Journal articles on the topic 'Contraception'
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Bukhari, Hanifah. "Women Satisfaction with Contraception Methods in Saudi Arabia: Cross Sectional Population Based Survey Study." Clinical Gynaecology and Breast 1, no. 1 (October 14, 2022): 01–07. http://dx.doi.org/10.31579/2834-8427/005.
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Background: Women awareness and full knowledge about using contraception methods and their side effects given by health care providers are important for satisfaction and compliance. Dissatisfaction with contraceptive methods may lead to unplanned pregnancies. Objectives: To evaluate using contraception, and methods, satisfaction about current used contraceptive methods, women satisfaction with their knowledge about contraception's and feedback of women regarding suggestions to improve health care education for women using contraception. Design: Cross sectional population-based survey study. Results: 2179 women completed the survey. A 1740 women reported using contraception (79.85 Percentage of sample), while 438 women are not using any contraception (20.14 Percentage). In total of 24.42 Percentage of contraception's are not prescribed by health care provider. Most of the user satisfied with combined oral contraception then cupper intra uterine device. 54.48 Percentage of surveyed women asked for enough time to discuss with physician about contraception. Conclusions: The women are Saudi Arabia needs more contraception counseling and education. It should include the husband during counseling and education regarding contraception. The health care provider needs to be well informed about updates in the medical practice and inform their patients accordingly. We suggest national program for women health care and family planning education.
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Roux, Alexandra. "Sociologie de la contraception en France." médecine/sciences 37, no. 6-7 (June 2021): 647–53. http://dx.doi.org/10.1051/medsci/2021093.
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Les recherches sur la contraception constituent un champ très dynamique des sciences sociales à partir des années 2000, prolongeant des travaux fondateurs publiés dès les années 1980. Nous proposons dans cette revue une synthèse de ces travaux et présentons quatre types d’approche de la contraception, renvoyant à diverses problématiques en sociologie : une sociologie de la demande en contraception ; une sociologie de l’offre contraceptive et de la prescription, la production ou la promotion de contraceptifs ; enfin, des approches portant sur les institutions, qui façonnent les systèmes contraceptifs à l’échelle nationale. Nous évoquerons également les inégalités sociales d’accès à la contraception.
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Fitriani, Anis. "Peran perempuan dalam penggunaan alat kontrasepsi." Masyarakat, Kebudayaan dan Politik 29, no. 3 (September 22, 2016): 121. http://dx.doi.org/10.20473/mkp.v29i32016.121-132.
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Family planning is a program established by government to minimize the population explosion by preventing pregnancy and child birth. Women are naturally able to conceive and give birth so they become the target of higher contraceptive use than men. Women in the Pucangro Village Kalitengah subdistrict in Lamongan regency explained their experiences and knowledge they have in using contraception. This type of research is qualitative phenomenology. In this study, researcher explains knowledge and experiences of women in using contraception. Information obtained through observation of women’s life by conducting interview with five women who use contraceptives. Contraception which used by many people in Pucangro Village, Kalitengah subdistrict, Lamongan regency are injection, pill, implant and steady contraception. Women often change contraception methods to adjust the most suitable type for their body because of the effects of contraception make users uncomfortable. Even so, informants persist in using contraception because they have no other choice. Frequency in changing contraceptive method also due to women's knowledge about contraceptive methods which is critically low, such knowledge is mostly gained throughm experiences from parents and siblings. The partner (husband) are less involved and do not want to know the use of contraception’s partner (wife). Several factors that stimulate contraception usage are knowledge possession, level of education, encouragement from family or partner, and side effect of the contraception itself. Women have the power to determine the type of contraception they prefer but no power to refuse using contraception even though negative effects are most likely to occur.
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Amat, L., A. Bulach, M. Leclercq, S. Mesrine, F. Scheffler, D. Sperandeo, and M. Scheffler. "Bénéfices non contraceptifs des contraceptions. RPC Contraception CNGOF." Gynécologie Obstétrique Fertilité & Sénologie 46, no. 12 (December 2018): 883–88. http://dx.doi.org/10.1016/j.gofs.2018.10.013.
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Christin-Maitre, Sophie. "La contraception à travers le monde." médecine/sciences 38, no. 5 (May 2022): 457–63. http://dx.doi.org/10.1051/medsci/2022058.
