@article{10.11648/j.jgo.20190702.15,
  author = {Adeniyi Augustine Adebayo and Adebisi Timothy Olumide and Okere Raymond Akujuobi and Adebara Idowu Oluseyi and Bakare Adewumi and Adeyemo Olabisi Timoty and Busari Adesola Olusegun and Achebe Chijioke Cosmas and Amerijoye Adewale},
  title = {Misplaced (''Missing'') Intrauterine Contraceptive Device Among Clients at a Rural Tertiary Hospital in South Western Nigeria},
  journal = {Journal of Gynecology and Obstetrics},
  volume = {7},
  number = {2},
  pages = {51-55},
  doi = {10.11648/j.jgo.20190702.15},
  url = {https://doi.org/10.11648/j.jgo.20190702.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20190702.15},
  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.},
 year = {2019}
}

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TY  - JOUR
T1  - Misplaced (''Missing'') Intrauterine Contraceptive Device Among Clients at a Rural Tertiary Hospital in South Western Nigeria
AU  - Adeniyi Augustine Adebayo
AU  - Adebisi Timothy Olumide
AU  - Okere Raymond Akujuobi
AU  - Adebara Idowu Oluseyi
AU  - Bakare Adewumi
AU  - Adeyemo Olabisi Timoty
AU  - Busari Adesola Olusegun
AU  - Achebe Chijioke Cosmas
AU  - Amerijoye Adewale
Y1  - 2019/05/20
PY  - 2019
N1  - https://doi.org/10.11648/j.jgo.20190702.15
DO  - 10.11648/j.jgo.20190702.15
T2  - Journal of Gynecology and Obstetrics
JF  - Journal of Gynecology and Obstetrics
JO  - Journal of Gynecology and Obstetrics
SP  - 51
EP  - 55
PB  - Science Publishing Group
SN  - 2376-7820
UR  - https://doi.org/10.11648/j.jgo.20190702.15
AB  - 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.
VL  - 7
IS  - 2
ER  - 

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