{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T00:37:56Z","timestamp":1768437476343,"version":"3.49.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,4,8]],"date-time":"2017-04-08T00:00:00Z","timestamp":1491609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To determine how many intrauterine device (<jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content>) users are willing and able to palpate their <jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content> strings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional survey was conducted among <jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content> users presenting for their 6\u2010week follow\u2010up visit after insertion at the University of Hawaii, <jats:styled-content style=\"fixed-case\">USA<\/jats:styled-content>, between January 2011 and January 2012. Participants were asked whether they had previously felt the strings and whether they were willing to do so during the visit. Bivariate analyses and multiple logistic regression were performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Previous attempts to palpate <jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content> strings were reported by 74 (58.7%) of 126 participants, of whom 49 (66.2%) could feel the strings. At the study visit, 60 (47.6%) participants were willing to try to feel their strings; 33 (55.0%) were successful. Overall, 58 (46.0%) participants were willing and able to palpate their <jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content> strings at home and\/or at the study visit. Fewer women who self\u2010identified as native Hawaiian than women of other races reported previous attempts (<jats:italic>P=<\/jats:italic>0.005). Previous instruction to check <jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content> strings was associated with willingness to palpate them before and after controlling for native Hawaiian race (odds ratio 8.78, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 3.43\u201322.43; adjusted odds ratio 9.64, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 3.57\u201326.04).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Approximately half the participants were willing and able to palpate their <jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content> strings. Routinely counseling women to check their <jats:styled-content style=\"fixed-case\">IUD<\/jats:styled-content> strings could have limited clinical utility.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12130","type":"journal-article","created":{"date-parts":[[2017,2,21]],"date-time":"2017-02-21T17:08:44Z","timestamp":1487696924000},"page":"309-313","source":"Crossref","is-referenced-by-count":12,"title":["Women's willingness and ability to feel the strings of their intrauterine device"],"prefix":"10.1002","volume":"137","author":[{"given":"Juliana","family":"Melo","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of California, Davis  Sacramento CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Tschann","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health University of Hawaii  Honolulu HI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reni","family":"Soon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health University of Hawaii  Honolulu HI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Kuwahara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health University of Hawaii  Honolulu HI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bliss","family":"Kaneshiro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Women's Health University of Hawaii  Honolulu HI USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,4,8]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"CliftonD KanedaT.Family Planning Worldwide 2013 Data Sheet.2013.http:\/\/www.prb.org\/pdf13\/family-planning-2013-datasheet_eng.pdf. 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