To Determine the Frequency of Discontinuation of Post-Partum Intra Uterine Contraceptive Device (PPIUCD) within 3 Months and its Causes | [Pakistan Journal of Health Sciences • 2023]

Author(s):

1. Qamar Zaman Mand: Services Hospital/ Services Institute of Medical Sciences, Lahore, Pakistan

2. Madeeha Rashid: Lady Willingdon Hospital/ King Edward Medical University, Lahore, Pakistan

3. Mawrah Mughal: Lady Willingdon Hospital/ King Edward Medical University, Lahore, Pakistan

4. Iqra Matloob: Services Hospital/ Services Institute of Medical Sciences, Lahore, Pakistan

5. Asifa Noreen: Services Hospital/ Services Institute of Medical Sciences, Lahore, Pakistan

6. Kiren Khurshid: Lady Willingdon Hospital/ King Edward Medical University, Lahore, Pakistan

7. Muhammad Usman: Agha Khan Medical University, Karachi, Pakistan

Abstract:

Pakistan has a high fertility rate of 3.8 and a low contraceptive prevalence of 35%. Worldwide studies have shown that poorly spaced pregnancies have a negative impact on both the health of mothers and their children. Objective: To determine the frequency of early discontinuation of post-partum intra uterine contraceptive device within 3 months and its causes. Methods: A quantitative cross-sectional study was carried out at Services Hospital Obstetrics and Gynecology unit Lahore for a period of 6 months from 1st October 2022 to 31st March 2023. 236 pregnant women who underwent post-partum intra uterine contraceptive device insertion and agreed for a follow up were recruited after written consent. They were followed up by the researcher himself for 3 months. The data (age, parity, literacy, early discontinuation (yes/no) and factors for discontinuation i.e. side effects, discontinuation for their husband's dislike or inlaw's opposition and desire for more children was recorded on a specially designed proforma. Results: The frequency of early discontinuation of IUCD was found in 51 (21.61%) patients. Among the causes, side effects (60.78%) was the main cause of discontinuation followed by discontinuation due to their husband's dislike or in-law's opposition (21.57%), desire for more children (5.88%) and myths (3.92%). Conclusions: This study concluded that about one third of the patient's frequency of early discontinuation of IUCD was 21.61% with side effects being the main cause of discontinuation followed by discontinuation due to their family pressure.

Page(s): 248-252

DOI: 10.54393/pjhs.v4i06.889

Published: Journal: Pakistan Journal of Health Sciences, Volume: 4, Issue: 6, Year: 2023

Keywords:

Intrauterine Devices , side effects , discontinuation

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views