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首页> 外文期刊>British Journal of Medicine and Medical Research >Tolerability of The Copper- T Intrauterine Device by Acceptors at Jos University Teaching Hospital, Jos, North-Central Nigeria
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Tolerability of The Copper- T Intrauterine Device by Acceptors at Jos University Teaching Hospital, Jos, North-Central Nigeria

机译：尼日利亚中北部乔斯大学乔斯大学教学医院接受者对铜T宫内节育器的耐受性

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Background: The Copper-T (Cu-T) Intrauterine device (IUD) is one of the oldest and most reliable forms of contraception. Its widespread use has been limited by side effects, such as heavy menstrual flow and pain on insertion. Findings suggest that the intrauterine device acts more as a contraceptive than an abortifacient, thus improving its acceptability. Objectives: To determine the proportion of women using Cu-T IUD, who will develop side effects during the study period; Outline experienced side effects of Cu-T; and ascertain the discontinuation rate and reasons for removal. Methods: The intrauterine device used for this study is Copper T380A. A descriptive cohort study, of women using Cu-T IUD at the Jos University Teaching Hospital, North Central Nigeria. A structured proforma was used to extract data from family planning records. Study duration was one year. (Jan-Dec 2007). Results: A total of 103 women participated in the study. The average age of the respondents was 30.75 ± 5.90 years, with a range of 20-47 years. Only a few (17.5%) of the respondents had side effects or complications, The commonest side effect was vaginal discharge and abnormal cessation of menstrual flow (5.8%) respectively. Other side effects documented were painful period (2.9%) and abdominal pain (1%). Only 5.8% (n=6) discontinued the Cu-T IUD, due to side effects. The commonest reason for discontinuation was abdominal pain, 1.97% (n=2), although only one client had initially reported abdominal pain as an adverse effect. There was a significant relationship between development of side effects and discontinuation. (p <0.01). Conclusion: Only a few of the women using Cu-T IUD developed side effects, and discontinuation rate was quite low. Patients who discontinued usage did so because of side effects and husband’s request. Limitations of this study include the short duration of follow up. Public health education should be done to enlighten Nigerian women on this method of contraception which seems quite tolerable and reliable, with the aim of increasing its uptake.
机译：背景：铜-T（Cu-T）宫内节育器（IUD）是最古老，最可靠的避孕方法之一。它的广泛使用受到副作用的限制，例如月经量大和插入时疼痛。研究结果表明，宫内节育器比避孕药更像避孕药，从而提高了其可接受性。目的：确定使用Cu-T IUD的妇女比例，该比例在研究期间将产生副作用;概述了Cu-T的副作用;并确定停用率和移除原因。方法：用于本研究的宫内节育器是T380A铜。尼日利亚北部中部乔斯大学教学医院的女性使用Cu-T IUD进行描述性队列研究。使用结构化形式从计划生育记录中提取数据。研究时间为一年。 （2007年1月12日）。结果：共有103名妇女参加了该研究。受访者的平均年龄为30.75±5.90岁，范围为20-47岁。仅有少数（17.5％）的受访者有副作用或并发症，最常见的副作用分别是白带和月经异常停止（5.8％）。记录的其他副作用是疼痛期（2.9％）和腹痛（1％）。由于副作用，仅5.8％（n = 6）停用了Cu-T IUD。停药的最常见原因是腹痛，为1.97％（n = 2），尽管最初只有一名服务对象报告腹痛为不良反应。副作用的发展与停药之间存在显着的关系。 （p ＜0.01）。结论：使用Cu-T宫内节育器的妇女中只有少数出现副作用，且停药率很低。因副作用和丈夫的要求而中止使用的患者。该研究的局限性在于随访时间短。应该进行公共卫生教育，以使尼日利亚妇女了解这种避孕方法，这种方法看来是可以容忍和可靠的，目的是提高其吸收率。

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