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China changes from the stainless steel ring to modern IUDs.

[No authors listed]



41% of all contraceptives used in China are IUDs. This accounts for more than 80% of Chinese reversible contraception. Although they are more effective than the stainless steel ring (SSR), copper IUDs, such as the TCu380A and the TCu220C, have a high production cost. But this cost may be lower than that associated with the high failure rate of the SSr. In 1991, a United Nations Population Fund study was begun that utilized data from clinical, survey, and economic sources in order to compare costs and benefits of SSRs with those of the TCu220C and the TCu380A. If China converted to copper IUDs in 1993, according to the study, over the next 10 years 55,600,000 pregnancies, 18,400,000 live births, 35,600,000 induced abortions, 16,300 maternal deaths, 365,000 infant deaths, and 28,800 child deaths could be averted. Use of copper IUDs would also reduce the number of nonfetal complications associated with pregnancy. The general welfare of women and of their families, in terms of lost physical and psychological health, money, and opportunity due to unplanned pregnancy, is reflected in the development of society. In view of this, in September, 1992, the government of China decided to convert from the SSR to copper IUDs (TCu220C and TCu380A) beginning in 1993.

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