Continuation rates and reasons for discontinuing TCu380A IUD use in Tabriz, Iran.
OBJECTIVE
The long-term effectiveness of copper-bearing intrauterine device (IUD) has been documented. This paper reports results from a 60-month study on the use of TCu380A IUD among 401 women in Tabriz, Iran.


METHODS
In 2003, a 5% sample of women who had had an IUD inserted between May 1997 and May 1999 was taken. Analyses of discontinuation employed Tietze net rate life tables.


RESULTS
Continuation of TCu380A IUD use by women at 1 month, 6 month, 1 year, 2 years, 3 years, 4 years and 5 years was 98.2, 89.3, 79.3, 68.3, 57.6, 49.5 and 45.0 per 100, respectively. Among women using the TCu380A IUD, the rate of termination due to pain/bleeding was significantly higher than the rate of termination due to other causes. Overall, two pregnancies were reported within 5 years after insertion. A third pregnancy occurred on Year 6.


CONCLUSIONS
These findings indicate that family planning educators and health care providers should give more emphasis to counseling programs for women desiring IUD insertion and during follow-up.
Jenabi
Encieh
E
Department of Midwifery, Toyserkan University of Islamic Azad, Hamedan, Iran. encieh2002@yahoo.com
Alizade
Sakine Mohammad
SM
Baga
Reyhane Ivan
RI
D000293:Adolescent; D000328:Adult; D003271:Contraceptive Agents, Female; D003625:Data Collection; D005260:Female; D006801:Humans; D007435:Intrauterine Devices, Copper / Q000706:statistics & numerical data*; D007492:Iran; D011897:Random Allocation; D013997:Time Factors
D003271:Contraceptive Agents, Female