Thapa Subash, Paudel Ishwari Sharma, Bhattarai Sailesh, Joshi Ranjila, Thapa Kabita
Department of Public Health, Nepal Institute of Health Sciences, Boudha, Kathmandu, Nepal
School of Public Health and Community Medicine, BP Koirala Institute of Health Sciences, Ghopa, Dharan, Nepal.
Asia Pac J Public Health. 2015 Mar;27(2):NP1280-7. doi: 10.1177/1010539512458522. Epub 2012 Sep 14.
Information related to contraception discontinuation, especially in the context of Nepal is very limited. A nested case-control study was carried out to determine the factors affecting discontinuation of intrauterine contraceptive devices (IUCDs). A total of 115 cases (IUCD discontinuers) and 115 controls (IUCD continuers) were randomly selected based on the data obtained from the user's record of a family planning center in Kathmandu. Matching criteria were age during insertion and date of insertion of IUCD. Logistic regression was used to analyze the data. When cases were compared with controls, the results showed that place of residence, sex of last child, reproductive intention, experience of side effects, and follow-up practice were associated with discontinuation of the IUCD. Experience of side effects has been seen as the major reason for discontinuation. The results suggest that side effects after IUCD insertion should be properly discussed and promptly treated to reduce the discontinuation rate.
与避孕措施停用相关的信息，尤其是在尼泊尔的背景下，非常有限。开展了一项巢式病例对照研究，以确定影响宫内节育器（IUCD）停用的因素。根据从加德满都一家计划生育中心的使用者记录中获得的数据，随机选取了115例病例（IUCD停用者）和115例对照（IUCD继续使用者）。匹配标准为IUCD插入时的年龄和插入日期。采用逻辑回归分析数据。将病例与对照进行比较时，结果显示居住地、最后一个孩子的性别、生育意愿、副作用经历以及随访情况与IUCD停用有关。副作用经历被视为停用的主要原因。结果表明，应适当讨论IUCD插入后的副作用并及时治疗，以降低停用率。
