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- Title
The Study of One-Year Survival rate and Discontinuation Causes of Using Intrauterine Device (IUD).
- Authors
Izadi, Neda; Najafi, Farid; Salimi, Yahya; Darbandi, Mitra; Mohammadi, Nasrin
- Abstract
Background and purpose: Intrauterine device (IUD) is one of the modern methods of contraception; one of the problems in using this method is its early removal. This study aimed to determine one-year survival rate and discontinuation causes of IUD use in Kermanshah, Iran. Materials and methods: In this cohort study, data were collected from patients with IUD using a questionnaire containing demographic and IUD related variables. Patients were followed for one year or until the time that IUD removed. Then, the data were analyzed using Cox regression model. Kaplan-Meier method was used to determine the duration of IUD use. Results: The mean age of the 274 studied women was 28.2 ± 6.2 years. 15% of them had removed their IUD and the most common reason for withdrawal was related to bleeding and spontaneous removal. The highest IUD removal rate was occurred in the first 6 months and the mean duration of IUD use in people who had IUD removal was 4.2 ± 3.8 months. A significant correlation was found between previously used of IUD and IUD removal. So that, those who did not have a history of IUD use have a greater rate ratio (P = 0.04). In this study, the 6-month survival rate of IUD was 88.7% and one-year survival was 85%. Conclusion: The results show that bleeding and spontaneous removal is the main reasons for discontinuation of this method; therefore, it is necessary to devise strategies to reduce removal rate and increase the time maintenance of IUD.
- Publication
Journal of Mazandaran University of Medical Sciences (JMUMS), 2013, Vol 23, Issue 106, p94
- ISSN
1735-9260
- Publication type
Article