title: Intrauterine contraceptive device (IUCD): socio-demographic characteristics of acceptors, acceptability and effectiveness in a teaching hospital in Nigeria.
abstract: This paper reports the socio-demographic characteristics of acceptors and their experience with intrauterine contraceptive device (IUCD) at the University of Ilorin Teaching Hospital Family Planning Clinic between January 1st, 1992 and December 31st, 1992. A total of 1,483 new contraceptive acceptors were seen at the Family Planning Clinic during the period of study of which 822 (55.4%) were first segment IUCD acceptors. The results (net cumulative rates) were expressed as percentage during the period of study. The rates were as follows: accidental pregnancy 1.3%, expulsion 5.1%, continuation 61.4%. The events leading to termination of IUCD use include; medical reasons 6.8%, planning pregnancy 5.2% and unspecified reasons 5.2%. It is concluded that IUCD is a safe and effective contraceptive with a high acceptability. The acceptability of IUCD can be increased by health education, good clinical management, sympathetic counselling, careful client selection, careful insertion, and regular follow-up with quick access to medical care.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Ilorin, Kwara State, Nigeria.
authors.forename: A W
authors.initials: AW
authors.lastname: Olatinwo
authors.forename: M
authors.initials: M
authors.lastname: Anate
authors.forename: O R
authors.initials: OR
authors.lastname: Balogun
authors.forename: M O
authors.initials: MO
authors.lastname: Alao
mesh_terms: D000293:Adolescent; D000328:Adult; D003268:Contraception Behavior / Q000523:psychology* / Q000706:statistics & numerical data*; D004522:Educational Status; D005193:Family Planning Services; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006784:Hospitals, Teaching; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects / Q000592:standards / Q000706:statistics & numerical data*; D009042:Motivation; D009549:Nigeria; D010044:Outpatient Clinics, Hospital; D010298:Parity; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D012017:Referral and Consultation; D012189:Retrospective Studies; D012449:Safety; D012959:Socioeconomic Factors; D017749:Total Quality Management