scholarly journals Utilization of Cu-T in Paschim Midnapur district of West Bengal, India: An appraisal

2014 ◽  
Vol 3 (2) ◽  
pp. 30-34
Author(s):  
Anima Haldar ◽  
Samir Kumar Roy ◽  
Tushar Kanti Saha ◽  
Rama Prasad Roy ◽  
Baijayanti Baur ◽  
...  
Keyword(s):  
West Bengal ◽  
Intrauterine Device ◽  
Oral Contraceptive Pill ◽  
Married Women ◽  
Reproductive Age ◽  
Intrauterine Contraceptive Device ◽  
Current Status ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
The Government

As a part of its commitment towards provision of quality spacing services in family planning, the Government of India introduced Cu-T 380A in 2002 with an effective protection for 10 years replacing the earlier Cu-T 200B. In India, the use of the intrauterine device (IUD) is very low among married women of reproductive age, despite the fact that the Government offers IUD (Cu-T) services free of cost. The aim of the study was to assess the current status of intrauterine contraceptive device (Copper-T) utilization and to determine the relevant factors influencing utilization by currently married women of the reproductive age. The community-based cross-sectional study was carried out in 3 Blocks and 2 Municipality areas of the West Midnapur district in West Bengal. A multistage random sampling method was carried out to select villages of sub-center areas and wards from Municipality areas. A total of 16 areas were selected for the purpose of the study; 125 eligible couples from each selected area were interviewed by a house-to-house survey in order to cover 2000 eligible couples throughout the district. Only females were the respondents. It was found that 67.4% of the couples admitted to the use of any method of contraception. The Couple Protection Rate (by modern method) was found to be 62.6% in the study area. However, it was demonstrated that Cu-T acceptance rate was only 1.3%. Ligation (38.8 %) contributed the highest – other methods included: oral contraceptive pill (19.4%), condom (3%), vasectomy (0.1%) and others (4.8%). The ever use rate of intrauterine contraceptive device (Cu-T/loop) in the study area was 6.2%, which increased significantly with the advancement of maternal age, but no association was found with literacy status of the respondents. Lack of motivation (48.4%), misconception (14%), unawareness (11.3%) unwillingness (9.3%) and religious/cultural barrier (2.4%) were the major factors for underutilization/non-utilization as elicited from the present study. Advocacy through mass media and sustenance of behavior change communication also needed for higher IUD utilization in both rural and urban area. DOI: http://dx.doi.org/10.3329/seajph.v3i2.20036 South East Asian Journal of Public Health Vol.3(2) 2013: 30-34

scholarly journals Knowledge and predictors of retention of postpartum intrauterine contraceptive device among users in rural areas of Nadia district, West Bengal, India

2019 ◽  
Vol 6 (11) ◽  
pp. 4976
Author(s):  
Jitu Sharma ◽  
Jayita Pal
Keyword(s):  
Rural Areas ◽  
West Bengal ◽  
Nuclear Family ◽  
Unmet Need ◽  
Sampling Technique ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Household Level ◽  
Awareness Campaigns ◽  
Intrauterine Contraceptive

Background: Postpartum intrauterine contraceptive device (PPIUCD) is a safe, highly effective postpartum contraceptive, yet to be popularized at the community level in a diversified developing country like India where still the unmet need for spacing remains high. This study aimed to assess the knowledge regarding PPIUCD among users and the predictors of its retention.Methods: A case-control study had been conducted using multi-stage sampling technique in Nadia district of West Bengal. Face to face interviews of the cases and the controls had been done with the help of a predesigned pretested semi-structured schedule. Data were entered in MS Excel and analysed in SPSS 20.0 version.Results: Majority of the acceptors (55.2%) had poor knowledge regarding PPIUCD. Most of the participants (62.2%) retained their PPIUCD at least for 6 months. Acceptors who belonged to Hindu religion, higher socio-economic class (I and II), nuclear family, educated up to or above secondary level, ever counselled on PPIUCD, satisfied using that in day to day life, undergone follow-up visits and had correct knowledge regarding different aspects of PPIUCD had higher odds of retention of PPIUCD.Conclusions: Regular awareness campaigns, counselling at household level, advocacy are the utmost needs of the hour to motivate the eligible couple for its acceptance and retention.

scholarly journals PENGARUH PENYULUHAN PENGGUNAAN IUD DENGAN PENGETAHUAN IBU DALAM MENGGUNAKAN ALAT KONTRASEPSI INTRA UTERINE DEVICE (IUD) DI PUSKESMAS SEKINCAU LAMPUNG BARAT TAHUN 2018

