Factors Contributing to Discontinuation among Intrauterine Device Users in Zagazig City
Mohamed, H., Nour, S., Heeba, M. (2012). Factors Contributing to Discontinuation among Intrauterine Device Users in Zagazig City. EKB Journal Management System, 8(1), 31-43. doi: 10.21608/znj.2012.38860
Hala Saber Mohamed; Sanaa Ali Nour; Manar Fathy Heeba. "Factors Contributing to Discontinuation among Intrauterine Device Users in Zagazig City". EKB Journal Management System, 8, 1, 2012, 31-43. doi: 10.21608/znj.2012.38860
Mohamed, H., Nour, S., Heeba, M. (2012). 'Factors Contributing to Discontinuation among Intrauterine Device Users in Zagazig City', EKB Journal Management System, 8(1), pp. 31-43. doi: 10.21608/znj.2012.38860
Mohamed, H., Nour, S., Heeba, M. Factors Contributing to Discontinuation among Intrauterine Device Users in Zagazig City. EKB Journal Management System, 2012; 8(1): 31-43. doi: 10.21608/znj.2012.38860

Factors Contributing to Discontinuation among Intrauterine Device Users in Zagazig City

Zagazig Nursing Journal
Article 3, Volume 8, Issue 1 - Serial Number 2012, 2012, Page 31-43  XML PDF (344.44 K)
Document Type: Original Article
DOI: 10.21608/znj.2012.38860
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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
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