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Les dernières données concernant la contraception à travers le monde ont été publiées en 2019 par l’Organisation des Nations unies (ONU). Parmi les 1,9 milliard de femmes en âge de procréer (entre 15 et 49 ans), 1,1 milliard souhaitaient une contraception. Pourtant, 10 % d’entre elles n’utilisaient pas de méthode contraceptive, essentiellement en raison d’un manque d’accès à ces méthodes. Selon les continents, une grande disparité est observée dans l’utilisation des différentes méthodes contraceptives. La stérilisation féminine, ou contraception définitive, reste cependant la méthode majoritairement utilisée puisqu’elle représente 24 % des contraceptions. Des progrès sont nécessaires, en particulier dans l’éducation, pour améliorer la diffusion d’autres méthodes également efficaces, qui sont bien tolérées et possiblement réversibles.
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IOIME, E., F. LEGRAND, F. KUHN, S. DUVER, and M. SCHUERS. "Primo-contraception et continuation chez les adolescentes." EXERCER 34, no. 198 (December 1, 2023): 436–43. http://dx.doi.org/10.56746/exercer.2023.198.436.
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Introduction. Les grossesses non désirées des adolescentes ont des conséquences sociétales, psychologiques (25,9 % de dépression du post-partum) et biomédicales (10,9 % d’accouchements prématurés). Des mesures favorisant l’accès à la contraception des jeunes femmes ont été prises mais leur effet n’a pas été évalué avec précision. Objectifs. Décrire la primo-contraception des adolescentes normandes de 15 à 19 ans. Évaluer le taux de continuation de cette primo- contraception. Méthode. Étude de cohorte rétrospective, à partir de la base de données normande de l’Assurance maladie, sur la période 2014-2019. Inclusion de toute adolescente née en 2000 et résidant en Normandie au 31 décembre 2019. Les données analysées concernaient la consommation de soins pris en charge par l’Assurance maladie. Résultats. Parmi les 22 819 adolescentes incluses, 13 898 (60,9 %) ont bénéficié d’une contraception remboursée sur la période étudiée. La primo-contraception était une contraception orale (95,6 % des adolescentes), un implant progestatif (3,6 %), un dispositif intra-utérin (DIU) (0,9 %). Les implants et DIU étaient plus fréquemment prescrits chez les patientes plus âgées. Ils étaient davantage prescrits par les gynécologues et sage-femmes, des prescripteurs jeunes et de sexe féminin. Entre la première et la deuxième prescription, 77,5 % des adolescentes ont continué à l’identique leur contraception. Sur la période étudiée, 15,1 % des adolescentes ont eu une seule prescription. La continuation était significativement associée à la méthode contraceptive (plus faible en cas de prescription initiale d’implant), à la consommation de soins (nombre de consultations, contraceptifs d’urgence prescrits, accouchements) et au prescripteur. Conclusion. De nombreuses femmes débutent leur vie contraceptive à l’adolescence et optent pour la même contraception entre la 1re et la 2e prescription. Leur primo-contraception reste majoritairement une contraception orale. Les implants et DIU restent minoritaires malgré les avis favorables des sociétés savantes pour les proposer en première intention.
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Salman, Sawsan Talib. "Contraception as a Risk Factor of Trichomonas vaginalis Infection Among Women Attending Outpatient of Al-Batool Teaching Hospital for Maternity and Children-Baqubah-Iraq." AL-Kindy College Medical Journal 13, no. 1 (October 31, 2019): 20–26. http://dx.doi.org/10.47723/kcmj.v13i1.117.
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Background:The effects of contraception on Trichomonas vaginalis have important implications for women who suffer from infections associated with disruptions in the vaginal ecology, such as bacterial vaginitis and urinary tract infections.
Objective: To find the association of the common types of contraceptions with the Trichomonasvaginalis infection in women admitted to the Al-BatoolTeaching Hospital for Maternity and Children in Baqubah city.
Type of study: Cross-sectional study
Methods: This study consist of 75 women with contraception use and71 apparently healthy non contraception user women admitted to outpatient in Al-Batool Teaching Hospital for Maternity and Children in Baqubah City, Diyala. Iraq during the period from 1st January 2016 till 31th December 2016. After full history and clinical examination, high vaginal swab took from posterior fornix of vagina and general urine examination, all samples were examined by wet mount preparation under the microscope for the presence of Trichomonas vaginalis and gram-stained smears for the presence of Candida albicans, then all results were recorded.
