Obstetrics and Gynecology, Faculty of medicine Minia University, Maternity Hospital Minia University, Minia, Egypt.
Obstetrics and Gynecology, Faculty of Medicine Suez Canal University, Suez, Egypt.
BMC Womens Health. 2020 Jun 5;20(1):117. doi: 10.1186/s12905-020-00977-9.
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.
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.
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.
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.
虽然宫内节育器是一种高效、安全、长期和可逆的避孕方法，但普通人群和医生都拒绝使用。由于对其副作用和并发症的持续传闻，未产妇对 IUD 也持拒绝态度。本研究旨在评估埃及未产妇对 IUD 的可接受性，包括未产妇和卫生保健提供者的态度。
在苏伊士和米尼亚市的 10 家计划生育诊所，对 530 名未产妇和 200 名医生进行了访谈。通过精心设计的问卷，在 2 年内评估了妇女和卫生保健提供者对未产妇使用 IUD 的知识和态度。那些接受使用 IUD 的妇女随后进行了 6 个月的随访。
大多数寻求避孕的未产妇对 IUD 方法的印象不佳（96.2%）。82.5%的医生也有同样的态度。未产妇拒绝使用 IUD 的原因是担心副作用，包括感染（52.8%）和出血（37.7%）。此外，51.9%的妇女担心随后不孕。对于提供者来说，增加盆腔炎（PID）的发病率是不可接受的最高比例（70%），其次是插入困难（52.5%）。90 名接受使用 IUD 的妇女在 6 个月后进行了随访，94.4%的妇女仍在使用该方法，77.8%的妇女对结果满意。
阻碍未产妇使用 IUD 的主要障碍是妇女对其医生的知识和态度不足。良好的客户咨询。对医生进行良好的培训，以提高他们的经验，将有助于增加这种有效和安全方法的使用。
