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Published on: October 23, 2020
IUD Survival and Its Determinants; a Historical Cohort Study
T Aghamolaei1, Sh Zare, Sh Zare
1Dept. of Health Services, School of Public Health, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Journal of Research in Health Sciences
|January 25, 2013
Summary
Intrauterine device (IUD) continuation rates decline over time, with side effects being the primary reason for discontinuation. Counseling and pregnancy desire significantly impact IUD survival.
Area of Science:
- Reproductive Health
- Contraception Research
- Public Health
Background:
- Intrauterine devices (IUDs) are a leading reversible contraception method.
- Understanding IUD survival and discontinuation is crucial for effective family planning.
Purpose of the Study:
- To determine the continuation rate of IUD use.
- To identify reasons for early IUD discontinuation in Bandar Abbas, Iran.
Main Methods:
- A historical cohort study analyzed 400 women's records (March 2002-February 2004).
- Data collection involved health center records and subject interviews.
- Life tables, Kaplan-Meier, log-rank test, and Cox regression were used for analysis.
Main Results:
- IUD continuation rates at 48 months were 50%.
- Counseling and desire for pregnancy were linked to higher continuation rates (P<0.03).
- Key discontinuation reasons included side effects, pregnancy desire, health concerns, expulsion, and dissatisfaction.
Conclusions:
- Informed counseling on IUD side effects is essential before and during use.
- Addressing side effects can improve IUD continuation rates.
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