Gökhan AÇMAZ, Hilal YUVACI USLU, Mesut KAYMAN, Nil ÖZOĞLU, Abdullah BOZTOSUN, Gökmen ZARARSIZ, İptisam İpek MÜDERRİS

Evaluation of risk factors for intrauterine device failure

Amaç. Bu çalışmanın amacı RİA kullanımında başarısızlık ile rahim kavite uzunluğu, eğitimseviyesi, RİA ipinin uzunluğu, kullanım süresi, RİA tecrübesi, gravida, parite ve yaş gibi bazıfaktörlerin ilişkisinin incelenmesidir. Yöntemler. Kliniğimize rastgele başvuran problemli spiraliolan 48 hasta bizim çalışma gurubumuzu oluşturmuştur ve hiçbir yakınması olmayan spiraliningünü geçtiği için yeni spiral isteyen veya bebek yapmayı planlayan 30 hasta kontrol gurubumuzuoluşturmuştur. Her iki gurup demografik özellikler, eğitim seviyesi, düşük öyküsü, adet düzeni,doğum şekli, RİA tecrübesi ve kan sayımı, spiralin kullanım süresi, tipi, kuyruk uzunluğu ve rahimkavitesinin uzunluğu açısından karşılaştırılmıştır. Bulgular. RİA ipinin uzunluğu, kaviteuzunluğu, eğitim seviyeleri ve RİA tecrübesi açısından istatistiksel olarak anlamlı sonuçlarsaptadık. Sonuç. Biz RİA ipinin uzunluğu, kavite uzunluğu, eğitim seviyeleri ve RİA tecrübesininspiral kullanımındaki başarısızlıkla ilişkili olduğu düşüncesindeyiz.

Rahim içi araç başarısızlığı için risk f aktörlerinin değerlendirilmesi

Aim. The aim of this study was to detect the relationship between IUD failure and some factorssuch as length of tail, IUD experience, education level, utilization period, gravidy, parity, age andlength of uterine cavity. Methods. Our study groups included 48 patients who were randomlyadmitted to our clinic for problematic IUD and 30 normal patients without any complaints whowere admitted to our clinic with out of date IUD who wanted new IUD insertion or desired tobecome pregnant as control group. Both groups were evaluated for the demographic characteristicssuch as education level, history of abortion, menstrual regulation, and type of delivery, IUDexperience and blood count, duration of IUD use, length of tail, type of IUD, and length of uterinecavity. Results. We detected statistically significant results for length of cavity, length of tail,education level and IUD experience. Conclusion. We are in the opinion that length of uterinecavity, length of IUD tail, educational level and IUD experience are associated with IUD failure.

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