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Factors affecting IUCD discontinuation in Nepal: a nested case-control study.
Subash Thapa1, Ishwari Sharma Paudel2, Sailesh Bhattarai2
1Department of Public Health, Nepal Institute of Health Sciences, Boudha, Kathmandu, Nepal soobesh@gmail.com.
Asia-Pacific Journal of Public Health
|September 18, 2012
Summary
Factors like side effects, residence, and follow-up practices significantly impact intrauterine contraceptive device (IUCD) discontinuation in Nepal. Addressing side effects is key to improving IUCD continuation rates.
Area of Science:
- Reproductive Health
- Family Planning
- Medical Sociology
Background:
- Limited data exists on contraception discontinuation in Nepal.
- Intrauterine contraceptive devices (IUCDs) are a common method, but continuation rates can be affected by various factors.
Purpose of the Study:
- To identify factors influencing the discontinuation of intrauterine contraceptive devices (IUCDs).
- To provide insights for improving IUCD continuation rates in Nepal.
Main Methods:
- A nested case-control study was conducted in Kathmandu, Nepal.
- 115 IUCD discontinuers (cases) and 115 IUCD continuers (controls) were selected.
- Logistic regression analysis was used to analyze data, matching on age and insertion date.
Main Results:
- Place of residence, sex of last child, reproductive intention, and follow-up practices were associated with IUCD discontinuation.
- The experience of side effects was identified as the primary reason for discontinuing IUCD use.
Conclusions:
- Promptly addressing and managing side effects after IUCD insertion is crucial.
- Improving follow-up care and patient counseling regarding potential side effects can reduce IUCD discontinuation rates.
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