Profile of intrauterine contraceptive device (IUCD) acceptors at the Rivers State University Teaching Hospital, Southern Nigeria

Nonye-Enyidah Esther Nonye-Enyidah Esther,Ejikemmazi Ec Ejikemmazi Ec

doi:10.30574/wjarr.2019.4.2.0099

Nonye-Enyidah Esther Nonye-Enyidah Esther, Ejikemmazi Ec Ejikemmazi Ec

Open Access

https://doi.org/10.30574/wjarr.2019.4.2.0099

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Abstract

Intrauterine Contraceptive Devices are among the safest and most effective reversible contraceptives used worldwide. It is also the most effective emergency contraception and particularly suitable for women in developing countries as they are affordable, convenient and do not require frequent visits to the clinic. To review the profile and prevalence of intra uterine contraceptive device acceptors at the Rivers State University Teaching Hospital (RSUTH). A 10 year retrospective review of all 814 clients’ records that accepted intrauterine contraceptive device in the family planning clinic of the hospital from 1st January 2008 - 31st December 2017. Data was extracted, coded and analyzed using the statistical package for social sciences (SPSS) IBM version 25.0 (Armonk, NY).There were 1893 contraceptive acceptors during the study period, out of which 814 (43%) accepted the IUCD, which was the highest compared to other contraceptives. Majority of the clients 762 (93.6%) were between the age range of 25-44 years, married 779 (96%), multiparous 512 (62.9%), Christians 779 (96%) and 805 (98.9%) had formal education with secondary level of education being the highest, 610 (74.9%). Clinical personnel were the commonest source of information, accounting for 634 (77.9%). Though the uptake rate of IUCD was the highest among the contraceptives in the family planning clinic during the study period, there is still need to improve on its uptake by creating more awareness including on its effectiveness as an emergency contraception.

Highlights

Unwanted pregnancy, high fertility rates and high parity have been associated with high maternal mortality rate in Nigeria [1, 2]
Despite known benefits and strategic role of contraception in reducing maternal and infant mortalities, family planning acceptance and utilization is low in developing countries including Nigeria [3, 4]
Our study showed that 26.9% of grandmultiparous women accepted IUCD and 180 (22.1%) women with complete family size accepted to use IUCD instead of sterilization

Summary

Introduction

High fertility rates and high parity have been associated with high maternal mortality rate in Nigeria [1, 2]. The LNG-IUS reduces menstrual loss and is more popular in developed countries [7] It is not used for emergency contraception unlike Copper T380A which is a very effective form of emergency contraception. The concentration of the macrophages, leucocytes, prostaglandins and various enzymes in both uterus and tubal fluid interfere with the Corresponding author E-mail address: Nonye and Ejikem/ World Journal of Advanced Research and Reviews, 2019, 04(02), 096–101 transport of spermatozoa and ova. They prevent implantation should a healthy fertilized ovum reach the endometrial cavity [9,10,11]

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Conclusion