Öz
Abstract
Aim. The aim of this study was to detect the relationship between IUD failure and some factors such as length of tail, IUD experience, education level, utilization period, gravidy, parity, age and length of uterine cavity. Methods. Our study groups included 48 patients who were randomly admitted to our clinic for problematic IUD and 30 normal patients without any complaints who were admitted to our clinic with out of date IUD who wanted new IUD insertion or desired to become pregnant as control group. Both groups were evaluated for the demographic characteristics such as education level, history of abortion, menstrual regulation, and type of delivery, IUD experience and blood count, duration of IUD use, length of tail, type of IUD, and length of uterine cavity. Results. We detected statistically significant results for length of cavity, length of tail, education level and IUD experience. Conclusion. We are in the opinion that length of uterine cavity, length of IUD tail, educational level and IUD experience are associated with IUD failure.
Keywords: Contraception, intrauterine devices, copper
Özet
Amaç. Bu çalışmanın amacı RİA kullanımında başarısızlık ile rahim kavite uzunluğu, eğitim seviyesi, RİA ipinin uzunluğu, kullanım süresi, RİA tecrübesi, gravida, parite ve yaş gibi bazı faktörlerin ilişkisinin incelenmesidir. Yöntemler. Kliniğimize rastgele başvuran problemli spirali olan 48 hasta bizim çalışma gurubumuzu oluşturmuştur ve hiçbir yakınması olmayan spiralinin günü geçtiği için yeni spiral isteyen veya bebek yapmayı planlayan 30 hasta kontrol gurubumuzu oluşturmuştur. Her iki gurup demografik özellikler, eğitim seviyesi, düşük öyküsü, adet düzeni, doğum şekli, RİA tecrübesi ve kan sayımı, spiralin kullanım süresi, tipi, kuyruk uzunluğu ve rahim kavitesinin uzunluğu açısından karşılaştırılmıştır. Bulgular. RİA ipinin uzunluğu, kavite uzunluğu, eğitim seviyeleri ve RİA tecrübesi açısından istatistiksel olarak anlamlı sonuçlar saptadık. Sonuç. Biz RİA ipinin uzunluğu, kavite uzunluğu, eğitim seviyeleri ve RİA tecrübesinin spiral kullanımındaki başarısızlıkla ilişkili olduğu düşüncesindeyiz.
Anahtar sözcükler: Kontrasepsiyon, rahim içi araç, bakır
Anahtar Kelimeler
Kaynakça
- d’Arcangues C. Worldwide use of intrauterine devices for contraception. Contraception 2007; 75(6 Suppl): S2-7. contraceptive 2. World use http://www.un.org/esa/population/publications/contraceptive2005/WCU2005 (accessed on March 02, 2012). 2005. Available at:
- O’Brien PA, Kulier R, Helmerhorst FM, Usher-Patel M, d’Arcangues C. Copper- containing, framed intrauterine devices for contraception: a systematic review of randomized controlled trials. Contraception 2008; 77: 318-27.
- Canavan TP. Appropriate use of the intrauterine device. Am Fam Physician 1998; 58: 2077-84, 2087-8.
- American College of Obstetricians and Gynecologists. The intrauterine device. ACOG technical bulletinno. 164. Washington, D.C.: ACOG, 1992.
- Nelson AL. The intrauterine contraceptive device. Obstet Gynecol Clin North Am 2000; 27: 723-40.
- IUDs--an update. Popul Rep B 1995; 6: 1-35.
- National Institute for Health and Clinical Excellence. Long-acting Reversible Contraception. 2005, Available at: www.nice.org.uk (accessed on March 02, 2012).
- Luukkainen T. Levonorgestrel-releasing intrauterine device. Ann NY AcadSci 1991; 626: 43-9.
- WHO mechanism of action, safety, and efficacy of intrauterine devices. Geneva7 World Health Organization 1987; pp: 48-63.
- Kaneshiro B, Aeby T. Long-term safety, efficacy, and patient acceptability of the intrauterine Copper T-380A contraceptive device. Int J Womens Health 2010; 2: 211-20.
- Tuncbilek E, Uner S, Toros A, Cerit S, Ulusoy M, Ayhan Ö, Peker M, Akadli B, Hancioglu A, Kulu I, Unalan T. Turkish Population and Health Survey 1983. Hacettepe University, Institute of Population Studies Publication 1987; pp: 117.
