Social characteristics of diaphragm users in a family planning clinic

1978 ◽  
Vol 10 (2) ◽  
pp. 159-167 ◽  
Author(s):  
John McEwan

SummaryThe use of the diaphragm and other vaginal caps has declined in the last decade with the rise of oral contraceptives and intrauterine devices. This is particularly clearly shown in the group of women attending family planning clinics. These changes have been accompanied by a shift in predominance from male methods to those initiated and managed by women.Various characteristics of diaphragm acceptors at the King's group of hospital clinics have been studied from January 1972 to May 1976 and compared with those of women accepting other methods such as the pill and intrauterine device. There are marked differences in age at first attendance, and at various stages of family building; there are also differences in marital status and whether working outside the home or not. In the group of housewives accepting the diaphragm, there is an increased proportion whose partners are in non-manual occupations.These differences are discussed in relation to the acceptability of vaginal barriers, the duration of their use and their effectiveness in the long term. If immediate acceptability could be improved by a new design, they might play a more useful part as a women's method of fertility control.

1992 ◽  
Vol 166 (2) ◽  
pp. 578-583 ◽  
Author(s):  
J. Courdand Robinson ◽  
Stacey Plichta ◽  
Carol S. Weisman ◽  
Constance A. Nathanson ◽  
Margaret Ensminger

Author(s):  
Ahmed S Ansari ◽  
Thomas G Tullius ◽  
Jason R Ross

ABSTRACT Over the past few decades, the use of intrauterine devices (IUDs) as long-term contraception has steadily been increasing. Along with the increased use of IUDs, many possible complications have been made apparent. This article presents an overview of normal IUD placement, possible complications and their diagnosis using ultrasound. Ultrasound has emerged as an excellent imaging modality for the diagnosis of many pelvic pathologies, because of its availability, sensitivity, specificity, cost-effectiveness and lack of radiation. By reading this article, the reader will be able to identify common IUD complications using ultrasound. How to cite this article Ansari AS, Tullius TG Jr, Ross JR, Plavsic SK. The Role of Ultrasound in the Assessment of Intrauterine Device Complications. Donald School J Ultrasound Obstet Gynecol 2012;6(3):318-326.


2005 ◽  
Vol 58 (5-6) ◽  
pp. 253-257
Author(s):  
Petar Draca ◽  
Branislava Jakovljevic

Introduction. The authors analyze contemporary methods of contraception. Regarding oral contraception, they point to agents which decrease the efficacy of oral contraception. They also deal with agents which increase the level of estrogen, thus increasing side effects (paracetamol, vitamin C). Oral contraceptives Oral contraceptives may also have an impact on the efficacy of some medications (anticonvulsants, antidepressants). Health risks of oral contraceptives are also mentioned, as well as WHO's, guidelines for women using contraceptives based on risks and benefits. Other methods of contraception The authors also offer criteria for use of bioactive intrauterine devices (IUD), with recommendations of WHO. Besides men's, there are women's condoms, which are very reliable protection against infections, but their negative side is that they are rather expensive. Bad sides of vaginal wash are also emphasized, although this method is rather widespread in the world. Conclusion. At the end, the authors quote the International Family Planning Fund (IFPF) which considers IUD to be the most reliable method of contraception nowadays. .


2020 ◽  
Vol 2 (4) ◽  
pp. 212-218
Author(s):  
Emmanuel Lamptey ◽  
Michael A. Okunlola ◽  
Adesina Oladokun

The Intrauterine Devices (IUDs) have the benefit of providing long-term protection against unwanted pregnancies. This study investigates the myths and misconceptions associated with IUDs and their influence on the usage. This cross-sectional was conducted in six family planning centres in Accra. The questionnaire included statements of misconceptions about IUDs and participants responded either in agreement or in disagreement with each of the statements. Three hundred eligible respondents completed the questionnaire. The study commenced on January 2019 and ended on June 2019. We observed a heightening level of misconceptions about IUDs among the participants. Pain during insertion (68.7%), the male partner feeling it during intercourse (66.7%), IUDs breeding infections (66.3%) and the belief that it can damage the womb (65.7%) were the major misconceptions identified about the device. Although, these misconceptions may be the true reflection of the experiences of these users, an accurate knowledge about the device is still lacking which can influence the potential patronage. Massive education to change and dispels these misconceptions are needed. Doi: 10.28991/SciMedJ-2020-0204-3 Full Text: PDF


2018 ◽  
Vol 6 (3) ◽  
pp. 1-6
Author(s):  
O.R. Balogun ◽  
A. Adewole ◽  
A.S. Adeniran ◽  
R. Adegboye

