scholarly journals Assessment of intention to use postpartum intrauterine contraceptive device and associated factors among pregnant women attending antenatal clinics in ambo town public health institutions, Ethiopia, 2018

2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Gurmessa Daba ◽  
Jembere Tesfaye Deressa ◽  
Workinesh Sinishaw
Keyword(s):  
Pregnant Women ◽  
Associated Factors ◽  
Occupational Status ◽  
Intention To Use ◽  
Contraceptive Device ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Public Health Institutions ◽  
Health Institutions ◽  
Intrauterine Contraceptive Devices

Abstract Background Maternal mortality tragedy is the issue of both developed and developing countries, especially sub-Saharan Africa including Ethiopia, which is due to poor quality of maternal health care services. Therefore family planning especially the use of Postpartum intrauterine contraceptive devices can tackle unintended pregnancy and maternal death. However,the intention to use PPIUCD and the use of IUCD in general is not well practiced in Ethiopia according to evidences of the literatures. For this reason, many mothers are exposed to unintended pregnancy and pregnancy related complications. The main purpose of the study was to assess the intention to use Post-partum intra uterine contraceptive devices and its associated factors among pregnant women attending Antenatal Clinics in Ambo Town Public Health Institutions, Ethiopia, 2018. Methods A facility-based cross-sectional study design was conducted from March – April 2018 to assess the intention of pregnant women about Postpartum intrauterine contraceptive devices and associated factors in 422 pregnant women. Study subjects were selected using systematic random sampling. Data were collected by structured questionnaire, entered into a computer using Epi-info 3.5.4 statistical program, and exported to SPSS version 20 for analysis. A Logistic regression model was used to predict the intention of pregnant women about Postpartum intrauterine contraceptive devices and associated factors. Lastly, a significant statistical association was tested using 95% confidence interval (CI) and p value (p < 0.05). Results The response rate was 417 (98.3%) and this study showed that 145(34.9%) of pregnant women intended to use Postpartum intrauterine contraceptive device. Age of pregnant women [AOR = 8.348(CI: 3.602–19.347], educational level [AOR = 3.249(1.057–9.985)], occupational status [AOR = 4.101(CI: 1.788–9.405)], monthly income [AOR = 3.175(CI: 1.423–7.082)] and knowledge [A0R = 5.408(2.994–9.767)] have shown significant associations with intention to use Postpartum intrauterine contraceptive devices. Conclusions The study found that 34.9% women intended to use PPIUCD. Maternal age, maternal educational level, occupational status, monthly income and knowledge were significantly associated with pregnant women intention to use PPIUCD.

scholarly journals A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device

2015 ◽  
Vol 1 (4) ◽  
pp. 72-73
Author(s):  
A Gayatri ◽  
Nagendra Prasad
Keyword(s):  
Rare Case ◽  
Intrauterine Contraceptive Device ◽  
Cervical Canal ◽  
Contraceptive Device ◽  
Bicornuate Uterus ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Postmenopausal Female ◽  
Intrauterine Contraceptive Devices

ABSTRACT Early intrauterine contraceptive devices (IUCDs) like Lippes Loop were intended for long-term use until menopause and hence often retained for years, and many patients present well into menopause still bearing a Lippes Loop either deliberately or forgotten. We present a case of a 65-year-old postmenopausal female patient presented with complaints of spotting per vagina since 20 days, associated with white discharge per vagina. Ultrasound abdomen showed calcified endometrium with IUCD in the cervical canal. Hysteroscopy was done. As IUCD could be visualized but could not be removed, hence hysterectomy was done. How to cite this article Gayatri A, Nagarathnamma R, Prasad N. A Rare Case of Bicornuate Uterus with Embedded Intrauterine Contraceptive Device. J Med Sci 2015;1(4): 72-73.

