Factors Contributing to Discontinuation among Intrauterine Device Users in Zagazig City | ||
| Zagazig Nursing Journal | ||
| Article 3, Volume 8, Issue 1 - Serial Number 2012, 2012, Pages 31-43 PDF (344.44 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/znj.2012.38860 | ||
| Authors | ||
| Hala Saber Mohamed1; Sanaa Ali Nour2; Manar Fathy Heeba3 | ||
| 1B.Sc. Nursing, (2) Obstetrics & Gynecological Nursing Dept., Faculty of Nursing, Zagazig University | ||
| 2prof of Obstetrics & Gynecological Nursing Dept., Faculty of Nursing, Zagazig University | ||
| 3Lecturer, Maternity of Obstetrical and Gynecological Nursing Dept, Faculty of Nursing, Port Said University | ||
| Abstract | ||
| Background: Intrauterine contraceptive device (IUD) is the most common, widely used reversible method of contraception, currently used by nearly 160 million women. Aim: This study embarked on to explore the factors associated with intrauterine device discontinuation and failure in Maternal and Child Health Centers at Zagazig City. A descriptive design was selected in carrying out this study and a purposive sample of 400 women who had used an IUD and requested its removal was recruited for this study. Setting: The study was conducted at 4 Maternal Child Health clinics of 4 Rural Health Units affiliated to the Ministry of Health and population in Zagazig city .Tools: An interview questionnaire sheet was designed and implemented. The results of the present study revealed that the mean duration of the current IUD was 4.5±3.6 with a range of 0.1-22 years, almost three fourths (74.4%) of women lost to follow up. The desire for conception was the most common reason, with the highest percentage (25.5%) followed by heavy bleeding and spotting and PID (21.5% and 12.3% respectively). In addition, other reasons for IUD withdrawal was social problems, expired date of the IUD and missed IUD (14.5%, 10.3% and 8.2% respectively). Statistical significant relation was found between reasons of discontinuation and women’s age, education, number of living children, the previous use of IUD and the duration of the current IUD. Conclusion: From present results it could be suggested that medical and social problems constitute the main reasons for discontinuation of IUDs. A great proportion lost the follow up and a significant relation was found between women characteristics and reasons for discontinuation of the IUD. Recommendations: Counseling during the initial and return visits as well as after the removal of the IUD is mandatory. | ||
| Keywords | ||
| Intrauterine contraceptive device; Follow up; Discontinuation; counseling | ||
|
Supplementary Files
|
||
|
Statistics Article View: 63 PDF Download: 61 |
||