Results:. Minimum age was 18 year and maximum was 47 year, infection rate of Trichomonas vaginalis was 41(45.66%) among contraception user and 6(8.45%) among contraception non- user while Candida albicans was 18(24%) and 1(1.40%) respectively, the highest frequency of infection 23 cases was diagnosed in the age group (29-39 year) among contraception user while 4 cases in age group (18-28) contraception non-user. On the other hand there was no significant correlation between age, parity, duration of marriage and infection and using of contraception. Marginal significant correlation between the type of contraception and infection with Trichomonas vaginalis. While no significant correlation between types of contraception, infection and duration of contraception use.
Conclusion: Infection with Trichomonas vaginalis significantly correlated to use of intrauterine contraceptive device and combined oral contraceptive pills, so great attention should be paid to those women for diagnosis and treatment.
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Thomé, Cécile. "Après la pilule. Le choix contraceptif des jeunes femmes à l’épreuve du rejet des hormones." Santé Publique 36, no. 1 (April 5, 2024): 87–96. http://dx.doi.org/10.3917/spub.241.0087.
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Introduction : Si la pilule demeure, en France, le moyen de contraception le plus utilisé par les jeunes femmes, on remarque depuis les années 2000 une diminution de cette utilisation et un questionnement quant à sa centralité dans la norme contraceptive. Ces remises en cause s’inscrivent dans une montée de ce que l’on peut qualifier de climat de défiance envers les méthodes hormonales. But de l’étude : À partir de l’analyse d’un corpus de 21 entretiens portant sur le choix en matière de contraception menés auprès de femmes ayant entre 20 et 28 ans, cet article vise à renseigner les modalités d’expression du rejet des hormones et à déterminer ses effets concrets sur leur choix contraceptif. Résultats : L’enquête montre la prévalence parmi les jeunes femmes interrogées d’une méfiance à l’égard des hormones, qui s’ancre rarement dans leur expérience contraceptive mais semble, à l’exception de certains cas, plus diffuse. Elle est surtout mobilisée par les femmes lorsqu’il s’agit de justifier l’arrêt de la pilule, dont la prise en charge matérielle devient de plus en plus pesante pour elles au fil des années. Finalement, les femmes qui rejettent l’utilisation des hormones continuent très majoritairement à utiliser une contraception médicalisée, y compris une contraception hormonale, à partir du moment où son usage est jugé plus facile que celui de la pilule. Conclusions : En remettant en cause la contraception hormonale, et plus précisément la pilule, c’est surtout le manque de choix que dénoncent les jeunes femmes : il ne s’agit pas de revendiquer moins de contraception, mais une contraception plus adaptée à leurs besoins .
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Spritzer, Poli Mara. "Contraception dans le contexte du syndrome des ovaires polykystiques." médecine/sciences 38, no. 2 (February 2022): 177–81. http://dx.doi.org/10.1051/medsci/2022002.
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Le syndrome des ovaires polykystiques (SOPK) est une endocrinopathie fréquente, affectant entre 8 et 13 % des femmes en âge de procréer. Elle se caractérise par une hyperandrogénie, une anovulation chronique, et une morphologie polykystique des ovaires. Les femmes qui en sont atteintes ont aussi une prévalence plus élevée d’obésité, de troubles métaboliques, et un risque accru de diabète, d’hypertension artérielle systémique et de dyslipidémie. Le traitement, en première intention, de la femme atteinte du SOPK, en l’absence de projet de grossesse à court terme, consiste en des modifications du mode de vie et en des contraceptions orales combinées offrant, en plus de la contraception, la protection de l’endomètre et la réduction de l’hyperandrogénie. Les contraceptions progestatives seules sont recommandées pour les femmes ayant des contre-indications aux estrogènes qui sont contenus dans les contraceptifs oraux combinés. Des soins esthétiques peuvent aussi être associés au traitement pharmacologique, en cas d’hirsutisme. Les cas les plus graves peuvent nécessiter des médicaments anti-androgènes qui seront associés à la contraception. Pour les patientes en surpoids et ayant des facteurs de risque cardiométaboliques, notamment une résistance à l’insuline ou une hyperglycémie, la metformine peut être associée à la contraception. Le choix de la contraception chez ces femmes repose donc sur une approche adaptée aux besoins individuels de chaque patiente.
