IUD – The key contraceptive method in China
Shangchun Wu
National
Family Planning Institute, Beijing, China
Objectives To introduce the state of
art of IUD use in China.
Methods Clinical studies and Systemic Reviews of IUDs
are selected from literatures. Government regulations and documents are also
being reviewed.
Results Nearly 50% of married women in reproductive age who
practices contraception are using intrauterine device (IUD). The government
attaches important attention to the manufacture and quality of IUDs, the service
delivery, as well as research of IUDs. Rural women could have IUD service free
of charge, which include costs for insertion, follow ups and removal. More than
twenty types of IUD are currently being used. The most popularly used IUDs are
TCu380, TCu220C, MultiloadCu375. The uterine shaped IUDs and different types of
indomethacin- releasing IUDs are developed in China. The increment of menstrual
bleeding induced by IUD could be controlled by using indomethacin-releasing IUDs.
Levonorgestrel releasing IUS (Mirena) are provided in some major cities in
China. The high effectiveness and health benefits of Mirena are well recognized
and acceptable to women, particularly to those with profuse menstrual bleeding.
Facing too many types of IUD products, some national key projects and the
Systemic Review for relevant literatures had been carried out. The evidences
will be used for government purchase, service delivery and the informed choice
of the IUDs.
Conclusions IUD is well accepted by parous women due its long
acting and reversibility. To insure the quality of service, more interventions
will be needed, which include creating and application of research evidences,
government support, training and counselling.