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Three years experience with copper T-200.


 The experience of 1077 women who accepted copper T-200 IUDs at the Family Planning Center of the Family Planning Association of India, Pune, was evaluated. Of the 1077, 494 IUDs were inserted after menses or during lactational amenorrhea and the remainder were inserted during abortion or menstrual regulation procedures as the last step of the procedure. Acceptors were asked to visit the Center 7 days after insertion and after their next menstrual period. Women who accepted the IUD as an interval method paid additional visits whenever they brought their children for immunization or for other health problems. After 3 months, the number of visits became less, and the women only attended if they had any complaints. The majority of the women were under age 30. 69.18% of the women had a high school or college education; only 6.96% were illiterate. 94.89% of the acceptors were Hindus. About 48.74% of the acceptors had incomes Rs 500 and above. Only 1.94% were in a low income group, i.e., below Rs. 100. 82.53% of the acceptors had 2 or fewer children; only 14.38% had 3 or more children. There were 6 pregnancies with IUDs in utero. The number of 1st and later expulsions were 15. About 40% of the expulsions occurred within the 1st 1-2 months and the remainder within the 1st 6 months. The incidence of reasons for removal was as follows: bleeding and pain, 50 cases; planned pregnancy, 40 cases; objection by relatives, 15 cases; and for acceptance of sterilization, 6 cases. A total of 111 women had the IUD removed for medical reasons. Most of the removals were due to bleeding and pain. The incidence of removal for personal reasons was significantly higher. This was because the acceptors were young, low parity women who desired more children. Most of the women had normal menstrual cycles. Only 1 woman had secondary amenorrhea. In sum, the copper T-200 is a safe and effective contraceptive device, highly acceptable to young women attending a public hospital.