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DE JAEGHER, S., T. RAGINEL, A. RABIAZA, AL HUET, M. BANSARD, F. LE BAS, and X. HUMBERT. "MODALITES, BENEFICES ET RISQUES D'UNE INITIATION IMMEDIATE DES MOYENS DE CONTRACEPTION." EXERCER 33, no. 181 (March 1, 2022): 124–34. http://dx.doi.org/10.56746/exercer.2022.181.124.
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Contexte. Les méthodes contraceptives modernes ont prouvé leur efficacité dans le cadre d’une utilisation optimale et bien définie. Depuis une quinzaine d’années, leur initiation immédiate est de plus en plus proposée. Ce mode d’initiation consiste à débuter une contraception sans attendre l’apparition des règles en étant « raisonnablement certain » que la femme n’est pas enceinte et en associant une méthode barrière les sept premiers jours. Objectif. L’objectif de notre étude était de décrire les moyens contraceptifs pouvant être initiés ainsi et d’évaluer la balance bénéfice-risque de ce mode d’initiation. Méthodes. Revue narrative de la littérature à partir des bases de données Medline® et Cochrane Library®, des recommandations des sociétés savantes, des articles associés et de la littérature grise. Résultats. D’abord proposée à une population adolescente pour la contraception orale, l’initiation immédiate s’est ensuite étendue à une population plus large et à d’autres moyens contraceptifs. La grande acceptabilité de ce mode d’initiation permettrait d’améliorer l’observance initiale. Une diminution du nombre de grossesses non désirées est évoquée. Concernant les grossesses survenant accidentellement sous contraceptions hormonales orales et sous-cutanées, les données sont rassurantes sur l’évolution des grossesses et le risque de tératogénicité. Ce n’est pas le cas pour les dispositifs intra-utérins au cuivre (DIU-Cu) ou les systèmes intra-utérins (SIU) au lévonorgestrel, ce qui limite leurs indications. Indépendamment du type de contraception, le risque de grossesse ectopique n’était pas majoré et la tolérance semblait similaire à la méthode d’initiation classique. Conclusion. Une initiation immédiate semblait pouvoir améliorer l’efficacité contraceptive. De nouvelles études pourraient préciser cette amélioration, ainsi que celle de l’observance à long terme. Il restait nécessaire de prendre toutes les précautions pour garantir une bonne compréhension de cette méthode par la femme.
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Parmar Meghavini, Patel Jaiminkumar Pravinbhai, and Sheth Moin S. "Knowledge, Attitude, and Practice of Contraception Methods among Nursing and Paramedical Staff of Tertiary Care Hospital of Sabarkantha District, Gujarat." Indian Journal of Public Health Research & Development 15, no. 1 (January 5, 2024): 229–34. http://dx.doi.org/10.37506/madtkw52.
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Background: Population control contribute towards social and economic growth to the country. Contraceptionis regarded as an important measure to improve maternal and child health. Hospital staff is major contributortowards proving correct information related to contraceptive use among community. This study aimed to assessthe knowledge, attitude, and practice of contraception among nursing and paramedical staff of our hospital.Material and Methods: In this cross-sectional study, 350 nursing and para medical staff were interviewed relatedto their knowledge, attitude and practices pertaining to family planning. A written pre-designed, structuredquestionnaire was used for data collection which included questions on socio-demographic details and Study toolcontained three sections comprising of a total of 20 Questions (Knowledge: 8, Attitude: 7, Practice: 5). MicrosoftExcell was used for data entry and analysis.Results: Most of the participants (96.29%) were having the knowledge related to contraceptive methods. 78% ofparticipants had favourable attitude towards contraception and 74.29% participants were using any method ofcontraception for family planning. Common methods of contraception were condoms and OC pills.Conclusion: Knowledge regarding family planning is universal among hospital staff but still there is gap infavourable attitude and contraceptive use.
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Istiqomah, Nurul, Nila Kurniasari, and Budiono Budiono. "THE DIFFERENCE OF WEIGHT GAIN IN 5 CONTRACEPTIVE GROUPS IN PUSKESMAS DUPAK SURABAYA AREA." Indonesian Midwifery and Health Sciences Journal 4, no. 3 (October 15, 2021): 210–19. http://dx.doi.org/10.20473/imhsj.v4i3.2020.210-219.
