Exclusion criteria included uterine anomalies a history of pelvic inflammatory disease endometrial disease including hyperplasia polyp formation carcinoma and postpartum or postabortal endometritis. Fitting was allowed at anytime of the menstrual cycle but women recently pregnant had to be a minimum of 6 weeks postpartum and have at least 1 normal period before fitting with the IUD. Follow-up visits were planned at within 3 6 12 and 24 months postfitting. The intention was to leave each IUD "in situ" for 24 months and then remove it. The results were compiled in November 1981 2-1/2 years after the 1st patients were entered into the study and 14 months after the last patients were included. Women months (2425) of follow-up were achieved on the 299 women entered. At the time of data analysis 162 women were known to be continuing with the Multiload "in utero" being satisfied with it and having developed no problems of note in association with its use. 72 women had defaulted or were lost to follow-up and a further 11 women had been released from the study for various reasons. Insertion difficulty was recorded in 18 (6%) of the fittings. From a total of 53 removals that occurred during the 1st 12 months there were only 5 reports of problems in removal. 1/3 of the patients reported mild discomfort at fitting and 10% had moderate discomfort. There were no perforations reported in this series. There was a zero pregnancy rate and an expulsion rate of 5.0.