WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

Dr. Shahad Waadallah Fadhil*, Raghad A. Ibrahim, Omaya F. Al-Harbawi

ABSTRACT

Background: Intrauterine contraceptive devices (IUCDs) offer a safe and effective method of fertility control, comparable to female sterilization and Norplant. However, they have risks, including rare adverse reactions like endometritis, spontaneous abortion, and septicemia. Factors influencing IUD performance include age, parity, education, breastfeeding status, delivery type, and provider skill. Careful patient selection and pre-insertion counseling are crucial for IUCD acceptance. Aim of the study: To determine the events rates related to intrauterine contraceptive device insertion among IUDs users following insertion in Mosul city / Iraq. Patients and Methods: A Cross sectional study was conducted among 267married women who currently use copper IUCD a attended the obstetrical and gynecological department of the Al-Khansaa, Al-Salaam, and Al-Batool Teaching Hospitals during the period of 6 months from the first of February, 2021 to the end of July, 2021. The married women were asked about their experience with this method. Any problems related to the insertion procedure was recorded and also during follow- up checking visit. After data collection, the statistical analysis was done by using Minitab program. Results: The study analyzed the distribution of women requesting IUCD insertion based on socio-demographic characteristics, reproductive history, and pain levels. The majority were aged 20-30, with 47.6% having level education between 7 and 12 years. Most were not workers, with 49.1% breastfeeding and 50.9% bottle feeding. Most were delivered by NVD, with 88.4% using Cesarean section. The study found a significant association between menstrual bleeding amount and duration, with women with a history of infection more likely to develop menstrual changes. Conclusion: Device insertion causes 19.9% of events, including pain, bleeding, laceration, syncope, and perforation, with previous Cesarean section delivery being the most risk factor. Adverse experiences include bleeding, menstrual changes, and pregnancy.

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