EVALUATION OF FACTORS FOR DISCONTINUATION OF INTRAUTERINE CONTRACEPTIVE DEVICE AMONG WOMEN IN A TERTIARY CARE CENTER IN JAMMU, INDIA
Journal of Evolution of Medical and Dental Sciences
BACKGROUND The current contraception is well studied, reliable and available. Adolescents, the most vulnerable group regarding unwanted pregnancy, use low effective contraception method or not at all. Intrauterine Contraceptive Device (IUCD) is the world's most widely used method of reversible birth control. About 1 out of 5 women in reproductive age all over the world use IUCD, while in India, it corresponds to only about 3 in 100 women, copper devices being the most popular. The aim of the
... . The aim of the study is to evaluate Intrauterine Contraceptive Device (IUCD) discontinuation rate and its causes and related factors among women attending OPD/family planning clinic. MATERIALS AND METHODS 300 women who had an Intrauterine Contraceptive Device (IUCD) inserted during the last 1-5 years were interviewed during their visits to the OPD/family planning clinic at Shri Maharaja Gulab Singh (SMGS) Hospital, Government Medical College, Jammu. Life tables were used to describe the proportion of women who discontinued IUCD at various time intervals. The main outcome measure was IUCD discontinuation. RESULTS The incidence of IUCD discontinuation in the first year following insertion was 17%. Approximately, 26.33% of the study sample continued using their devices after 5 years. The average duration of IUCD was 36 months. Of the 300 women, 64.70% discontinued IUCD use because of a desire to conceive, 23.52% because of side effects, 10.40% because of opposition from the woman's family and 1.35% because they were sexually inactive. CONCLUSION The crude cumulative rate of IUCD discontinuation was 17% during the first year suggesting a need to tackle the problem of discontinuation through effective education strategies and counseling techniques. The average duration of IUCD use in majority of the females was about 36 months. Desire to have a male child predominates among Indian families. There are various misconceptions and myths related to IUCD use, which are needed to be understood and make our society to learn it by education and proper counseling.