- Özvarış BŞ, Dervişoğlu AA. Operational Research for an Effective Information and Training Approach for Surgical Contraception Knowledge and Attitude in Turkey. The Turkish Journal of Population Studies 1996; 17-18: 41-53.
- Martin-Loeches M, Ortí RM, Monfort M, Ortega E, Rius J. A comparative analysis of the modification of sexual desire of users of oral hormonal contraceptives and intrauterine contraceptive devices. Eur J Contracept Reprod Health Care 2003; 8: 129-34.
- Kaneshiro B, Aeby T. Long-term safety, efficacy, and patient acceptability of the intrauterine Copper T-380A contraceptive device. Int J Womens Health 2010; 2: 211-20.
- ESHRE Capri Workshop Group. Intrauterine devices and intrauterine systems. Hum Reprod Update 2008; 14: 197-208.
- Hubacher D, Reyes V, Lillo S, Pierre-Louis B, Zepeda A, Chen PL, Croxatto H. Preventing copper intrauterine device removals due to side effects among first- time users: randomized trial to study the effect of prophylactic ibuprofen. Hum Reprod 2006; 21: 1467-72.
- Akkuzu G, Vural G, Eroğlu K, Dilbaz B, Taşkın L, Akın A, and Haberal A. Reasons for Continuation or Discontinuation of IUD in Postplacental/Early Postpartum Periods and Postpuerperal/Interval Periods: One-Year Follow-Up Turkiye Klinikleri J Med Sci 2009; 29: 353-60.
- Castro A, Abarca L, Rios M. The clinical performance of the Multiload IUD. I. The influence of the endometrial cavity length. Adv Contracept 1993; 9: 285-90.
- Bahamondes MV, Monteiro I, Canteiro R, Fernandes Ados S, Bahamondes L. Length of the endometrial cavity and intrauterine contraceptive device expulsion. Int J Gynaecol Obstet 2011; 113: 50-3.
- Avecilla-Palau A, Moreno V. Uterine factors and risk of pregnancy in IUD users: a nested case-control study. Contraception 2003; 67: 235-9.
- Jenabi E, Alizade SM, Baga RI. Continuation rates and reasons for discontinuing TCu380A IUD use in Tabriz, Iran. Contraception 2006; 74: 483-6.
- Thonneau P, Almont T, de La Rochebrochard E, Maria B. Risk factors for IUD failure: results of a large multicentre case-control study. Hum Reprod 2006; 21: 2612-6.
Öz
Amaç. Bu çalışmanın amacı RİA kullanımında başarısızlık ile rahim kavite uzunluğu, eğitim seviyesi, RİA ipinin uzunluğu, kullanım süresi, RİA tecrübesi, gravida, parite ve yaş gibi bazı faktörlerin ilişkisinin incelenmesidir. Yöntemler. Kliniğimize rastgele başvuran problemli spirali olan 48 hasta bizim çalışma gurubumuzu oluşturmuştur ve hiçbir yakınması olmayan spiralinin günü geçtiği için yeni spiral isteyen veya bebek yapmayı planlayan 30 hasta kontrol gurubumuzu oluşturmuştur. Her iki gurup demografik özellikler, eğitim seviyesi, düşük öyküsü, adet düzeni, doğum şekli, RİA tecrübesi ve kan sayımı, spiralin kullanım süresi, tipi, kuyruk uzunluğu ve rahim kavitesinin uzunluğu açısından karşılaştırılmıştır. Bulgular. RİA ipinin uzunluğu, kavite uzunluğu, eğitim seviyeleri ve RİA tecrübesi açısından istatistiksel olarak anlamlı sonuçlar saptadık. Sonuç. Biz RİA ipinin uzunluğu, kavite uzunluğu, eğitim seviyeleri ve RİA tecrübesinin spiral kullanımındaki başarısızlıkla ilişkili olduğu düşüncesindeyiz
Anahtar Kelimeler
Kaynakça
- d’Arcangues C. Worldwide use of intrauterine devices for contraception. Contraception 2007; 75(6 Suppl): S2-7. contraceptive 2. World use http://www.un.org/esa/population/publications/contraceptive2005/WCU2005 (accessed on March 02, 2012). 2005. Available at:
- O’Brien PA, Kulier R, Helmerhorst FM, Usher-Patel M, d’Arcangues C. Copper- containing, framed intrauterine devices for contraception: a systematic review of randomized controlled trials. Contraception 2008; 77: 318-27.
