Indications of Intrauterine Contraceptive Devices Insertion in Ayub Teaching Hospital Abbottabad

Abstract

Background: The intrauterine contraceptive device is one of the frequently used methods of contraception. This mode of contraception is long lasting and does not require adherence on a day-to-day basis. There are many socio-cultural and obstetric determinants that play an important role in the usage of this mode of contraception. Objective: To determine the indications of intrauterine contraceptive device insertion in women presenting to a tertiary care hospital. Study Design: Cross sectional study. Duration and Place of Study: This study was conducted from 15 January 2025 to 15 May 2025 in Department of Obstetrics and Gynaecology, Ayub Teaching Hospital. Methodology: Total 114 women aged 18–49 years undergoing intrauterine contraceptive device insertion were included. Indications including low family income, multiparity, less age of youngest child, history of abortion and long term pregnancy prevention were assessed. Data was analysed using statistical package for social sciences. Mean and standard deviation was calculated for quantitative variables while frequency and percentage for categorical variables. Results: Mean age was 34.61 ± 5.87 years. Majority were multipara 110 (96.5%). Most common indication was prevention of pregnancy for long time 87 (76.3%), followed by low family income 50 (43.9%), history of abortion 26 (22.8%) and less age of youngest child 22 (19.3%). Significant association was found between age and less age of youngest child (p<0.001). Conclusion: Our study has concluded that multiparity and desire for long term contraception are main indications.