2019 ◽  
Vol 13 (1) ◽  
pp. 48-55
Author(s):  
Rilyani Rilyani ◽  
Riska Hediya Putri ◽  
Desy Lestari
Keyword(s):  
Public Health ◽  
Health Service ◽  
Public Health Service ◽  
Intrauterine Device ◽  
Research Result ◽  
Intrauterine Contraceptive Device ◽  
P Value ◽  
Contraceptive Device ◽  
Purposive Sampling ◽  
Intrauterine Contraceptive

KNOWLEDGE IN INTRAUTERINE CONTRACEPTIVE DEVICE (IUD) AMONG USERS OF IUDBackground: Intra Uterine Devices (IUD) is the contraceptive choices that are effective, safe, and convenient for most women.IUD is a reversible contraceptive method most commonly used throughout the world with the use of approximately 100 million women, mostly in China.Purpose: Knowing thateffect of the use of extension knowledge with mother contraception Intrauterine Device (IUD)  at Public Health Service (Puskesmas Sekincau) West Lampung 2018.Methods: This research quantitative, with designQuasi Experimental with one group pretest-postes design approach, total population using slovin formula obtained 96 respondents technique in this research is purposive sampling. The research will be conducted at Public Health Service (Puskesmas Sekincau) West Lampung 2018.Instrument with questionnaire research and statistic test usedT-testResults: Finding thataverage knowledge before given counseling that is Mean 8.15 Standar Deaviasi 2.475 (4-12), after counseling Mean 12.91 Standar Deviasi 1.807 (10-17). Statistical test results T-tes obtained p-value 0.000.Conclusion:There is an effect of the use of extension knowledge with mother contraception Intrauterine Device (IUD)  at Public Health Service (Puskesmas Sekincau) West Lampung 2018.. Suggesting to Management of Public Health Services (Puskesmas)this research result can improve mother's knowledge by doing health counseling with media leaflet so it can increase interest users of  IUD.Keywords: Counseling, Knowledge, Contraception, intrauterine contraceptive device (IUD) Pendahuluan: Berdasarkan data hasil survay yang dilakukan di 5 puskesmas di Kabupaten Lampung Barat pada tahun 2016, pemakaian IUD di Puskesmas Sumber Jaya didapat 62 orang (2.6%) dengan pemasangan IUD dari 1.688 pemasangan alat kontrasepsi, Puskesmas Sekincau 34 orang (3.5%) dari 2.288 pemasangan, Puskesmas Lombok 67 orang (3.1%) dari 2.054 pemasangan, Puskesmas Air Hitam 40 pemasangan (2.0%) dari 1.937 pemasangan, dan Puskesmas Buay Nyerupa sebanyak 58 orang (2.2%) dari 2.532 pemasangan (Data Pemasangan IUD Kab. Lampung Barat, 2016).Tujuan: Diketahui pengaruh  penyuluhan   tentang iud terhadap pengetahuan ibu dengan penggunaan kontrasepsi Intra Uterine Device (IUD) Di Wilayah KerjaPuskesmas Sekincau Lampung Barat Tahun 2018.Metode: Jenis penelitian ini adalah kuantitatif, dengan desain penelitian ini adalah Quasi Eksperimental dengan pendekatan one group pretes-postes design, jumlah populasi sebanyak 2.288, dengan menggunakan rumus slovin didapat 96 teknik sampel dalam penelitian ini adalah purposive sampling. Penelitian akan dilakukan di Wilayah Kerja Puskesmas Sekincau Lampung Barat Tahun2018, dengan instrument penelitian kuisioner dan uji statistic menggunakan ujit-tesHasil: Nilai rata-rata pengetahuan sebelum diberikan penyuluhan yaitu Mean 8.15 Std. Dev 2.475  S. Eror 0.253 nilai benar kuisioner pengetahuan min-max 4-12, setelah penyuluhan Mean 12.91 Std. Dev 1.807 S. Eror 0.184 nilai benar kuisioner pengetahuan min-max 10-17. Hasil uji statistik t-tes didapat nilai p-value 0.000 (<0.05).Simpulan: Terdapat pengaruh penyuluhan  penggunaan IUD dengan pengetahuan ibu dalam menggunakan alat kontrasepsi Intra Uterine Device (IUD) di Wilayah Kerja Puskesmas Sekincau Lampung Barat Tahun 2018. Saran diharapkan hasil penelitian ini dapat meningkatkan pengetahuan ibu dengan cara melakukan penyuluhan kesehatan dengan media penyajian PPT pada slide melalui LCD sehingga dapat meningkatkan minat pengguna KB IUD.

