Contraceptive use and pregnancy outcomes among opioid drug-using women: a retrospective cohort study.

Objective: The contraceptive needs of illicit opioid users differ from non-drug users but are poorly understood. The aim of this study was to describe contraceptive use and pregnancy outcomes in opioid-using women, and to examine their association with a range of risk factors.

Method: This retrospective cohort study used UK general practice records, Treatment Outcomes Profile and National Drug Treatment Monitoring System data, and a nested data validation exercise.

Intrauterine fragmentation of Gyne T380: an uncommon complication.

A case of intrauterine fragmentation of a Gyne T380 intrauterine device (IUD) is described that was detected during removal of the device. Pelvic ultrasound failed to detect the fragment. Subsequently the woman reported spontaneous expulsion of the device.