Long Tail Strings: Impact of the Dalkon Shield 40 Years LaterReport as inadecuate




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Intrauterine devicesIUDs are the most effective, reversible and longest acting birth control method.They require no effort for compliance and avoid systemic synthetic hormones. Evidence-basedeffectiveness and safety studies have demonstrated IUDs rival sterilization.IUDs low cost make them the mostpopular method worldwide. Despite these benefits, IUDs have minimal marketpenetration in the United States where they are expensive, disparaged by anolder generation of physicians, and withheld from teenagers, nulliparous women,and women not in mutually monogamous relationships, i.e., those who would mostbenefit. This article reviews the nearly forgotten history of the IUD that resultedin broadening the Food and Drug Administration’s oversight of medical devices,brought needed transparency to physicians’ conflicts of interests, uncovered acorporate scandal with a whistleblower that led to a major pharmaceuticalbankruptcy, and involved 327,000 women though only 195,000 met strict criteriafor claims in the largest US personal injury case.

KEYWORDS

IUD, Dalkon Shield, Review, Infertility, History, Scandal, Birth Control

Cite this paper

Roepke, C. and Schaff, E. 2014 Long Tail Strings: Impact of the Dalkon Shield 40 Years Later. Open Journal of Obstetrics and Gynecology, 4, 996-1005. doi: 10.4236-ojog.2014.416140.





Author: Clare L. Roepke1, Eric A. Schaff2

Source: http://www.scirp.org/



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