Immediate Versus Delayed IUD Insertion After Second Trimester Medical Abortion

Inclusion Criteria: * Able to speak English, Afrikaans or Xhosa; * Requesting and eligible for abortion according to standard practice at the hospital; * Gestational age 13-20 weeks verified by ultrasound; * Interested and eligible for the copper IUD as a post-abortion contraceptive method; * Willingness to participate in the trial including follow-up; * Able to provide a working phone \& telephone number to allow for contact; * Willing and able to provide informed consent * Staying within one hour travel time of GSH Exclusion Criteria: * Active pelvic inflammatory disease, pelvic tuberculosis; severe thrombocytopenia; * Positive N. Gonorrhea or C. Trachomatis that has not been adequately treated * Copper allergy * Hb \<10g/dL * Uterine anomaly preventing placement of the IUD; cervical cancer or carcinoma in-situ, untreated high grade squamous intraepithelial lesions * Hemorrhage; or ruptured uterus * History of ectopic pregnancy * Wilsons' disease