رابطه ويژگي هاي فردي با خروج زودرس نورپلانت در مراجعين به مراكز بهداشتي استان خوزستان

A STADY ON THE RELATIONSHIP BETWEEN PERSONAL DEMOGRAPHY AND EARLY REMOVAL OF NORPLANT AMONG WOMEN VISITING KHOZESTAN HEALTH CENTER

This is analytic and cross sectional study is involved in investigating the passible counection between specific personal and social details (education, age, number of children, type of empolyment, medical history, drugs used, previous contraceptive method used and weight) with those who discontunued subcatancoustic implanted contraceptive device (Norplant). The subjects were women who visited khozestan Health centers in Abadan, Ahwaz, Khoramshahr, Shoshtar in 1377. The results were compared with those who continued using the device until its suable lifespan of 5 years (control group). In this study were studied and 782 medical vecords comprising 261 from Ahwaz, 387 from Shoosh, 113 from Shooshtar, 21 from Abadan and Khoramshahr were studied from this analytic. The reasons for discontinuation of the use of the contraceptive device were guated as development of side effects in 79.2% of cases )P=0.002) (mostly hyper menorhea, amenorhea,...) and 20.2% for other reasons (vasectomy, wanting children , devorce using sps software), statistical analysis were performed, deiscriptive and analytical paived students t-test, chi square (X2) and life table, were collected. The results showed that education (P=0.001) and number of children (P=0.02) were two important factors. Among the cities selected Ahwaz had the highest discontinuatinve rate or 65.1% (P=0.001) and the lowest were Khoramshahr and Abadan with 4.2%.Among the health profasionals who implanted the Norp the highest number of implantations were performed by the midwires 73.01 (P=0.001) who also had the least discontinuation rate of 14.8. The data from the life table showed that the lifespan the device among women in Khozestan provice to be 26.9 month at the time of implantation 16.55 month in the first year, 9.3 month in the two year, 13 month in the three year and 8.5 month in the four year with followed by slow gradu dicountinued rate.