The acceptability of using IUDs among Egyptian nulliparous women: a cross-sectional study
Abstract Background Although intrauterine contraceptive device is highly effective, safe, long term and reversible method of contraception, the general population and physicians refuse. IUDs for nulliparous women due to persistent rumors about its side effects and complications. The aim of this stud...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2020-06-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12905-020-00977-9 |
| _version_ | 1818497116667904000 |
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| author | Reham Refaat Elkhateeb Eman Kishk Ahmad Sanad Haitham Bahaa Abdel Rahman Hagazy Kareem Shaheen Enas Moustafa Hahem Fares Khalid Gomaa Ahmad Mahran |
| author_facet | Reham Refaat Elkhateeb Eman Kishk Ahmad Sanad Haitham Bahaa Abdel Rahman Hagazy Kareem Shaheen Enas Moustafa Hahem Fares Khalid Gomaa Ahmad Mahran |
| author_sort | Reham Refaat Elkhateeb |
| collection | DOAJ |
| description | Abstract Background Although intrauterine contraceptive device is highly effective, safe, long term and reversible method of contraception, the general population and physicians refuse. IUDs for nulliparous women due to persistent rumors about its side effects and complications. The aim of this study was to assess the acceptability of IUD use in nulliparous women by both women and health care providers in Egypt. Methods Five hundred thirty nulliparous women and 200 physicians were interviewed in 10 family planning clinics in Suez and Minia cities – Egypt. The knowledge and attitudes of women and health care providers towards IUD use in nulliparous women were assessed through a well designed questionnaire over 2 years. Those women who accepted using IUD were then followed up for 6 months. Results Most of nulliparous women sought for contraception reported a negative impression of IUD method (96.2%). 82.5% of physicians had the same attitude. The reasons for refusing IUD among nulliparous women are fear of side effects including infection (52.8%), and bleeding (37.7%).Also, fear of subsequent infertility 51.9% of women. Regarding the providers, increased pelvic inflammatory disease (PID) represented the highest percentage (70%) for non acceptability, followed by difficult insertion (52.5%). Ninety women who accepted use IUD were followed up 6 months later, 94.4% were still using the method and77.8% were happy with the results. Conclusion The main barriers that hinder the use of IUD in nulliparous women are the women insufficient knowledge and attitude of their physicians. Good client counseling. Good training for physician to improve their experience would help increase the use of such effective and safe method. |
| first_indexed | 2024-12-10T18:41:21Z |
| format | Article |
| id | doaj.art-f934aa192fa1477c81e06c67807d9f84 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-12-10T18:41:21Z |
| publishDate | 2020-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-f934aa192fa1477c81e06c67807d9f842022-12-22T01:37:38ZengBMCBMC Women's Health1472-68742020-06-012011610.1186/s12905-020-00977-9The acceptability of using IUDs among Egyptian nulliparous women: a cross-sectional studyReham Refaat Elkhateeb0Eman Kishk1Ahmad Sanad2Haitham Bahaa3Abdel Rahman Hagazy4Kareem Shaheen5Enas Moustafa6Hahem Fares7Khalid Gomaa8Ahmad Mahran9Obstetrics and Gynecology, Faculty of medicine Minia University, Maternity Hospital Minia UniversityObstetrics and Gynecology, Faculty of Medicine Suez Canal UniversityObstetrics and Gynecology Minia UniversityObstetrics and Gynecology, Faculty of Medicine Minia UniversityObstetrics and Gynecology, Faculty of Medicine Minia UniversityObstetrics and Gynecology Minia UniversityObstetrics and Gynecology Minia UniversityObstetrics and Gynecology Minia UniversityObstetrics and Gynecology at Maternity Hospital, Minia UniversityObstetrics and Gynecology, Faculty of Medicine Minia UniversityAbstract Background Although intrauterine contraceptive device is highly effective, safe, long term and reversible method of contraception, the general population and physicians refuse. IUDs for nulliparous women due to persistent rumors about its side effects and complications. The aim of this study was to assess the acceptability of IUD use in nulliparous women by both women and health care providers in Egypt. Methods Five hundred thirty nulliparous women and 200 physicians were interviewed in 10 family planning clinics in Suez and Minia cities – Egypt. The knowledge and attitudes of women and health care providers towards IUD use in nulliparous women were assessed through a well designed questionnaire over 2 years. Those women who accepted using IUD were then followed up for 6 months. Results Most of nulliparous women sought for contraception reported a negative impression of IUD method (96.2%). 82.5% of physicians had the same attitude. The reasons for refusing IUD among nulliparous women are fear of side effects including infection (52.8%), and bleeding (37.7%).Also, fear of subsequent infertility 51.9% of women. Regarding the providers, increased pelvic inflammatory disease (PID) represented the highest percentage (70%) for non acceptability, followed by difficult insertion (52.5%). Ninety women who accepted use IUD were followed up 6 months later, 94.4% were still using the method and77.8% were happy with the results. Conclusion The main barriers that hinder the use of IUD in nulliparous women are the women insufficient knowledge and attitude of their physicians. Good client counseling. Good training for physician to improve their experience would help increase the use of such effective and safe method.http://link.springer.com/article/10.1186/s12905-020-00977-9IUDNulliparousPhysiciansAttitude towards IUD insertionAcceptability |
| spellingShingle | Reham Refaat Elkhateeb Eman Kishk Ahmad Sanad Haitham Bahaa Abdel Rahman Hagazy Kareem Shaheen Enas Moustafa Hahem Fares Khalid Gomaa Ahmad Mahran The acceptability of using IUDs among Egyptian nulliparous women: a cross-sectional study BMC Women's Health IUD Nulliparous Physicians Attitude towards IUD insertion Acceptability |
| title | The acceptability of using IUDs among Egyptian nulliparous women: a cross-sectional study |
| title_full | The acceptability of using IUDs among Egyptian nulliparous women: a cross-sectional study |
| title_fullStr | The acceptability of using IUDs among Egyptian nulliparous women: a cross-sectional study |
| title_full_unstemmed | The acceptability of using IUDs among Egyptian nulliparous women: a cross-sectional study |
| title_short | The acceptability of using IUDs among Egyptian nulliparous women: a cross-sectional study |
| title_sort | acceptability of using iuds among egyptian nulliparous women a cross sectional study |
| topic | IUD Nulliparous Physicians Attitude towards IUD insertion Acceptability |
| url | http://link.springer.com/article/10.1186/s12905-020-00977-9 |
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