scholarly journals Determinants of Intrauterine Contraceptive Device Use Among the Women of Urban Areas of Nepal

2014 ◽  
Vol 8 (2) ◽  
pp. 16-20 ◽  
Author(s):  
R Joshi ◽  
S Bhattarai ◽  
K Simkhada ◽  
S Thapa
Keyword(s):  
Urban Areas ◽  
Occupational Status ◽  
Group Living ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Sources Of Information ◽  
Cross Sectional ◽  
Intrauterine Contraceptive

Aims: This study aimed to identify the determinants of Intrauterine Contraceptive Device (IUCD) use among the married women of reproductive age group living in urban areas of Nepal. Methods: This study was an analytical cross-sectional study which aimed to compare different factors between 110 IUCD users and 110 non-users. Both groups were selected randomlyand interviewed by using semi-structured questionnaire. Chi-square test was used to detect the difference between two groups and corresponding odds ratios with 95% confidence intervals were also computed. Results: When the IUCD users were compared to non-users, religion, occupational status of women, occupational status of the husbands, total number of children, sources of information about IUCD, having wrong beliefs about IUCD, availability of IUCD services, reproductive intention and spousal communication were significantly associated with the use of IUCD.The main reason for using IUCD was due to the effectiveness for longer duration and for not using IUCD was due to the feeling of no need. Conclusions: Wrong beliefs about the device discouraged women from using IUCD, hence, awareness programs are strongly recommended.Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 2 / Issue 16 / July-Dec, 2013 / 16-20 DOI: http://dx.doi.org/10.3126/njog.v8i2.9760

scholarly journals Ileal Perforation after Intrauterine Device Insertion

2021 ◽  
Vol 2 (1) ◽  
pp. 35-37
Author(s):  
Suleiman Ghunaim
Keyword(s):  
Intrauterine Device ◽  
Bowel Injury ◽  
Intrauterine Contraceptive Device ◽  
Transvaginal Sonography ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Clinical Surveillance ◽  
Device Placement ◽  
Device Use

The intrauterine contraceptive device is the second most popular form of contraception worldwide. Uterine perforations may rarely complicate intrauterine contraceptive device use and are believed to occur mostly at the time of insertion. In the majority of cases, perforations are not recognized by the operator and remain asymptomatic. In rare instances however, severe delayed complications involving adjacent organs may ensue. We report an unusual case of uterine perforation with bowel injury diagnosed two years after the insertion of a copper intrauterine contraceptive device. We aim to address the use of transvaginal sonography to confirm proper intrauterine contraceptive device placement following a technically challenging insertion, clinical surveillance, and prompt removal of an intraperitoneal intrauterine contraceptive deviceto prevent potential serious complications, such as bowel embedment. Keywords: Bleeding; Bowel injury; Contraception; Intrauterine contraceptive device; Uterine perforations. Abbreviations IUD: intrauterine contraceptive device; G2P2: Gravidity 2 Parity 2

scholarly journals Factors associated with removal of postpartum intrauterine contraceptive device among acceptors in rural areas of Nadia district, West Bengal: a case-control study

2019 ◽  
Vol 8 (11) ◽  
pp. 4350
Author(s):  
Jayita Pal ◽  
Jitu Sharma ◽  
Sankalpa Satapathy
Keyword(s):  
Rural Areas ◽  
Case Control Study ◽  
West Bengal ◽  
Unmet Need ◽  
Case Control ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Factors Associated ◽  
Intrauterine Contraceptive ◽  
Control Study

Background: The unmet need for contraception remains high in the postpartum period. Postpartum intrauterine contraceptive device (PPIUCD), despite being an effective and well-suited contraceptive method for this period, many women discontinue its use due to various reasons just after a few days or weeks. The study aimed to identify the factors associated with the removal of the same.Methods: A community-based case-control study had been conducted in Nadia district of West Bengal. A multi-stage sampling technique had been applied to identify and interview the cases and controls with the help of a predesigned pretested semi-structured schedule.Results: The overall removal and expulsion rates were found to be quite high (21.5% and 16.3% respectively). Multivariate analysis revealed that acceptors belonging to joint family, educated only up to middle level, if place of delivery and insertion of PPIUCD was BPHC, the same had been inserted by nursing staff, experienced pain after insertion,  not given consent before insertion, not counselled ever on PPIUCD, not decided to accept PPIUCD before delivery, not satisfied with its use and undergone no follow up visit after its insertion, were having higher odds of removal of the same.Conclusions: Rigorous counselling during the antenatal period should be focused to achieve a declining trend regarding PPIUCD removal.

