{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T12:32:56Z","timestamp":1761309176240,"version":"3.44.0"},"reference-count":22,"publisher":"BMJ","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2006,1,5]]},"published-print":{"date-parts":[[2006,7]]},"abstract":"<jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To determine the intrauterine contraceptive device (IUD) discontinuation rate and its causes and related factors among women attending UNRWA health centres in Jordan.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>The study cohort comprised 371 women who had an IUD inserted during 1997 and who were interviewed during their visits to the health centres in the period January\u2013March 2003. The main outcome measure was IUD discontinuation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The incidence of IUD discontinuation in the first year following insertion was 17.5%. Approximately 32% of the study sample continued using their devices after 5 years. The average duration of IUD use was 36 months. Of the 371 women, 39.6% discontinued IUD use because of a desire to conceive, 18.6% because of side effects, 4.9% because they were sexually inactive and 1.6% because of opposition from the woman's family. The most common side effects reported as reasons for discontinuation were bleeding, infection and pain. Discontinuation was inversely related to current age, marital age and number of living children. Outside camp residents, previous contraceptive users and women with obstetric complications were significantly less likely to discontinue IUD use.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The crude cumulative rate of IUD discontinuation was 17.5% during the first year, suggesting a need to tackle the problem of discontinuation through effective educational strategies on the process of fertility and contraception. The most common reason for voluntary IUD removal was the women's desire to conceive. This suggests that improved counselling and good selection of candidates before IUD insertion is required.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1783\/147118906777888279","type":"journal-article","created":{"date-parts":[[2006,7,18]],"date-time":"2006-07-18T19:43:51Z","timestamp":1153251831000},"page":"161-164","source":"Crossref","is-referenced-by-count":12,"title":["Intrauterine contraceptive device discontinuation among Jordanian women: rate, causes and determinants"],"prefix":"10.1136","volume":"32","author":[{"given":"Yousef S","family":"Khader","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saleh","family":"El-Qaderi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali Mohammad","family":"Khader","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2006,7,1]]},"reference":[{"issue":"5\u20136","key":"ref_1","doi-asserted-by":"crossref","first-page":"1073","DOI":"10.26719\/2000.6.5-6.1073","article-title":"Clinical performance of intrauterine device TCu-380A in Benghazi, Libyan Arab Jamahiriya","volume":"6","author":"Singh, R.; Al-Amari, M.","year":"2000","unstructured":"Singh R, Al-Amari M.Clinical performance of intrauterine device TCu-380A in Benghazi, Libyan Arab Jamahiriya. East Mediterr Health J 2000; 6(5\u20136): 1073\u2013082.","journal-title":"East Mediterr Health J"},{"key":"ref_2","first-page":"226","article-title":"IUD safety: report of a nationwide physician survey","volume":"23","author":"Centers for Disease Control and Prevention (CDC","year":"1974","unstructured":"Centers for Disease Control and Prevention (CDC). IUD safety: report of a nationwide physician survey. MMWR Morb Mortal Wkly Rep 1974; 23: 226\u2013231.","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"ref_3","unstructured":"Population Reports. IUDs \u2013 An Update (Series B, Number 6). Table 1. Performance of copper and LNG IUDs. Selected randomized multicenter comparative trials 1975\u20131995.","article-title":"Population Reports. IUDs \u2013 An Update (Series B, Number 6). Table 1. Performance of copper and LNG IUDs. 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This can be accessed","volume-title":"and authors are encouraged to use the system, which will allow the most efficient processing of their paper","key":"ref_22","unstructured":"The Journal has now changed over to an online manuscript submission and peer review system. This can be accessed at http:\/\/jfprhc.allentrack.net and authors are encouraged to use the system, which will allow the most efficient processing of their paper. Notes for Contributors can also be found on this website."}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1783\/147118906777888279","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T19:01:18Z","timestamp":1757098878000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1783\/147118906777888279"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,7]]},"references-count":22,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2006,7,1]]},"published-print":{"date-parts":[[2006,7]]}},"alternative-id":["10.1783\/147118906777888279"],"URL":"https:\/\/doi.org\/10.1783\/147118906777888279","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"type":"print","value":"1471-1893"},{"type":"electronic","value":"2045-2098"}],"subject":[],"published":{"date-parts":[[2006,7]]}}}