Abstract
Background: Intrauterine device is the most commonly used method of long-acting reversible contraception. Aim: The aim of the present study is to; assess the effect of nursing counseling on the continuation rate of using intra uterine device Subjects and Method: Design: a quasi-experimental design was used in this study. Setting: Study carried out at six primary health care centers in Damietta governorate in Damietta city. Subjects: A total of 150 women who attended family health centers for IUD insertion were purposively selected and divided to two group; control and study group. Tools of data collection: It includes; structured interview with pre and post test, and Follow up test. Results: The current study shows that the majority of women in both study and control group (96%) and (90%) respectively continued use of IUD. Counseling was associated with statistically significant improvement in women's knowledge. Conclusion: The majority of women in both control and study group continued using IUD after six months from receiving counseling. The main reason for discontinuation in the study group was husband travel but in control group was side effect. Counseling was associated with statistically significant improvement in women's knowledge regarding IUD. Recommendations: continuous training of health providers to provide good family planning services, continuous information provision and counseling to the women, especially on the side effects.
Highlights
The desire for smaller families and the capacity to time pregnancies and space births have increased dramatically in developing countries over the past three decades (Ali et al, 2012), Despite these increases, many women using family planning discontinue their contraceptive method and without switching to another method, despite their desire to avoid pregnancy.Analyses of Demographic and Health Survey (DHS) data indicate that 38% of women with an unmet need for modern contraception have used a modern method of contraception in the past but have chosen to discontinue use
The most common cause for discontinuation was need baby in both groups study and control (45% and 46% respectively), followed by method related reasons such as IUD expulsion by (10% )for the study group and ( 8%) for the control group, pain by (3%) for the study group and (2%) for the control group. ps = (0.372, 0.015 respectively), there is statistically significant difference between the two groups was detected as related to reasons for discontinuation
Table (4): presents comparison between study and control groups regarding IUD uses after counseling, The majority of women in both the study group and control group Continuous use of IUD(96% and 90% respectively), while the rest of the women were removed the IUD, half of women (50 %) in the study group were removed the IUD due to Travel of husband and (40%) in the control group discontinued due to side effect
Summary
Analyses of Demographic and Health Survey (DHS) data indicate that 38% of women with an unmet need for modern contraception have used a modern method of contraception in the past but have chosen to discontinue use. This phenomenon called contraceptive discontinuation, is defined as starting contraceptive use and stopping for any reason while still at risk of an unintended pregnancy (Castle & Hardtman, 2015). Subjects: A total of 150 women who attended family health centers for IUD insertio n were purposively selected and divided to two group; control and study group. Recommendations: continuous training of health providers to provide good family planning services, continuous information provision and counseling to the women, especially on the side effects
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