Missing Intrauterine Device Copper-T: Case Series

2018 ◽  
Vol 16 (3) ◽  
pp. 354-356
Author(s):  
Shekhar Thapa ◽  
Ganesh Dangal ◽  
Aruna Karki ◽  
Hema Kumari Pradhan ◽  
Ranjana Shrestha ◽  
...  
Keyword(s):  
Intrauterine Device ◽  
Case Series ◽  
The Other ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Vasovagal Reactions ◽  
Intrauterine Contraceptive ◽  
Reversible Method ◽  
Long Acting ◽  
Copper Iud

An intrauterine contraceptive device (IUD) is a long acting, highly effective, economic and reversible method of contraception used worldwide. The most used devices are copper IUD (Copper-T) or Progesterone IUD. Common complications include failed insertion, pain, vasovagal reactions, infection, menstrual abnormalities, expulsion and rarely uterine embedment and perforation. In this case series we will discuss three cases of missing Copper-T. In one case Copper T was inserted at our hospital and in the other cases it was inserted in the periphery and all the cases was managed surgically with different modality. Keywords:  Copper-T; Intrauterine device; laparoscopy; laparotomy; perforation.

scholarly journals Missing Intrauterine Device Copper-T: Case Series

2018 ◽  
Vol 16 (3) ◽  
pp. 354-356
Author(s):  
Shekhar Thapa ◽  
Ganesh Dangal ◽  
Aruna Karki ◽  
Hema Kumari Pradhan ◽  
Ranjana Shrestha ◽  
...  
Keyword(s):  
Intrauterine Device ◽  
Case Series ◽  
The Other ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Vasovagal Reactions ◽  
Intrauterine Contraceptive ◽  
Reversible Method ◽  
Long Acting ◽  
Copper Iud

An intrauterine contraceptive device (IUD) is a long acting, highly effective, economic and reversible method of contraception used worldwide. The most used devices are copper IUD (Copper-T) or Progesterone IUD. Common complications include failed insertion, pain, vasovagal reactions, infection, menstrual abnormalities, expulsion and rarely uterine embedment and perforation. In this case series we will discuss three cases of missing Copper-T. In one case Copper T was inserted at our hospital and in the other cases it was inserted in the periphery and all the cases was managed surgically with different modality.Keywords: Copper-T; Intrauterine device; laparoscopy; laparotomy; perforation.

scholarly journals Laparoscopic removal of transmigrated intrauterine contraceptive device from abdomen in an asymptomatic patient

2018 ◽  
Vol 6 (11) ◽  
pp. 3756
Author(s):  
Pallipuram S. Bhageerathy ◽  
Scott A. Singh ◽  
Manjula Dhinakar ◽  
Jose M. Lukose
Keyword(s):  
Bowel Perforation ◽  
Intrauterine Device ◽  
Abdominal Cavity ◽  
Intrauterine Contraceptive Device ◽  
Greater Omentum ◽  
Uterine Perforation ◽  
Contraceptive Device ◽  
Minimally Invasive Surgical ◽  
Intrauterine Contraceptive ◽  
Laparoscopic Removal

Uterine perforation followed by transmigration of intrauterine contraceptive device to the abdominal cavity is one of the rarest, but most dangerous complication of Copper T. These displaced Copper containing devices can cause chronic inflammatory reaction leading to adhesions, intestinal obstruction and even bowel perforation. Hence removal of these devices once found outside the uterus is recommended. Traditionally, a laparotomy used to be performed owing to the associated inflammation, adhesions and the risks of bowel injury. Laparoscopic removal of these displaced devices is a minimally invasive surgical approach with good results in skilled hands. Authors reported a rare case of misplaced transmigrated intrauterine contraceptive device in a 43-year-old asymptomatic lady. The Copper T had migrated after silent perforation of the uterus and was impacted in the greater omentum. There was evidence of chronic inflammation and small pockets of pus surrounding it. There were flimsy bowel adhesions. The dislodged device was successfully removed laparoscopically along with partial omentectomy without any complications. Regular follow up of patients who have had Copper T insertions and teaching them to feel the thread and report if not felt is essential to diagnose complications early. A transmigrated intrauterine device can be successfully removed laparoscopically.

