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A review of referred IUCD related problems in Lagos University Teaching Hospital

S O Lawal1, O F Giwa-Osagie, O K Ogedengbe

  • 1Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Nigeria.

West African Journal of Medicine
|July 1, 1993
PubMed

A review of 168 patients referred with IUCD related problems was done. The two most common indications for referrals were difficulty at removal (73.8%) and missing/lost IUCD thread 23.8%. In 22.5% (9) of cases referred as missing/lost IUCD, the threads were visible on inspection of the cervix during speculum examination 21.4% (36) of the referred patients had routine removal by simple traction, while the retrieval hook was successfully used in 75% of the cases, only 3 patients (1.7%) required removal under general anaesthesia. A proper speculum examination combined with uterine sounding and the use of the retrieval hook at the peripheral centres will greatly reduce the need for referring IUCD related cases to a tertiary centre.

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