Complications of intrauterine contraceptive device (IUD) use at the University of Ilorin Teaching Hospital, Ilorin.
BACKGROUND
The use of Intrauterine Contraceptive Device (IUD) has increased steadily worldwide over the years.


METHODS
This is a retrospective study of 602 women who had IUD insertions at the Family Planning Unit of the University of Ilorin Teaching Hospital between January- December 1995 and the study was undertaken to study the complications associated with the IUD use at the University of Ilorin Teaching Hospital.


RESULTS
There was 85.55% continuation rate after a year, 81.06% of patients were without complications, 0.33% had Pelvic Inflammatory Disease (PID) and no perforation was reported. Expulsion was also low. Mean duration of use was 14.06 +/- 4.46 months. There was no statistical difference in timing of insertion in those with or without complications (p = 0.781); however, a significant difference becomes noticeable in the duration of use of the IUD in the two groups (p = 0.001). IUD was acceptable to most patients (85.5%). There was no significant difference with respect to level of education (p = 0.064) and type of previous contraception practised (p = 0.022) in those with or without complications. IUD complications were commonest within the first 3 months of insertion; involving a third of those lost to follow-up compared with about 15% of those not lost to follow-up (p = 0.001).


CONCLUSIONS
At the University of florin Teaching Hospital, Ilorin, IUD use is safe and effective with minimal complications.
Jimoh
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AA
Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
D000293:Adolescent; D000328:Adult; D005260:Female; D006784:Hospitals, Teaching; D006801:Humans; D007434:Intrauterine Devices / Q000009:adverse effects* / Q000706:statistics & numerical data; D008875:Middle Aged; D009549:Nigeria; D012189:Retrospective Studies; D012959:Socioeconomic Factors