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首页> 外文期刊>Journal of Clinical Sciences >A 10-year review of the pattern of use of intrauterine contraceptive device among women seeking contraception at the Lagos University Teaching Hospital
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A 10-year review of the pattern of use of intrauterine contraceptive device among women seeking contraception at the Lagos University Teaching Hospital

机译：在拉各斯大学教学医院寻求避孕的妇女使用宫内避孕器模式的十年回顾

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Background: Intrauterine contraceptive devices (IUCDs) are the most frequently used method of reversible female contraception worldwide, but their utilization varies considerably in different countries. Objectives: The objective of this study is to determine the pattern of use of IUCD, sources of referral, its associated complications and reasons for its discontinuation over a 10-year period. Materials and Methods: This was a retrospective study of all the women who sought contraceptive services at the Family Planning Clinic of the Lagos University Teaching Hospital over a 10-year period (January 1, 2006, to December 31, 2015). The case notes of these women were retrieved and relevant data extracted. Descriptive statistics were computed for the data, and results were presented in simple tables and charts. Results: A total of 1726 women accessed contraceptive services during the period under review with 521 (30.2%) choosing IUCD as their preferred method. A majority of the clients were aged between 30 and 34 years (34.5%) and multiparous (92.3%). The largest proportion of the studied clients (71.9%) had up to the tertiary level of education with the majority of the referrals coming from nurses (39.5%) and doctors (20.0%). The most common undesirable effect reported by the clients was abnormal vaginal discharge (40.8%) while 40.7% of the women discontinued the use of the IUCD prematurely. The most common reason for discontinuing the use of IUCD was the occurrence of an undesirable effect (44.8%). Conclusions: Our study revealed a modest decline in the uptake of IUCD among contraceptive users in Lagos. Health-care providers still appear to be the best source of information and referral as they play a crucial role in influencing women's acceptability of these services.
机译：背景：宫内避孕器（IUCD）是世界范围内可逆的女性避孕方法中最常用的方法，但在不同国家，其使用方法差异很大。目的：本研究的目的是确定IUCD的使用方式，转诊来源，相关并发症以及在10年内停用的原因。材料和方法：这是一项回顾性研究，对所有在10年期间（2006年1月1日至2015年12月31日）在拉各斯大学教学医院计划生育诊所寻求避孕服务的妇女进行研究。检索了这些妇女的病例记录，并提取了相关数据。计算数据的描述性统计量，并将结果显示在简单的表格和图表中。结果：在本报告所述期间，共有1726名妇女接受了避孕服务，其中521名（30.2％）选择IUCD作为首选方法。大多数客户年龄在30至34岁之间（34.5％）和多胎（92.3％）。接受调查的客户中，接受高等教育的比例最大（71.9％），其中大多数推荐来自护士（39.5％）和医生（20.0％）。客户报告的最常见不良影响是异常白带（40.8％），而40.7％的妇女过早停止使用IUCD。停止使用IUCD的最常见原因是不良反应的发生（44.8％）。结论：我们的研究表明，拉各斯避孕药具使用者对IUCD的吸收有适度下降。卫生保健提供者似乎仍然是最佳的信息和转诊来源，因为它们在影响妇女对这些服务的可接受性方面起着至关重要的作用。

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