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Original Article

Effectiveness and complications of multi load (MLU 375) intrauterine device among females attending family planning clinic

Urmila Kella, Mehrunissa Soomro, Shaheen Sharaf Shah..

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.

Key words: Device, Intrauterine. Family Planning. Ambulatory Care Facilities. Contraception Behavior. Sex Education. Intrauterine Devices, Copper. Contraception. Health Knowledge, Attitudes, Practice. Actinomycosis.

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