POSITIVE ADAPTIVE RESPONSE OF WOMEN IN LOW SOCIO-ECONOMIC CLASS FOR CHANGE OF CONTRACEPTIVE METHOD FROM COMBINED CONTRACEPTIVE PILLS TO COPPER INTRAUTERINE DEVICE: Positive Adaptive Response

Tehreem Yazdani; Nabila Amin; Fareeha Zaheer; Farhat Karim; Mohammad Saad Mukhtar; Maryam Mukhtar

doi:10.51253/pafmj.v71i5.4361

Authors

Tehreem Yazdani Combined Military Hospital Okara/National University of Medical Sciences (NUMS) Pakistan
Nabila Amin Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Fareeha Zaheer Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Farhat Karim Combined Military Hospital Okara/National University of Medical Sciences (NUMS) Pakistan
Mohammad Saad Mukhtar Fazaia Medical College, Islamabad Pakistan
Maryam Mukhtar Rawalpindi Institute of Cardiology, Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v71i5.4361

Keywords:

Family planning, Intrauterine copper devices, Oral contraceptive pills

Abstract

Objective: To ensure family spacing in our low socio-economic class.

Study Design: Quasi-experimental study.

Place and Duration of Study: Pak Emirates Military Hospital Rawalpindi, from Jan 2018 to Dec 2019.

Methodology: Two hundred females using oral contraceptive pills for spacing of children coming to Pak Emirates Military Hospital were selected. The problems of using contraceptive pills were identified. Out of these 87 women agreed to choose an intrauterine copper device (IUCD).

Results: Out of 200 women 87 converted from oral contraceptive pills to intrauterine copper device use. Most of them faced daily dosage problems 168 (84%). Nausea was encountered by 123 (61.5%) women and later settled in 89 (44.5%) women. About 31 (15.5%) were worried about the chances of uterine perforation and 56 (28%) were worried about lost intrauterine copper device resulting in laparotomy. About 65 (32.5%) were afraid of infection, backache and vaginal discharge. About 91 (45.5%) women thought to have gastric problems with the intrauterine copper device. About 71 (81%) agreed to have a spacing of children for about five years and removal whenever desired.

Conclusion: Intrauterine contraception is a very safe and efficient method for contraception as compared to oral pills. If expertise is, available it should be used and couples should be fully educated for its safety.