Women’s Perspective and Beliefs about Barriers to IUD Use: A Qualitative Study

Authors

  • Zahra Mottaghi - دانشگاه علوم پزشكي شاهرود- گروه بهداشت باروري- دانشجوي دكتري
  • Khadije Mirzaii Najmabadi دانشگاه علوم پزشكي شاهرود- گروه بهداشت باروري- استاديار.

DOI:

https://doi.org/10.22100/jkh.v6i3.104

Keywords:

IUD, Perceptions, Women, Qualitative, Khomein.

Abstract

Introduction: IUD is a common contraceptive method in the world. According to statistics reported by the national research of  Integrated Monitoring Evaluation System in Iran (IMES), IUD was used by 11.9% contraceptive users in Iran in 2005, but it was only 4% in Khomein, which is very low compared to the national statistics. This study aimed at exploring the viewpoints and beliefs of women in Khomein about barriers to the use of IUD.

Methods: This study is a qualitative research based on focus group discussions. Data was collected from married women, eligible for contraceptive use with ages 15-49 years inhabiting villages of Khomein. In focus group discussions, one person moderated the discussion and one person recorded the interviews. Data was analyzed according to the Content Analysis method.

Results: Majority of participants did not intend to use IUD. The most important reasons for this were side effects and false beliefs. Other reasons included feelings (fears and anxiety about the fitting of an IUD) and lack of information about IUD and its advantages and disadvantages, influence of other people’s views (care providers, etc) and husband’s dissatisfaction.

Conclusion: With regard to the effective role of health care personnel and husbands, and also the significant role of the obstetrician’s and physician’s skill in choosing the appropriate contraception method, and with regard to the poor information of women about IUD, further training on correct IUD insertion  and promoting the family planning counseling skills of health care personnel and improving the involvement of men in the family planning process is obviously necessary.

References

Mehryar AH, Zanjani H, Shadpor K, Mirzaii M, editors. Population, Development and health reproductive. Tehran: Boshra Press;2008.[Persian].

Asker C; Stokes-lampard H; Beavan J; Wilson S. What is it about intrauterine devices that women find unacceptable? Factors that make women non-users: a qualitative study. J Fam Plann Reprod Health Care 2006;32(2):89-94.

Shahvari Z. Intrauterine devices (IUDS) benefits. Iran Journal of Nursing 2004;17(40):11-17.[Persian].

Rivera R, Best K. Current opinion: consensus statement on intrauterine contraception. Contraception 2002;65(6);385-388.

Rafiee Tabatabaei S, Holakouee Naeeni K, Majlesi F, Majdzadeh SR, Taghizadeh S, Hadipour Jahromy M. Qualitative study of tendency to use of Indian IUD (Pregna) In women in Badr health center. Medical Sciences Journal of Islamic Azad University Tehran Medical Branch 2010;20(2):118-125.[Persian].

Bilian Xiao. Intrauterine devices. Best Practice & Research Clinical Obstetrics & Gynaecology 2002;16(2):155-168.

Canavan TP. Appropriate use of the Intrauterine device. Am Fam Physician 1999;1(60):761-3.

Escudero F, Gonzales GF, Delgadillo L, Villena AE. Factors associated with discontinuation rates of the copper T380 A IUD in a Peruvian public hospital. Adv Contracep 1999;15(4):303-11.

Oddens BJ. Women’s satisfaction with birth control: a population survey of physical and psychological effects of oral contraceptives, intrauterine devices, condoms, natural family planning, and sterilization among 1466 women. Contraception 1999;59(5):277-286.

Bhattoa HP, Ganacharya S, Batar I. A decade of experience with Tcu 200. Advanced In Contraception 1999;15(4):351-61.

Khani Robati B, Forouzesh F, Kianpour M, Soleimani B. Intrauterine device (TCU 380 a): Efficacy and complications among it's users (Isfahan, 1996-1997). Journal of Research in Medical Sciences 2000;5(1):38-41.[Persian].

Ministry of Health, Treatment and Medical Education. Integrative management and evaluation system. Tehran: Tehran University of Medical Sciences;2005.

Streubert HJ, Carpenter DR, editors. Qualitative research in nursing, advancing the humanistic imperative. 2nd ed. Philadelphia: Lippincott;2003.

Salsali M, Parvisi S, Adib M, editors. Qualitative research methods. Tehran: Boshra Press;2003.[Persian].

Shahbazzadegan S, Nahan Moghada N, Eftekhar Ardabili H, Rahimi A, Akbari F. Investigation of factors affecting discontinuous use of IUD in health centers of ardabil city. JAUMS 2009;9(3):242-248.[Persian].

Bahonar A, Vahdaninia M, Jafari M. An evaluation of factors affecting selection of the IUD as a contraceptive method by married women in pakdasht. Payesh 2002;1(2):5-12.[Persian].

Yusefimajd F, Eftekhar Ardabili H, Akbari Haghighi F, Zeraati H. Discontinuation rates of intrauterine contraceptive device use in the rural area of urmea province of iran. Journal of School of Public Health and Institute of Public Health Research 2003;1(4):23-30. [persian].

Le Thi Nham Tuyet, Mai Huy Bich, Johansson A, Hoang Thi Hoa. Women's experience of family planning in two rural communes in Vietnam. Arrows Change 1995;1(1):3-4.

Safavi M, Jalalmanesh SH, Hoorsan R, Mahmudi M. A randomized comparative study of the side effects of tcu380a and cusafe300 iuds in clients referring to karaj health centers in 2003. Medical Sciences Journal of Islamic Azad University Tehran Medical Branch 2005;2(15):59-62.[Persian].

Carvalho ML, Schor N. Reasons why sterilized women refused recessive contraceptive methods. Revista de Saude Publica 2005;39(5):788-794.

Petta CA, Amatya R, Farr G, Chi I. An analysis of the personal reason for discontinuing IUD use. Contraception 1994;50(4):339-47.

Ebrahim Taheri G, Khousheh M, Saffari M, Moslemian S. Factors affecting the discontinuation of IUD. Journal of School of Nursing and Midwifery of Medical Sciences of Tehran University (Hayat) 2008;14(2):73-80.[Persian].

Published

2011-12-28

Issue

Section

Original Article(s)

How to Cite

Women’s Perspective and Beliefs about Barriers to IUD Use: A Qualitative Study. (2011). Knowledge and Health in Basic Medical Sciences, 6(3), 24-30. https://doi.org/10.22100/jkh.v6i3.104

Most read articles by the same author(s)

<< < 23 24 25 26 27 28 29 30 31 32 > >>