Review articleWorldwide use of intrauterine devices for contraception
Section snippets
Background
Some believe that the concept of intrauterine contraception originated with the practice of placing stones in the uteri of female camels to prevent pregnancies during long journeys [1]. It is also known that in Japan Dr Ota was inspired by an ancient Chinese tale of placing a golden ball in the uteri of cows for the same purpose and that he tried to replicate this in women in the 1930s, before inventing his ring [1]. The more certain landmark is 1909 when the first paper to report evidence of
Determinants of IUD use at country level
The variety of country situations with regard to IUD use can be explained by a number of factors at the individual, service delivery, program and policy levels [5]. Potential users of the IUD will be influenced by their familiarity with contraception in general, acceptability of family planning in their socio-cultural and religious community, and their wish to space or limit childbearing. Their attitude with regard to the IUD will be shaped by their level of knowledge of this method and of its
The future of IUDs
Projections are notoriously difficult; however, most experts predict a continued slow rise in contraceptive use worldwide, as social and cultural acceptance of birth control becomes the norm (Fig. 4) [23], [24], [25]. The question is: what will be the place of the IUD? IUDs with high copper content are the most cost-effective methods currently available [26] and their use has increased steadily over the last decades. Newer devices are becoming available which are even more effective and safe.
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