title: Continuation rates and reasons for discontinuing TCu380A IUD use in Sari, Iran.
abstract: This study reports results from a 60-month study on the use of TCu380A IUD among 400 women in Sari, Iran. The aim of this study was to assess a sample of women in our region who requested removal of their IUD, continuation rates use and reason for discontinuation. This is a cohort study on 400 women who using the TCu380A IUD and referred to medical health centers of Sari/Iran from May 1999 to May 2006. We randomly selected one half of all health and medical centers in Sari (a total of 20 centers). At each selected center, we randomly sampled 10% of all IUD subjects whose insertion occurred between May 1999 and May 2006. Obtained data were analyzed by descriptive statistical methods. Continuation rates at the end of 1, 2, 3, 4 and 5 years were 96.3, 81.5, 79.2 and 18 per 100, respectively. Median survival time was about 37 months. Among women using the TCu380A IUD, the rate of termination due to bleeding was significantly higher than the rate of termination due to other causes. 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.
authors.affiliation: Department of Community Medicine, Mazandaran University of Medical Sciences, Iran.
authors.forename: Mohamad
authors.initials: M
authors.lastname: Khademloo
authors.forename: Roya
authors.initials: R
authors.lastname: Ghasemian
authors.forename: Mandana
authors.initials: M
authors.lastname: Yasari
mesh_terms: D000293:Adolescent; D000328:Adult; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D007492:Iran; D008875:Middle Aged