Effectiveness of an intrauterine device informative intervention among post-natal women in Western Jamaica

Abstract

Introduction Intrauterine devices are the most effective long-acting reversible contraceptives, but in many developing countries, such as Jamaica, these devices remain underutilized. Methods A cross-sectional informative intervention was conducted among women ≥ 18 years of age attending postnatal clinics in western Jamaica from May to August 2018. Data were collected using an investigator-administered questionnaire/pre-test followed by a 12-slide PowerPoint® presentation and a post-test. Results Most of the 299 women who participated were 18–29 years of age, with a mean age of 27.1 (SD ± 6.1) years. Most had their first pregnancy between ages 18 and 24 years, with mean age at first pregnancy of 20.2 (SD ± 4.0) years. Only 3.0% of participants reported current use of an intrauterine device; 3.5% reported using an intrauterine device in the past. For nearly every measure of knowledge of intrauterine devices, there was a significant change in the proportion of participants who got the correct answer from the pre-test to the post-test. The mean summed pre-test knowledge score was 9.54 (SD ± 3.46) and the post-test score was 15.23 (SD ± 1.92); the possible total score is 18. The difference between the mean scores (5.69 points) was also significant. Conclusion The intervention resulted in significant change in knowledge of intrauterine devices among the women and cleared up many misconceptions that may have contributed to reluctance of women to use intrauterine devices. Women of reproductive age in Jamaica should be counseled on contraceptive methods including intrauterine devices so that these devices can be considered in their contraceptive choices.

Effectiveness of Intrauterine Contraception Device in Multiparous Women

“…Showed that the sections are the most used ones (17). This outcome may be due to the limited use of copper T intrauterine contraceptives to reduce pelvic inflammatory disease in polygamous women and monogamous couples (18)(19)(20). Copper-T IUD use rates are highest among collegeeducated and well-educated women.…”

Discontinuation Rate of Intrauterine Device and Associated Factors Among Women in the Last One Year in Angacha District, Southern Ethiopia

“… 1 IUCD is the world’s most widely used method of reversible birth control. 2 Efficacy with the IUCD device is high, with a failure rate of less than 1% per year with prolonged use. 3 , 4 Unlike other contraceptive methods like pills, IUCD does not need to think about taking it every day or using it every time they have sex, and its utilization results in fewer unintended pregnancies and fewer clinic visits as compared to other methods.…”