OBJECTIVE: To see the effectiveness and complications of intrauterine device (IUCD); multi load (MLU 375) among females attending a family planning clinic. DESIGN: A prospective study. SETTING: A family planning clinic at Hyderabad, Sindh from June 2003 to May 2004. SUBJECTS AND METHODS: Out of 145 women, a total of 75 (51.72%) were registered after screening for the insertion of IUCD Multi load (MLU 375). Effectiveness and complications of IUCD (MLU 375) were recorded through a proforma. IUCD insertion was done under aseptic technique. Women were advised for follow up after 1, 6 and 12 months of insertion. They were provided a booklet for keeping their menstrual cycle record. RESULTS: Most of the women were educated and belonged to urban area. Mean age of women was 24.4 years. Majority of women 23 (30.66%) had 5 children. After one month follow up, 32 (42.66%) women complained of menorrhagia, 21 (28%) complained of lower abdominal pain, 17 (22.33%) increased vaginal discharge while 5 (6.66%) did not complain of any symptom. After six month follow up, 69 (92%) women were symptom free and satisfied with this method, 5 (6.6%) developed pelvic infection and only 1 (1.34%) had displaced IUCD, which was removed under general anesthesia. After 12 month follow up, 74 (98.66%) women continued this method and only 1 (1.34%) woman was given alternative method of contraception. Pregnancy rate was zero. CONCLUSION: IUCD (MLU 375) is a highly effective, safe and reversible method of contraception with zero pregnancy rate and also has minimal complications which decrease simply by good counseling and regular follow up.
Ambulatory Care Facilities.
Intrauterine Devices, Copper.
Health Knowledge, Attitudes, Practice.