Profile of intrauterine contraceptive device acceptors and discontinuation rate at Ekiti State University Teaching Hospital, South-western Nigeria.

Abstract

Intrauterine contraceptive device (IUCD) is one of the available long acting reversible contraceptive with enormous advantages in our environment. It however has complications which may limit its acceptance and continuation.

To evaluate the acceptance rate, complications and the impact of the complications on discontinuation rates of IUCDas a family planning method.

We conducted a 5-years retrospective, descriptive study in Family Planning unit of Obstetrics and Gynaecology Department of Ekiti State University Teaching Hospital, Ado Ekiti, Ekiti State, Nigeria from January 2011 to December 2015.Data was extracted from the records of 1483 clients seen in our Family Planning Clinic during the study period.

Out of the 1483 clients, 642(43.3%) clients accepted IUCD. Two hundred and twelve (33.0%) acceptors discontinued before 60 months of use. Out of the 226 (35.2%) acceptorswho had complications, 90(14.0%) acceptors discontinued the use of IUCD before 60 months of use. However, majority of the discontinuation occurred between 24 and 35 months of use on account of being ready to conceive.

IUCD acceptance in our environment is appreciably;significant number of acceptors discontinued with IUCD before 60 months of use because of use-related complications.