PREVALENCE OF COMPLICATIONS AND DEGREE OF SATISFACTION IN CURRENT IUD USERS

Background: Satisfaction rate for Copper Intra uterine device (Cu-IUD) is still under research because of the complications related to IUD. Cu-IUD is very effective means of contraception but only 1.5% of married women between age 15-49 years use it owing to the myths associated with IUD.The aim of the study is to find the satisfaction rate among IUD users and assess the prevalence of complications in currently IUD using women in low resource settings.

Material and Methods: It was a cross sectional observational study conducted in Department of Obstetrics and Gynaecology. Total 200 IUD users were interviewed for the complications and satisfaction associated with IUD usage, using predesigned performaover two months period. Wilcoxon Mann Whitney U test and Chi-Squared test were used for continuous and categorical variables.

Results: Out of 200 women, 179 (89.5%) were satisfied and 21(10.5%) were unsatisfied with IUD use. Total 87 (43.5%) women had complications which were present in 70/179 (39.1%) women who were satisfied versus 17/21(81%) women in non-satisfied group (p value<0.001). Majority of women (61/80) had bleeding related complications only for initial 6 months.26/87(29.9%) women opted for treatment for IUD related complications and 14(53.8%) got relief. The women who wanted removal of IUD were 18/200 (9%) out of which there were only 8 women who opted for IUD removal because of complications.

Conclusion: Majority of the women were satisfied with their IUD. Although, the overall complication rate seems high in IUD users but it was significantly less in satisfied group.