الفهرس 
ContraceptionOnly 14 pages are availabe for public view
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Abstract
Background: In Egypt, despite the high percentage of women using IUD according to Demographic and Health Surveys (DHS) 2014 (52.9%) of total women using contraceptive methods, the discontinuation rates among Cu-IUD users (within 12 months of use) reached 14.3% in 2014. Aim of the Work: The aim of the study was to compare between primary health care unit and university family planning clinic in discontinuation rate among copper IUD users. Patients and Method: Study design: prospective analytical observational study. Study setting: This study was conducted at family planning outpatient clinic of Ain Shams University Maternity Hospital and El-Zahraa primary health care unit for a year. This study enrolled 260 women who attended family planning clinic for Cu- IUD insertion. Total 100 subjects were included from each clinic. Rest of subjects were lost on follow up either after 6 months or 12 months. Some others refused to participate or gave wrong personal contacts. Results: On follow up at 6months, IUCD discontinuation was 5% in the university clinic & 7% in the primary health care (PHC) unit. While at 12months follow up, discontinuation was 28% in the university clinic & 40% in the PHC unit. Despite the difference, this was not statistically significant (p-value = 0.073). Conclusion: In our study, analysis of data revealed that there were no statistically significant difference between discontinuation rate among Copper IUD users in university clinic and primary healthcare unit. The main cause of IUD discontinuation was bleeding; and anemia was present in 66.6% of patients complaining from bleeding.