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AbstractBackground: Weight gain is one of the predominantly problem for women who’s in childbearing age. Weight gain that occurs at women in childbearing age is often associated with contraceptive use. One type of contraception that affects weight gain is the hormonal contraception. Lerning the weight gain from each use of contraception is important as a consideration for the family planning program. Methods: This research method was observational analytic with cross-sectional design. Sample size was 136 respondents and the sampling technique used total sampling. The independent variable is the type of contraception includes 1 month injection contraception, 3 month injection contraception, implant contraception, combined pill contraception, and copper T. IUD contraception. The dependent variable is the weight gain. Data was analyzed with Kruskal Wallis test. Results: The results showed that 120 respondents from 5 contraceptive groups experienced weight gain after using contraception. The results of the Kruskal Wallis test were obtained at value of P <0.0001 (p <0.05). that there are differencea in weight gain in 5 groups of contraception. Conclusion: there are difference in weight gain from each contraceptive groups and the contraception that most influences weight gain is 3 months injection contraception.
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Wideman, Lauren N., Samantha Ehrlich, Bethany Rand, Megan Lacy Young, Jill M. Maples, and Nikki Zite. "Maternal Contraception Education Increases the Use of Highly Effective Contraceptive Methods Postpartum [ID 2683527]." Obstetrics & Gynecology 143, no. 5S (May 2024): 11S. http://dx.doi.org/10.1097/01.aog.0001012988.41261.9d.
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INTRODUCTION: Postpartum contraception planning is important for preventing short-interval pregnancies especially in populations at increased risk for adverse pregnancy and birth outcomes, such as those with gestational diabetes. This study evaluated the effect of antenatal contraception education on postpartum contraception plans and actual postpartum contraceptive use in patients with pregnancy hyperglycemia. METHODS: This pilot two-arm randomized controlled trial (Project Wellness, NCT04209348) assigned patients to receive contraception education (intervention, n=10) or standard-of-care (control, n=9). Postpartum contraceptive plans were assessed pre- and post-intervention. Contraceptive effectiveness was assessed pre- and post-intervention and 3 months postpartum. The primary outcome was a change in contraceptive plan from pre to post intervention (yes/no). The secondary outcome was contraceptive effectiveness; categorized as: 1) none, 2) least effective, 3) moderately effective, and 4) most effective methods. Fisher's exact test compared differences in contraceptive plans between groups and Mann–Whitney U test compared contraceptive effectiveness. RESULTS: Among participants in the contraception education group, 90% (n=9) changed their postpartum contraceptive plan after intervention, compared to 33.3% (n=3) in the control group (P=.02). Contraceptive effectiveness was significantly higher in the contraception education group immediately post-intervention (P=.045) and at 3 months postpartum (P=.030), compared to the control group. CONCLUSION: Structured education and planning for postpartum contraception may increase use of highly effective contraceptive methods in the early postpartum period to optimize family planning goals and decrease short interval births. Further research should evaluate satisfaction with contraception education and planning, and longer-term contraceptive use.
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Bjelica, Artur, Aleksandra Kapamadzija, and Miroslava Pavlov-Mirkovic. "Emergency contraception: Current trends, possibilities and limitations." Medical review 57, no. 9-10 (2004): 445–48. http://dx.doi.org/10.2298/mpns0410445b.
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Introduction Emergency contraception has been used for over three decades. Indications for emergency contraception are intercourse without contraceptive protection or inadequate application of other contraceptive means. Also, this method is the only way out in situations when sexual intercourse has proceeded not only without protection, but also without voluntary agreement of both partners. Contraception means Despite of their proven efficiency, it is thought that application of contraception means, even in countries with highly developed systems of health care, is far below optimal. Contemporary studies have pointed out some new possibilities and novel, modified methods of emergency contraception have been proposed. Basic methods of emergency contraception include use of hormonal preparations and postcoital insertion of intrauterine copper devices. Hormonal preparations that are used in emergency contraception are: combined hormonal contraceptive pills, levonorrgestrel and antiprrjgestin mifepristone. In 1998, the method with levonogestrel only, was indicated by World Health Organization as a "golden. standard" in hormonal emergency contraception. The article gives a survey of new trends, possibilities and limitations of modem emergency contraception, with the aim of popularization of this form of contraception in our country.
