Volume 7, Issue 2, March 2019, Page: 51-55
Misplaced (''Missing'') Intrauterine Contraceptive Device Among Clients at a Rural Tertiary Hospital in South Western Nigeria
Adeniyi Augustine Adebayo, Department of Obstetrics and Gynaecology, Afe Babalola University, Ado Ekiti, Nigeria; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido Ekiti, Nigeria
Adebisi Timothy Olumide, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido Ekiti, Nigeria
Okere Raymond Akujuobi, Department of Obstetrics and Gynaecology, Afe Babalola University, Ado Ekiti, Nigeria; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido Ekiti, Nigeria
Adebara Idowu Oluseyi, Department of Obstetrics and Gynaecology, Afe Babalola University, Ado Ekiti, Nigeria; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido Ekiti, Nigeria
Bakare Adewumi, Department of Obstetrics and Gynaecology, Afe Babalola University, Ado Ekiti, Nigeria; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido Ekiti, Nigeria
Adeyemo Olabisi Timoty, Department of Obstetrics and Gynaecology, Afe Babalola University, Ado Ekiti, Nigeria; Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido Ekiti, Nigeria
Busari Adesola Olusegun, Department of Medicine, Afe Babalola University, Ado Ekiti, Nigeria
Achebe Chijioke Cosmas, Department of Radiology, Afe Babalola University, Ado Ekiti, Nigeria
Amerijoye Adewale, Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Ido Ekiti, Nigeria
Received: Mar. 5, 2019;       Accepted: Apr. 26, 2019;       Published: May 20, 2019
DOI: 10.11648/j.jgo.20190702.15      View  33      Downloads  11
Abstract
Background: Misplacement is one of the complications reported with intrauterine contraceptive devices (IUCDs) as a form of contraception. Objective: To study the methods of diagnosis and the mode of management of misplaced IUCDs at the Federal Teaching Hospital, Ido-Ekiti. Methods: This was a retrospective review of records of all clients who presented with complaints of missing IUCD over a 5 year period, from 1st January 2011 to 31st December 2015. Results: A total of 527 clients were seen at the family planning unit within the period under review. Three hundred and one (301) clients used IUCD, giving a prevalence of 57.1% of total contraceptive use. Of these, 12 IUCDs were reported misplaced, giving the incidence of misplaced IUCDs as 4%. The peak age of the clients reporting misplaced IUCD was 31-40 years. IUCDs insertion during puerperium was seen in 33.4% while most (41.6%) had their IUCD insertion more than 12 months following last childbirth. When considering IUCD insertion in relation to abortion and menses, most (50%) had insertion during menstrual period, 25% had insertion just before the onset of the next menses, postabortal insertion was seen in 16.7% while one (8.3%) could not ascertained the event that preceded the insertion of IUCD. Inability to feel the thread was the commonest presenting complaint in 6 (50%). Most of the clients with misplaced IUCD had the device inserted at the primary health centre (41.6%) and private hospitals (33.4%). Pelvic examination with uterine sound and abdominal ultrasound were the diagnostic methods commonly used. Most clients (83.3%) missed their IUCDs within the first twelve months of use. Retrieval hook was used for removal in 91.7% of the cases. One (8.3%) had exploratory laparotomy to recover the missing IUCD. Conclusion: Intrauterine devices should be inserted after proper case selection by properly trained medical personnel in both primary and tertiary centres in order to reduce reported cases of missing IUCDs.
Keywords
Intrauterine Contraceptive Device, Misplacement, Diagnosis, Management
To cite this article
Adeniyi Augustine Adebayo, Adebisi Timothy Olumide, Okere Raymond Akujuobi, Adebara Idowu Oluseyi, Bakare Adewumi, Adeyemo Olabisi Timoty, Busari Adesola Olusegun, Achebe Chijioke Cosmas, Amerijoye Adewale, Misplaced (''Missing'') Intrauterine Contraceptive Device Among Clients at a Rural Tertiary Hospital in South Western Nigeria, Journal of Gynecology and Obstetrics. Vol. 7, No. 2, 2019, pp. 51-55. doi: 10.11648/j.jgo.20190702.15
Copyright
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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