- Canavan TP. Appropriate use of the intrauterine device. Am Fam Physician 1998; 58: 2077-84, 2087-8.
- American College of Obstetricians and Gynecologists. The intrauterine device. ACOG technical bulletinno. 164. Washington, D.C.: ACOG, 1992.
- Nelson AL. The intrauterine contraceptive device. Obstet Gynecol Clin North Am 2000; 27: 723-40.
- IUDs--an update. Popul Rep B 1995; 6: 1-35.
- National Institute for Health and Clinical Excellence. Long-acting Reversible Contraception. 2005, Available at: www.nice.org.uk (accessed on March 02, 2012).
- Luukkainen T. Levonorgestrel-releasing intrauterine device. Ann NY AcadSci 1991; 626: 43-9.
- WHO mechanism of action, safety, and efficacy of intrauterine devices. Geneva7 World Health Organization 1987; pp: 48-63.
- Kaneshiro B, Aeby T. Long-term safety, efficacy, and patient acceptability of the intrauterine Copper T-380A contraceptive device. Int J Womens Health 2010; 2: 211-20.
- Tuncbilek E, Uner S, Toros A, Cerit S, Ulusoy M, Ayhan Ö, Peker M, Akadli B, Hancioglu A, Kulu I, Unalan T. Turkish Population and Health Survey 1983. Hacettepe University, Institute of Population Studies Publication 1987; pp: 117.
- Özvarış BŞ, Dervişoğlu AA. Operational Research for an Effective Information and Training Approach for Surgical Contraception Knowledge and Attitude in Turkey. The Turkish Journal of Population Studies 1996; 17-18: 41-53.
- Martin-Loeches M, Ortí RM, Monfort M, Ortega E, Rius J. A comparative analysis of the modification of sexual desire of users of oral hormonal contraceptives and intrauterine contraceptive devices. Eur J Contracept Reprod Health Care 2003; 8: 129-34.
- Kaneshiro B, Aeby T. Long-term safety, efficacy, and patient acceptability of the intrauterine Copper T-380A contraceptive device. Int J Womens Health 2010; 2: 211-20.
- ESHRE Capri Workshop Group. Intrauterine devices and intrauterine systems. Hum Reprod Update 2008; 14: 197-208.
- Hubacher D, Reyes V, Lillo S, Pierre-Louis B, Zepeda A, Chen PL, Croxatto H. Preventing copper intrauterine device removals due to side effects among first- time users: randomized trial to study the effect of prophylactic ibuprofen. Hum Reprod 2006; 21: 1467-72.
- Akkuzu G, Vural G, Eroğlu K, Dilbaz B, Taşkın L, Akın A, and Haberal A. Reasons for Continuation or Discontinuation of IUD in Postplacental/Early Postpartum Periods and Postpuerperal/Interval Periods: One-Year Follow-Up Turkiye Klinikleri J Med Sci 2009; 29: 353-60.
- Castro A, Abarca L, Rios M. The clinical performance of the Multiload IUD. I. The influence of the endometrial cavity length. Adv Contracept 1993; 9: 285-90.
- Bahamondes MV, Monteiro I, Canteiro R, Fernandes Ados S, Bahamondes L. Length of the endometrial cavity and intrauterine contraceptive device expulsion. Int J Gynaecol Obstet 2011; 113: 50-3.
- Avecilla-Palau A, Moreno V. Uterine factors and risk of pregnancy in IUD users: a nested case-control study. Contraception 2003; 67: 235-9.
- Jenabi E, Alizade SM, Baga RI. Continuation rates and reasons for discontinuing TCu380A IUD use in Tabriz, Iran. Contraception 2006; 74: 483-6.
- Thonneau P, Almont T, de La Rochebrochard E, Maria B. Risk factors for IUD failure: results of a large multicentre case-control study. Hum Reprod 2006; 21: 2612-6.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Cerrahi Tıp Bilimleri Araştırma Yazıları |
| Yazarlar | |
| Yayımlanma Tarihi | 2 Ocak 2012 |
| Yayımlandığı Sayı | Yıl 2012Cilt: 34 Sayı: 1 |