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Bailey, Julia, Anastazia Gubijev, Lisa Walton, Ann Blandford, Preethy D-Souza, Sandy Oliver, Greta Rait, and Judith Stephenson. "O38 The contraception choices interactive decision-aid: development, content and design." Sexually Transmitted Infections 93, Suppl 1 (June 2017): A14.1—A14. http://dx.doi.org/10.1136/sextrans-2017-053232.38.
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IntroductionWomen have many concerns about contraception which can put them off using reliable methods, and their worries may not surface in consultations with health professionals. An online intervention can offer convenient help with decisions. We describe the design and development of the Contraception Choices website which addresses myths and misconceptions about contraception, and provides tailored recommendations for contraceptive methods.MethodsWe gathered several sources of evidence: 1) A qualitative synthesis of systematic reviews of factors influencing contraceptive choice; 2) Views on contraception expressed on YouTube (35 videos); 3) A meta-analysis of randomised controlled trials of interactive digital interventions for contraceptive decision-making; 4) A narrative synthesis of reviews of interventions for contraceptive decision-making; 5) Seven focus groups with 75 women aged 15 to 30 recruited in clinical settings, to explore beliefs and concerns about contraception and suggestions for website content.YouTube videos and qualitative data were analysed thematically. Themes from the qualitative field work and findings from the evidence reviews were tabulated, and implications for the design of the Contraception Choices website were debated.ResultsThe most common myths and misconceptions about contraception were worries about hormones being unnatural, weight gain, altered bleeding patterns, cancer and future infertility. The Contraception Choices website addresses women’s concerns through videos, information which highlights contraception benefits, and an interactive tool which gives tailored suggestions for contraceptive methods.DiscussionThe role of digital decision-aids for contraception will be discussed. The website will be tested in a pilot randomised controlled trial starting in March 2017.
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Cho, Ok Soon, and Mi La Lee. "Experience of the Married Women on Contraception." Korean Journal of Women Health Nursing 3, no. 1 (March 28, 1997): 77–91. http://dx.doi.org/10.4069/kjwhn.1997.3.1.77.
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The study is to reveal what the married women has experienced while they were on the contraception. Data were gathered for four mothers beginning on October, 1996. Interviewees were 22 women. Data were analyzed by Colaizz's phenomenological data analysis method. Three basic structures of contraception experience were derived. Those are 'Conflict in choosing contraceptive methods', 'Dilemmar in sexual relationship', and 'Responsibility concerning contraception'. Contraception was a major task of the married women, and they difficulties, because sexual relation was usually initiated by husband and contraception by husband was negatively perceived in Korea culture. Conflict were caused by inavailability of information, side effects of contraceptive methods, and limitation of the contraceptive methods. Interviewees perceived that responsibility of contraception was on them, but they expressed feeling of anger against they burden by contraception. Most interviewees took initiation of contraception to keep their body healthy. Some of the interviewees got husband's cooperation through negotiation and shared responsibility with husband.Suggestions were as follows ; (1) Sex education, especially on communication about sex, is necessary to the married women.(2) Informations on contraception should be provided in the private environment.(3) Studies on husband's contraception experience are required to promote husband's cooperation.
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Brown, Jennifer L., Michael Hennessy, Jessica M. Sales, Ralph J. DiClemente, Laura F. Salazar, Peter A. Vanable, Michael P. Carey, et al. "Multiple Method Contraception Use among African American Adolescents in Four US Cities." Infectious Diseases in Obstetrics and Gynecology 2011 (2011): 1–7. http://dx.doi.org/10.1155/2011/765917.
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We report on African American adolescents' (N=850;Mage = 15.4) contraceptive practices and type of contraception utilized during their last sexual encounter. Respondents completed measures of demographics, contraceptive use, sexual partner type, and ability to select “safe” sexual partners. 40% endorsed use of dual or multiple contraceptive methods; a total of 35 different contraceptive combinations were reported. Perceived ability to select “safe” partners was associated with not using contraception (OR = 1.25), using less effective contraceptive methods (OR = 1.23), or hormonal birth control (OR = 1.50). Female gender predicted hormonal birth control use (OR = 2.33), use of less effective contraceptive methods (e.g., withdrawal; OR = 2.47), and using no contraception (OR = 2.37). Respondents' age and partner type did not predict contraception use. Adolescents used contraceptive methods with limited ability to prevent both unintended pregnancies and STD/HIV. Adolescents who believed their partners posed low risk were more likely to use contraceptive practices other than condoms or no contraception. Reproductive health practitioners are encouraged to help youth negotiate contraceptive use with partners, regardless of the partner's perceived riskiness.
