うつ病と不安に関するジャーナル
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概要

Mothers Experiences with Cut380a Postpartum Intrauterine Contraceptive Device in Enugu, Southeast, Nigeria

Okafor Innocent Igwebueze

Objective: To assess mother’s experiences with CuT380A Postpartum Intrauterine Contraceptive Device (PPIUD).
Subjects and methods: Mothers who accepted PPIUD in three centers in Enugu from August 1, 2013 to July 31, 2014 were the subjects of the study. Mother’s experiences with PPIUD were assessed with structured questionnaires. Data was analyzed using excel 2007 software, and presented using percentages and graphs. 
Results: Fifteen PPIUD were inserted during caesarean deliveries while 66 were inserted vaginally.  Majority of the mothers were of ages 31-40 years 43(53%), married 76(93.8%), secondary educated 46(56.8) and para 2-4 68(84%). PPIUD was mostly accepted because it was convenient after childbirth 81(100%). Few women experienced missing PPIUD strings 8(9.9%) and spontaneous expulsions 2(2.5%). There was no failed PPIUD. Seventy four (91.4%) mothers were satisfied with PPIUD. The major sources of the satisfactions were convenient time of insertion 81(100%), few complications 78(96.30%), and the safety of CuT380A PPIUD during breast feeding 78(96.30%). Sixty two (76.5%) mothers wanted to continue to use PPIUD while 25(30.9%) recommended the method to friends. Eight (9.9%) mothers removed their PPIUD to achieve pregnancy.
Conclusion: PPIUD is a safe and effective contraceptive method. Missing PPIUD strings and expulsions were the few complications experienced in this study. Most mothers were satisfied with the method. Convenient time of insertion, few complications, and PPIUD safety during breast feeding were the major sources of satisfactions. Many mothers wanted to continue to use PPIUD, and recommended the method to friends. The desire to achieve pregnancy was the commonest cause of discontinuation of PPIUD.