Family Physicians' Perceptions of Intrauterine Contraceptive Device in Mosul City

Abstract

ABSTRACT: Background: (Intrauterine contraceptive Device) are contraceptive method that is safe, reversible and effective contraception, in the world more than 100 million female used the device. Mm : to detect the knowledge of Family physicians in Mosul related to the harmful effect and contraindications to use intrauterine device and what these knowledge compared with clinical guidelines. Patients and Methods :This study was conducted in Mosul city included all Family physicians ,using a cross sectional study design from the 1st of June to the 1st of September 2017 .94 Family physicians included in the study ,standardized questionnaire form was used including: years in practice .sex, and age also take information from family physician's about prescriptions or insertions of device . the following part of the questionnaire. asked Family physicians about detecting minor and major complications of intrauterine contraceptive device . In the third part: Family physicians were asked to recommend (copper intrauterine contraceptive device, marina ,none)as an option in 15 situations. Results : overall there were 63% were females physicians and the rest were males. About 38.8% of respondents used to prescribe intrauterine device,40% inserted them. female doctors were more likely than male doctor to use (56% vs. 9%)and insert Intrauterine devices (61% vs. 3%),about 38% of respondents were interested in Intrauterine device course. More than 60% of respondents ranked Pelvic inflammatory disease &perforation as a major risk of Intrauterine device .About 72.2% thought thrown was a major risk of failure of Intrauterine device. Regarding the indications of Intrauterine devices, lots of participant not recommend device to female with no children women 65.5% and for patient with fibroid(63')/0). For postcoital contraception(46%)not recommend Intrauterine device. Conclusion :the study revealed family physician misconception of intrauterine contraceptive device like relation of device with perforation of uterus .pregnancy outside uterus .and pelvic inflammatory disease .result of study advice to educate family physician in programmed of training. Another researches needed to increase family physician awareness about intrauterine contraceptive device