DOI: 10.36347/sjams.2015.v03i01.073

Pages: 367-372

An effective contraception is the only way to stop this population explosion. There are too many advantages and side effects associated with the IUD, but most of women having side effects had previous history of menstrual irregularities. The objective of the study was to know the pattern of side effects and reason for removal among beneficiaries of Urban and rural area. A cross sectional study was conducted in urban and rural population of Indore district. Study sites included catchment area of primary secondary and tertiary care centers. Sample size of 400 beneficiaries was selected using systematic random sampling from the data of last five years insertions. Chi square test was applied to compare various parameters between urban and rural areas. In this study total 400 beneficiaries were participated out of which 253 (63.3%) belonged to rural area and 147 (36.8%) belong to urban area. IUD is a preferred choice of clients who are illiterate or educated up to secondary class, Unemployed/house wife and of lower or middle socioeconomic class. In rural area 89 (35.2%) clients had side effects after insertion. 58 (39.5%) clients of urban area had side effects. Out of the all type of side effects, pain with heavy bleeding and pain alone was the most common type. 18.2% clients of rural area had IUD removal in comparison to 21.1% clients of urban area. Menstrual irregularity is the most common cause for IUD removal. Urban clients relatively had more side effects and removal than rural clients.