Despite multiple options for contraception, choices are limited with low satisfaction among clients in low resource countries. Effective counseling may improve satisfaction and compliance if adequately pursued. The objective of this study was to evaluate the influence of counseling on contraceptive choices and its associated factors. This was a prospective, descriptive study involving consenting family planning clients at the family planning clinic of a tertiary hospital in Ilorin, Nigeria. All participants completed an interviewer administered questionnaire designed for the study. Statistical analysis was done using SPSS version 21.0 (IBM, USA) and p value <0.05 was significant. Among the 260 participants, the mean age was 30.3±5.7 years, mean parity 3.0±1.0 and modal age 20–39years (93.5%). The commonest preferred contraceptive pre- and post-counseling was intrauterine device (36.5% vs. 53.5%); increased post-counseling desire was reported for injectables (28.8% vs. 35.4%) and implant (0% vs. 3.1%). Preferences increased post-counseling for highly effective methods (38.1% vs. 60.4%; p<0.0001), long term methods (38.1% vs. 60.4%; p<0.0001) and permanent methods (1.5% vs. 3.8%; p<0.001). Significant predictor of contraceptive choice precounseling was level of education (p=0.032) and parity (p<0.001) post-counseling. The study shows that counseling can improve choices, encourage satisfaction and possibly enhance compliance among contraceptive clients.Journal of Medical and Biomedical Sciences (2017) 6(3), 1 - 6


2021 ◽  
Author(s):  
Demisew Amenu ◽  
Tekle Wakjira ◽  
Alemi Kebede ◽  
Zerihun Asefa ◽  
Afework Tadele

Abstract Background: Intrauterine devices are the second most widely used modern family planning methods in the world. In Ethiopia, only 2% of married women use intrauterine device. Therefore, the aim of this study is to determine factors associated with the intention to use the intrauterine device in southwest, Ethiopia.Methods: A facility-based cross-sectional design was employed to collect data from 784 women using a structured questionnaire. Data were collected from October-November,2020. Data were managed using Kobo Collect v1.25.1 and Stata version 16.0 was used for analysis. A multivariable logistic regression was employed.Results: The prevalence of intention to use intrauterine device in this study was 30%. Having an intrauterine devices information (AOR=2.28(1.63-3.20)), being highest wealth status 1.76 (AOR=1.76(1.07-2.95)), and being able to read and write (AOR = 3.60; 95% CI: 1.59-7.89) were found to be significant factors influencing women’s intention to use an intrauterine device. The most common reasons for not having an intention to use were fear of side effects, lack of knowledge, and husband disapproval.Conclusion: An intention to use an intrauterine device was low. Public health interventions should provide an information focusing on the cited resaons reaching all the community in need, and give priority for women who unable read and write, and lowest wealth status. Further interventional studies were recommended to determine effective interventions to increase women’s intention to use intrauterine device.


2008 ◽  
Vol 35 (6) ◽  
pp. 531 ◽  
Author(s):  
Gary Killian ◽  
David Thain ◽  
Nancy K. Diehl ◽  
Jack Rhyan ◽  
Lowell Miller

We evaluated the multiyear contraceptive efficacy of the gonadotrophin-releasing hormone (GnRH) vaccine GonaCon, the porcine zona pellucida (PZP) vaccine SpayVac and the human intrauterine device (IUD) 380 Copper ‘T’ in mustang mares provided by the State of Nevada. Eight untreated control mares were compared with 12 mares treated with SpayVac, 16 mares treated with GonaCon and 15 mares treated with the copper-containing IUD. Rates of contraception for Years 1, 2, 3 and 4 respectively for SpayVac were 100% (12 of 12), 83% (10 of 12), 83% (10 of 12) and 83% (10 of 12), rates for GonaCon were 94% (15 of 16), 60% (9 of 15), 60% (9 of 15) and 40% (6 of 15) and rates for IUD-treated mares were 80% (12 of 15), 29% (4 of 14),14% (2 of 14) and 0% (0 of 14). Antibody titres against PZP and GnRH declined over the four-year study. For mares given SpayVac, uterine oedema was commonly observed. IUDs were visible by ultrasonography in non-pregnant mustang mares, suggesting that pregnant mares did not retain their IUD. IUD retention may be a function of uterine size: pony mares with IUDs had high retention and contraception rates for 4–5 years. We conclude that long-term contraception of mustang mares with a single shot of either the SpayVac or GonaCon vaccine is possible.


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