Continued Compliance and Degree of Satisfaction in Nulligravida and Parous Women with Intrauterine Contraceptive Devices

Abstract

There was no difference in compliance or the degree of satisfaction or continued use of IUDs between nulligravida and parous women, suggesting that IUD use may be recommended for women who have never been pregnant.

Insertion of intrauterine device for doctors and nurses in a low-risk maternity hospital

“…Regarding the methods used previously by the IUD for reproductive planning, the combined oral contraceptive was the most reported use before the choice of the copper IUD. A similar data was found, from the 157 women who received the Device in a hospital in Recife, 113 previously used hormonal oral contraceptives, followed by injectables (63) and more than half reported that the choice for the Device occurred due to the desire to abandon the use of hormones (9) . It is believed that the choice for copper IUD can occur for several reasons, among them, the fact that there are no hormones, less chance of contraceptive failure due to the fact of not needing to remember about daily intake, durability of the action, among others.…”

“…Regarding the education of women in this study, most had completed high school, attention is drawn to the number of women with or attending higher education, being similar to the study conducted in Recife, Brazil, in which, among the women who received the IUD , nulliparous women on average had completed high school and those who had a previous delivery did not complete it (9) . What differs from the research carried out in a hospital in Pakistan, from the total of 1,230 women who received the copper IUD after delivery, 918 (73.4%) did not have high school (11) .…”

“…In a hospital in Pakistan 1,250 women who were followed up for six months after copper IUD insertion after delivery, 833 had no complications, however among the 417 women who did, menstrual disorder (238) and vaginal discharge (193) were observed (11) . The increase in the volume of vaginal bleeding was also the most reported complaint after return in two studies, one in Brazil (9) and another in India (17) .…”

“…In this study, it was noticed that the women attended, mostly, are young people of childbearing age, who have already had at least one pregnancy and sought the copper IUD as a method of reproductive planning, data that are similar to other studies, including other countries. Research carried out in a hospital in Recife, Brazil, with 157 women who received the copper IUD, the average age was 25 to 27 years (9) . In Australia, from 207 women who received the device, they were between 16 and 50 years old, with an average of 33 years, of those 185 (89%) had at least one previous delivery and 22 (11%) were nulliparous (10) .…”

Satisfaction with the use of contraceptive methods among women from primary health care services in the city of São Paulo, Brazil

“…9,12,13 In this study, even greater satisfaction was observed when compared to the findings of a study conducted in the United States with more than 5,000 women, in which the satisfaction with IUD use was 80%, 9 and also with Australian women of various age groups. 14 The high rate of satisfaction with the use of pill and injectable methods is worthy of attention, since some studies show that these are precisely the contraceptives that women declare to be less satisfied with.…”