title: A review of referred IUCD related problems in Lagos University Teaching Hospital.
abstract: A review of 168 patients referred with IUCD related problems was done. The two most common indications for referrals were difficulty at removal (73.8%) and missing/lost IUCD thread 23.8%. In 22.5% (9) of cases referred as missing/lost IUCD, the threads were visible on inspection of the cervix during speculum examination 21.4% (36) of the referred patients had routine removal by simple traction, while the retrieval hook was successfully used in 75% of the cases, only 3 patients (1.7%) required removal under general anaesthesia. A proper speculum examination combined with uterine sounding and the use of the retrieval hook at the peripheral centres will greatly reduce the need for referring IUCD related cases to a tertiary centre.
authors.affiliation: Department of Obstetrics and Gynaecology, Lagos University Teaching Hospital, Nigeria.
authors.forename: S O
authors.initials: SO
authors.lastname: Lawal
authors.forename: O F
authors.initials: OF
authors.lastname: Giwa-Osagie
authors.forename: O K
authors.initials: OK
authors.lastname: Ogedengbe
authors.forename: C
authors.initials: C
authors.lastname: Usifoh
mesh_terms: D000328:Adult; D004868:Equipment Failure; D005260:Female; D006176:Gynecology / Q000295:instrumentation / Q000379:methods; D006784:Hospitals, Teaching; D006801:Humans; D007435:Intrauterine Devices, Copper / Q000009:adverse effects*; D008485:Medical Audit; D008875:Middle Aged; D009549:Nigeria; D010298:Parity; D012017:Referral and Consultation / Q000706:statistics & numerical data*; D013997:Time Factors