Document Type : Original Article
Authors
1
Lecturer, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
2
Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
3
Ph.D., Assistant Professor of Traffic Injury Prevention Research Center, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.
4
M.Sc. of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
5
M.Sc. Student of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran.
Abstract
Introduction: One of the most common complications of intrauterine device (IUD) users is bleeding. These symptoms are varied in different type of IUD. The aim of this study was to compare bleeding in two types of intrauterine device (Multiload 375 and Copper T 380A).
Methods: A randomized double- blinded controlled clinical trial was carried out on 48 women who were referred to a public health center of Tabriz, Iran, from 2011 September to 2012 October. Participants allocated randomly into two equal groups with random block-size of 4 and 6. Group 1 received Multiload 375 IUD and group 2 received the Copper T 380A IUD. Amount of bleeding was measured with Higham chart during menstruation, one cycle before IUD insertion and four cycles after. Data were analyzed using SPSS software version 13, chi square, independent t-test, analysis of covariance and ANOVA with repeated measures tests. P value less than 0.05 was considered significant.
Results: No significant differences were found between two groups in terms of demographic and pregnancy characteristics (Except for drug consumption during the study and the interval of last delivery with IUD insertion) (p>0.05). The mean of bleeding was statistically significant in the first 4 months after IUD insertion in two groups (p<0.001) as the bleeding in Multiload 375 group was decreased and in Copper T 380A group was increased.
Conclusion: The Multiload IUD resulted in considerable reduction in amount of bleeding. Therefore, counseling about each type of intrauterine device (Multi load and Copper T) in family planning service providers seems to be necessary.
Keywords
)