Factors affecting IUCD discontinuation in Nepal: a nested case-control study

Subash Thapa; Ishwari Sharma Paudel; Sailesh Bhattarai; Ranjila Joshi; Kabita Thapa

doi:10.1177/1010539512458522

Factors affecting IUCD discontinuation in Nepal: a nested case-control study

Subash Thapa, Ishwari Sharma Paudel, Sailesh Bhattarai, Ranjila Joshi, Kabita Thapa

Science and Health

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	NP1280-7
Journal	Asia-Pacific Journal of Public Health
Volume	27
Issue number	2
DOIs	https://doi.org/10.1177/1010539512458522
Publication status	Published - Mar 2015

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title = "Factors affecting IUCD discontinuation in Nepal: a nested case-control study",

abstract = "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.",

keywords = "Adult, Age Factors, Case-Control Studies, Female, Humans, Intrauterine Devices/adverse effects, Nepal, Residence Characteristics",

author = "Subash Thapa and Paudel, {Ishwari Sharma} and Sailesh Bhattarai and Ranjila Joshi and Kabita Thapa",

note = "{\textcopyright} 2012 APJPH.",

year = "2015",

month = mar,

doi = "10.1177/1010539512458522",

language = "English",

volume = "27",

pages = "NP1280--7",

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TY - JOUR

T1 - Factors affecting IUCD discontinuation in Nepal

T2 - a nested case-control study

AU - Thapa, Subash

AU - Paudel, Ishwari Sharma

AU - Bhattarai, Sailesh

AU - Joshi, Ranjila

AU - Thapa, Kabita

PY - 2015/3

Y1 - 2015/3

N2 - 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.

AB - 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.

KW - Adult

KW - Age Factors

KW - Case-Control Studies

KW - Female

KW - Humans

KW - Intrauterine Devices/adverse effects

KW - Nepal

KW - Residence Characteristics

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DO - 10.1177/1010539512458522

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C2 - 22984134

SN - 1010-5395

VL - 27

SP - NP1280-7

JO - Asia-Pacific Journal of Public Health

JF - Asia-Pacific Journal of Public Health

IS - 2

ER -

Factors affecting IUCD discontinuation in Nepal: a nested case-control study

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