Prevalence of Complications after Interval Postpartum Intrauterine Device Insertion

2021 ◽  
Vol 15 (9) ◽  
pp. 2785-2788
Author(s):  
Saba Abbas ◽  
Sadia Anwar ◽  
Kalsoom Essa Bhattani ◽  
Zubaida Khanum Wazir ◽  
Rubina Babar
Keyword(s):  
Teaching Hospital ◽  
Intrauterine Device ◽  
Contraceptive Device ◽  
Expulsion Rate ◽  
Cross Sectional ◽  
Uterine Infection ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

Background and Aim: Postpartum intrauterine device (PPIUD) is a reversible, long-term and effective technique of contraception. The intrauterine device (IUD) is inserted within 48 hours of delivery. The immediate insertion of an intrauterine device causes certain complications. The present study aimed to assess the prevalence of complications after Interval Postpartum Intrauterine Device Insertion. Materials and Methods: This cross-sectional study was carried out on 147 women who underwent postpartum IUD (PPIUD) insertions during from January 2021 to June 2021 at Gynecology department, Mufti Mehmood Memorial Teaching Hospital (MMMTH), Dera Ismail Khan and Muhammad Teaching Hospital Peshawar. All the women who delivered and showed willingness for PPIUCD insertion were enrolled and continuously follow-up for 4 to 6 weeks after delivery. Demographic, obstetric, and clinical parameters were recorded on pre-designed medical proforma. PPIUCD insertion after 6 weeks of delivery were followed-up for the evaluation of complications. Uterine infection, medical removal of IUD, IUD expulsion, perforation, and method discontinuation were the outcome variables. SPSS version 20 was used for data analysis. Results: Of the total deliveries, 147 women inserted the postpartum intrauterine contraceptive device (PPIUCD). Of the total, about 122 (83%) women returned for follow-up after 6 weeks. All the women underwent transvaginal insertion of intrauterine contraceptive devices. The PPIUCD insertion related complications with prevalence were uterine infection 26 (21.3%), overall method suspension 17 (13.9%), perforation 20 (16.4%), interceptive uterine device expulsions 25 (20.5%), and intrauterine device removal 32 (26.2%). The severe uterine infection was in 2 (1.7%) cases who were hospitalized. Conclusion: The postpartum intrauterine device cumulative expulsion rate was higher among women compared to the expulsion rate of insertions. The longer duration of bloody lochia flow and delivery intrauterine device insertions were the key risk factors for expulsion of PPIUCD. Women can safely utilize intrauterine contraceptive devices with low complications beyond four week. Keywords: Postpartum intrauterine device; Complications; Intrauterine device expulsion

scholarly journals Determinants of Postpartum Intrauterine Contraceptive Device Uptake among Women Delivering in Public Hospitals of South Gondar Zone, Northwest Ethiopia, 2019: An Unmatched Case-Control Study

2021 ◽  
Vol 2021 ◽  
pp. 1-11
Author(s):  
Mandefro Assefaw ◽  
Getnet Azanew ◽  
Ayenew Engida ◽  
Zenebe Tefera ◽  
Wondimnew Gashaw
Keyword(s):  
Health Care ◽  
Antenatal Care ◽  
Public Hospitals ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Care Providers ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
South Gondar ◽  
Intrauterine Contraceptive Devices

Introduction. Integrated use of postpartum intrauterine contraceptive devices with delivery service during the immediate postpartum period is ideal for both women and health-care providers. However, utilization of intrauterine contraceptive devices during the postpartum period was rare and in Ethiopia, with information regarding uptake of postpartum intrauterine contraceptive devices limited. Objective. Identify determinants of postpartum intrauterine contraceptive devices uptake among women delivering in public hospitals of South Gondar zone, Northwest Ethiopia, 2019. Methods. An unmatched case-control study was conducted in public hospitals of South Gondar, Ethiopia, from August 1, 2019, to November 10, 2019. A total of 140 cases and 280 controls have actively participated in the study. Five hospitals were selected by simple random sampling. Cases were selected consecutively, whereas two controls for each case were recruited by the lottery method. Pretested questionnaires were used to collect data and it was entered into Epidata version 4.4.2. Logistic regression analysis was used to identify variables associated with the use of outcome and adjusted odds ratio with a 95% confidence interval was used to determine the association between independent and outcome variables. Results. Completing secondary education (AOR = 4.5, 95%CI 2.3–8.85), having a total number of children of 3–4 (AOR = 3.6, 95%CI 1.25–10.2), having  ≥ 5 (AOR = 4.7, 95%CI 1.5–15.3), attending 3 antenatal care (AOR = 2.8, 95%CI 1.44–5.6), ever hearing about postpartum IUCD (AOR = 6.6, 95%CI 2.7–16.1), and having counseling from health-care provider about a postpartum intrauterine contraceptive device (AOR = 6.2, 95%CI 2.99–12.8) were significantly associated with uptake of the postpartum intrauterine contraceptive. Conclusion and Recommendation. Completing secondary education, having 3–4 and ≥5 children, attending three antenatal care, ever hearing about postpartum IUCD, and having counseling from health-care providers about the postpartum intrauterine contraceptive device among women were significantly associated with uptake of an intrauterine contraceptive device after birth. Therefore, it is better to advise women to strictly follow their antenatal care, access to information, and provide counseling.