scholarly journals A Correlation Study to assess the Knowledge and Attitude regarding Post-Partum Intrauterine Contraceptive Device (PPIUCD) among Women admitted in Antenatal and Post- Natal wards: An Institutional Study. (Preprint)

2020 ◽  
Author(s):  
Deepika K ◽  
Shatrughan Pareek
Keyword(s):  
Family Income ◽  
Post Partum ◽  
Sampling Technique ◽  
Correlation Study ◽  
Demographic Variables ◽  
Reproductive Age ◽  
Intrauterine Contraceptive Device ◽  
Contraceptive Device ◽  
Intrauterine Contraceptive ◽  
Knowledge And Attitude

BACKGROUND India is 2ed most populous country in the world. Intrauterine contraceptive device (IUCD) is very effective, reversible and economical family planning method. In India acceptance rate of IUCD is very low, only 3% women in reproductive age group are using IUCD. OBJECTIVE Present study was conducted with aim to assess the knowledge and attitude regarding postpartum intrauterine contraceptive device (PPIUCD) among women. METHODS A descriptive approach with non-experimental research design was used for the study. The subjects were 180 women selected by non-probability convenience sampling technique. The study was conducted among the women admitted in antenatal and post-natal wards at Doon Medical College Female Hospital Dehradun, Uttarakhand. RESULTS The study showed that women were having 54.44% (98) average knowledge about PPIUCD, 21.11 %( 38) were having poor knowledge, 23.33% (42) were having no knowledge and only 1.11 %( 2) were having good knowledge about it. The study revealed that favourable and unfavourable attitude towards PPIUCD of women were 43.33% and 56.67% respectively. The present study communicated that there was no correlation (-0.113) between knowledge and attitude towards PPIUCD among women. The finding suggested that, women had average knowledge and unfavourable attitude towards postpartum intrauterine contraceptive device. Chi square value showed that demographic variables like age, family income and education status were having association with the level knowledge regarding post-partum intrauterine contraceptive device. No association was found between attitude and selected demographic variables. CONCLUSIONS Findings stress the need for teaching programmes, which in turn may enhance the knowledge and attitude of women regarding post-partum intrauterine contraceptive device. It will also helpful in improving the health status of women. It may reduce the maternal morbidity and mortality.

scholarly journals The Rate of Intrauterine Contraceptive Device Use and Associated Factors Among Married Women of Reproductive Age in Mettu Rural Community, Southwest Ethiopia

2020 ◽  
Vol 11 ◽  
pp. 215013272090491
Author(s):  
Shimelis Teshome ◽  
Ebissa Negera ◽  
Tesfaye Sileshi ◽  
Afework Tadele
Keyword(s):  
Rural Community ◽  
Associated Factors ◽  
Intrauterine Device ◽  
Cost Effective ◽  
Married Women ◽  
Reproductive Age ◽  
Contraceptive Device ◽  
Cross Sectional ◽  
Southwest Ethiopia ◽  
Reproductive Age Women

Background: Intrauterine device (IUD) is the second most commonly utilized modern family planning method in the world next to female sterilization. It is the most cost-effective, safe, long-lasting, rapidly reversible method of contraception, but only 2% of married women are using the IUD in Ethiopia. Objective: To assess the rate of IUD use and associated factors among married reproductive age women in Mettu rural community, Southwest Ethiopia. Methods: A community-based cross-sectional study was done among 501 married reproductive age women in Mettu rural district, Southwest Ethiopia from April to May 2018. Data were collected by using an interviewer-administrated questionnaire. Bivariate and multiple variable logistic regression analysis were employed. Results: Twenty-one (4.1%) women were currently using the IUD. Women’s primary education, adjusted odds ratio (AOR) 4.40 (95% C.I 1.32-14.64); secondary and above education, AOR 5.05 (95% C.I 1.11-22.01); having favorable attitudes, AOR 3.24 (95% C.I 1.06-9.89); absence of myth and misconception, AOR 3.40 (95% C.I 1.23-9. 39); having discussion about IUD with women health development army, AOR 3.11 (95% C.I 1.02-9.49); and possessing more than 2 children AOR 3.48 (95% C.I 1.31-9.27) were positively associated with IUD utilization. Conclusion: Only 1 in 25 women was using an IUD. Sociodemographic factors (education and number of children) and behavioral factors (attitudes, myths, and misconceptions) were found to be significant predictors. Scientific community should explore the local contexts of intrauterine use in different parts of Ethiopia.

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