2010Nigerian Medical PractitionerRequires access

Intrauterine Contraceptive Device Discontinuation Among Women in Osogbo, Western Nigeria

AS Adeyemi, DA Adekanl, JO Komolafe, AF Afolabi

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Abstract

The aim of this retrospective study is to determine the duration of use, and the factors responsible for the discontinuation of intrauterine contraceptive device by the clients attending a tertiary health institution family planning clinic. Most of the clients 1070(71.7%) made intrauterine contraceptive device their choice of contraceptive method, and duration of use was between 1 and 79 months. The most frequent reason for discontinuing IUD was the desire to get pregnant (51.0%), and this was followed by menorrhagia (10.4%). In conclusion, more effort should be directed to counseling for adherence to the IUD use to ensure longer duration of use. Provision of the levonorgestrel intrauterine system which reduces bleeding and dysmenorrhoea, in our clinic may increase the continuation rate of IUD.Key words; IUD, duration of use, discontinuation, factors.

About this research paper

What this paper is about

The aim of this retrospective study is to determine the duration of use, and the factors responsible for the discontinuation of intrauterine contraceptive device by the clients attending a tertiary health institution family planning clinic. Most of the clients 1070(71.7%) made intrauterine contraceptive device their choice of contraceptive method, and duration of use was between 1 and 79 months. The most frequent reason for discontinuing IUD was the desire to get pregnant (51.0%), and this was followed by menorrhagia (10.4%). In conclusion, more effort should be directed to counseling for adherence to the IUD use to ensure longer duration of use. Provision of the levonorgestrel intrauterine system which reduces bleeding and dysmenorrhoea, in our clinic may increase the continuation rate of IUD.Key words; IUD, duration of use, discontinuation, factors.

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Available abstract

The aim of this retrospective study is to determine the duration of use, and the factors responsible for the discontinuation of intrauterine contraceptive device by the clients attending a tertiary health institution family planning clinic. Most of the clients 1070(71.7%) made intrauterine contraceptive device their choice of contraceptive method, and duration of use was between 1 and 79 months. The most frequent reason for discontinuing IUD was the desire to get pregnant (51.0%), and this was followed by menorrhagia (10.4%). In conclusion, more effort should be directed to counseling for adherence to the IUD use to ensure longer duration of use. Provision of the levonorgestrel intrauterine system which reduces bleeding and dysmenorrhoea, in our clinic may increase the continuation rate of IUD.Key words; IUD, duration of use, discontinuation, factors.

Key concepts: Discontinuation, Medicine, Intrauterine device, Family planning, Levonorgestrel, Obstetrics, Gynecology, Population

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