scholarly journals Intrauterine Contraceptive Device Migration Presenting as Abdominal Wall Swelling: A Case Report

2011 ◽  
Vol 2011 ◽  
pp. 1-3
Author(s):  
Imtiaz Wani ◽  
Adil Syed ◽  
Muddasir Maqbool ◽  
Iftikhar Bakshi ◽  
Hilal Bhat ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Abdominal Wall ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Open Approach ◽  
Contraceptive Devices ◽  
Impacted Foreign Body ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

A number of complications are reported with the use of intrauterine contraceptive devices. These may pursue asymptomatic course or present as an acute abdomen after migration into peritoneal cavity. The authors here are reporting an abdominal wall swelling caused by transuterine migration of a copper intrauterine contraceptive device in a 28-year-old female. An open approach was used, and impacted foreign body was retrieved.

scholarly journals Embedded Intrauterine Contraceptive Device with Cervical Fibroid

2016 ◽  
Vol 02 (01) ◽  
pp. 047-048
Author(s):  
Anupama Bhute ◽  
Sindhu Bhute
Keyword(s):  
Interesting Case ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Lower Abdomen ◽  
Incidental Diagnosis ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Intrauterine Contraceptive Devices

AbstractIntrauterine contraceptive devices (IUCDs) are among the most frequently used methods of contraception since 1965. An embedded IUCD is a situation where there is an abnormally positioned IUCD within the endometrium or myometrium, however, without an extension through the serosa. We are reporting an interesting case that presented with a missing thread, pain in lower abdomen, and menorrhagia with incidental diagnosis of cervical fibroid.

Unusual Complication of Intrauterine Contraceptive Device

2016 ◽  
Vol 8 (3) ◽  
pp. 243-245
Author(s):  
Namita Agarwal ◽  
Brijesh K Agarwal
Keyword(s):  
New York ◽  
Intrauterine Contraceptive Device ◽  
World Health ◽  
Unusual Complication ◽  
Contraceptive Device ◽  
Vesical Calculus ◽  
Contraceptive Devices ◽  
Intrauterine Contraceptive ◽  
Health Organization ◽  
Intrauterine Contraceptive Devices

ABSTRACT Intrauterine foreign bodies have been used in animals as a contraceptive since times immemorial. The use of pebbles in camels as a contraceptive has been reported in Arabs. Intrauterine contraceptive devices (IUCDs) have been used since 1962 when the first International Conference of Population Council, New York reported encouraging data on Margulies coil and Lippes loop as IUCDs. According to the World Health Organization, IUCDs are the second most widely used reversible contraceptive method after voluntary female sterilization. Intrauterine contraceptive devices have undergone extensive evolution from Grafenberg ring to Ota ring, Margulies coil, Lippes loop, Birnberg bows, Saf T-coil followed by Cu T 200, Cu 7, Multiload Cu 250/375, Cu T 380 Ag, Cu T 380 S [slimline]. Hormonereleasing IUCDs were developed in 1973. Ombrelle 250/380 and FlexiGard are the latest in this series. The common complications encountered with IUCD insertion are pelvic infections, infertility, the risk of both intrauterine and extrauterine pregnancy, pain, altered bleeding pattern, expulsion of the device, and its migration. Migration of IUCD into the bladder has been rarely reported in the literature. The authors report an unusual case of a secondary vesical calculus formed around a migrated IUCD. How to cite this article Agarwal N, Agarwal BK. Unusual Complication of Intrauterine Contraceptive Device. J South Asian Feder Obst Gynae 2016;8(3):243-245.

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