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Discontinuation Pattern Among Intrauterine Contraceptive Device Users at Jos University Teaching Hospital, Jos, Nigeria

Received: 13 May 2016    Accepted: 22 June 2016    Published: 3 January 2017
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Abstract

Context: Despite the high uptake of the intrauterine contraceptive device (IUCD), among family planning clients at Jos University Teaching Hospital (JUTH), some users discontinued its use for a variety of reasons. Objectives: To determine the discontinuation rate and factors responsible among IUCD users in the hospital over a 3 year period. Study Design: This was a 3 year retrospective descriptive study of all clients requesting for the removal of intrauterine devices (IUCDs) at the Family Planning clinic Jos University Teaching Hospital, Jos Nigeria. The study period was between January 1 st 2005 and December 31st 2007. Results: A total of 849 clients were seen during the study period; 393 (46.3%) clients discontinued within 3 years with the highest rate at 1 year 24.2%. All the women were married with 0.8% of the clients been nullipara. The most common reasons for discontinuation were the desire for pregnancy (50.9%), excessive menstrual bleeding (10.4%), vaginal discharge PID (9.0%) and others. The mean age of the clients was 33.6 ± 5.2 years. Conclusion: The discontinuation rate of IUCD in the family planning clinic at Jos University Teaching Hospital is high. More effective counseling may be appropriate for alternative contraceptive methods for this category of clients instead of the IUCD’s currently being used. The findings suggest a need for training the care providers to prevent early discontinuation of IUCD among JUTH clients and by addressing the health challenges via proper counseling, effective follow-up and prompt referral in case of complications.

Published in Journal of Gynecology and Obstetrics (Volume 4, Issue 6)
DOI 10.11648/j.jgo.20160406.14
Page(s) 53-56
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Contraceptives, IUCD, Discontinuation, Jos Nigeria

References
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Cite This Article
  • APA Style

    Anyaka Charles, Ocheke Amaka, Shambe Iornum, Kahansim Makshwar, Oyebode Tinuade, et al. (2017). Discontinuation Pattern Among Intrauterine Contraceptive Device Users at Jos University Teaching Hospital, Jos, Nigeria. Journal of Gynecology and Obstetrics, 4(6), 53-56. https://doi.org/10.11648/j.jgo.20160406.14

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    ACS Style

    Anyaka Charles; Ocheke Amaka; Shambe Iornum; Kahansim Makshwar; Oyebode Tinuade, et al. Discontinuation Pattern Among Intrauterine Contraceptive Device Users at Jos University Teaching Hospital, Jos, Nigeria. J. Gynecol. Obstet. 2017, 4(6), 53-56. doi: 10.11648/j.jgo.20160406.14

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    AMA Style

    Anyaka Charles, Ocheke Amaka, Shambe Iornum, Kahansim Makshwar, Oyebode Tinuade, et al. Discontinuation Pattern Among Intrauterine Contraceptive Device Users at Jos University Teaching Hospital, Jos, Nigeria. J Gynecol Obstet. 2017;4(6):53-56. doi: 10.11648/j.jgo.20160406.14

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  • @article{10.11648/j.jgo.20160406.14,
      author = {Anyaka Charles and Ocheke Amaka and Shambe Iornum and Kahansim Makshwar and Oyebode Tinuade and Pam Victor and Ekwempu Chinedu},
      title = {Discontinuation Pattern Among Intrauterine Contraceptive Device Users at Jos University Teaching Hospital, Jos, Nigeria},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {4},
      number = {6},
      pages = {53-56},
      doi = {10.11648/j.jgo.20160406.14},
      url = {https://doi.org/10.11648/j.jgo.20160406.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20160406.14},
      abstract = {Context: Despite the high uptake of the intrauterine contraceptive device (IUCD), among family planning clients at Jos University Teaching Hospital (JUTH), some users discontinued its use for a variety of reasons. Objectives: To determine the discontinuation rate and factors responsible among IUCD users in the hospital over a 3 year period. Study Design: This was a 3 year retrospective descriptive study of all clients requesting for the removal of intrauterine devices (IUCDs) at the Family Planning clinic Jos University Teaching Hospital, Jos Nigeria. The study period was between January 1 st 2005 and December 31st 2007. Results: A total of 849 clients were seen during the study period; 393 (46.3%) clients discontinued within 3 years with the highest rate at 1 year 24.2%. All the women were married with 0.8% of the clients been nullipara. The most common reasons for discontinuation were the desire for pregnancy (50.9%), excessive menstrual bleeding (10.4%), vaginal discharge PID (9.0%) and others. The mean age of the clients was 33.6 ± 5.2 years. Conclusion: The discontinuation rate of IUCD in the family planning clinic at Jos University Teaching Hospital is high. More effective counseling may be appropriate for alternative contraceptive methods for this category of clients instead of the IUCD’s currently being used. The findings suggest a need for training the care providers to prevent early discontinuation of IUCD among JUTH clients and by addressing the health challenges via proper counseling, effective follow-up and prompt referral in case of complications.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Discontinuation Pattern Among Intrauterine Contraceptive Device Users at Jos University Teaching Hospital, Jos, Nigeria
    AU  - Anyaka Charles
    AU  - Ocheke Amaka
    AU  - Shambe Iornum
    AU  - Kahansim Makshwar
    AU  - Oyebode Tinuade
    AU  - Pam Victor
    AU  - Ekwempu Chinedu
    Y1  - 2017/01/03
    PY  - 2017
    N1  - https://doi.org/10.11648/j.jgo.20160406.14
    DO  - 10.11648/j.jgo.20160406.14
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 53
    EP  - 56
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20160406.14
    AB  - Context: Despite the high uptake of the intrauterine contraceptive device (IUCD), among family planning clients at Jos University Teaching Hospital (JUTH), some users discontinued its use for a variety of reasons. Objectives: To determine the discontinuation rate and factors responsible among IUCD users in the hospital over a 3 year period. Study Design: This was a 3 year retrospective descriptive study of all clients requesting for the removal of intrauterine devices (IUCDs) at the Family Planning clinic Jos University Teaching Hospital, Jos Nigeria. The study period was between January 1 st 2005 and December 31st 2007. Results: A total of 849 clients were seen during the study period; 393 (46.3%) clients discontinued within 3 years with the highest rate at 1 year 24.2%. All the women were married with 0.8% of the clients been nullipara. The most common reasons for discontinuation were the desire for pregnancy (50.9%), excessive menstrual bleeding (10.4%), vaginal discharge PID (9.0%) and others. The mean age of the clients was 33.6 ± 5.2 years. Conclusion: The discontinuation rate of IUCD in the family planning clinic at Jos University Teaching Hospital is high. More effective counseling may be appropriate for alternative contraceptive methods for this category of clients instead of the IUCD’s currently being used. The findings suggest a need for training the care providers to prevent early discontinuation of IUCD among JUTH clients and by addressing the health challenges via proper counseling, effective follow-up and prompt referral in case of complications.
    VL  - 4
    IS  - 6
    ER  - 

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Author Information
  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

  • Department of Obstetrics and Gynaecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria

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