title: Complications of intrauterine contraceptive device (IUD) use at the University of Ilorin Teaching Hospital, Ilorin.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Ilorin Teaching Hospital, Ilorin, Nigeria.
authors.forename: A A G
authors.initials: AA
authors.lastname: Jimoh
mesh_terms: 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