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Küng, Stephanie A., Biani Saavedra-Avendano, Evelyn Aldaz Vélez, María Consuelo Mejía Piñeros, Gillian M. Fawcett Metcalfe, and Blair G. Darney. "Factors Associated with Support for Adolescent Access to Contraception Among Mexican Catholic Parents." Journal of Religion and Health 60, no. 3 (February 6, 2021): 1600–1612. http://dx.doi.org/10.1007/s10943-021-01186-w.
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AbstractWe used a nationally representative survey of 2186 Mexican Catholic parents to assess two outcomes: support for adolescent access to modern contraception and whether adolescents unaccompanied by an adult should have access to contraceptive methods. A majority (85%) of Mexican Catholic parents support adolescent access to modern contraceptive methods, but there was less support (28%) for access to contraception unaccompanied. Further, our results show strong support (92%) for sex education in schools. Parents who believe that good Catholics can use contraception had higher odds of support for adolescent access and unaccompanied access to modern contraception. Mexican Catholic parents support adolescent access to modern contraception, but support for unaccompanied access to contraception is lower. This may reflect an interest in being involved, and not necessarily opposition to contraceptive use. Measures of Catholicism that focus on behaviors may better explain opinions about adolescent access to contraception.
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Sharma, Piyush, M. Krishna Erramilli, Cindy Chung, and Bharadhwaj Sivakumaran. "Consumer ambivalence toward contraception – towards an integrative framework." International Journal of Pharmaceutical and Healthcare Marketing 9, no. 2 (June 1, 2015): 95–117. http://dx.doi.org/10.1108/ijphm-03-2013-0007.
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Purpose – This paper aims to introduce a comprehensive conceptual framework to study the influence of “consumer ambivalence towards contraception” and “intercourse frequency” along with attitudes toward contraception and satisfaction with most familiar contraceptive method, on contraceptive usage and intentions. Design/methodology/approach – A team of trained female interviewers used a structured questionnaire to conduct a clinic-intercept survey with 588 sexually active female consumers in two major hospitals and six randomly chosen clinics in Singapore (response rate = 29 per cent). Findings – Consumer attitudes toward contraception, satisfaction with most familiar contraceptive method and intercourse frequency have a positive effect on contraceptive usage. Consumer ambivalence toward contraception has a negative effect on usage and intentions and it negatively moderates the effects of attitudes, satisfaction and intercourse frequency. Research limitations/implications – This paper explores the role of consumer ambivalence toward contraception in general and not toward specific contraceptive methods. Moreover, it does not measure differences in the impact of personal cultural values and orientations of the participants on contraceptive usage. These could be useful avenues for future research. Practical implications – By clarifying the reasons for inconsistent contraception usage, this research will help health-care professionals, social workers and welfare organizations develop more focused consumer education programs and communication campaigns to reduce consumer ambivalence about contraception and improve contraception usage rates. Originality/value – This paper extends prior research on consumer ambivalence by exploring its direct and moderating impact on contraceptive usage, an important issue for female health and well-being. The authors also show intercourse frequency as a moderator in this process.
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Darmawan, Dody Harris. "Efek Harga dan Perilaku Pemakaian Kontrasepsi." JURNAL DINAMIKA EKONOMI PEMBANGUNAN 1, no. 1 (April 30, 2018): 63. http://dx.doi.org/10.14710/jdep.1.1.63-73.
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Abstract The behavior of spouses of fertile age (EFA) in choosing a contraceptive that will she wear is influenced by many factors. Previous research extensively covered socio-demographic factors correlated to the choice of contraception. Rationally, households in choosing a contraceptive based on the benefits of optimal and minimal costs. This study will discuss the price as reflecting rationality EFA determinant in choosing a contraceptive. By using data from the BKKBN Family Data Collection In 2015, this study will use the order logit models to determine causality or correlation between price and other determinants of the choice of contraception. It was found that the price of a statistically significant effect on the choice of contraception. Probability of contraceptive choices tend towards the long-term contraception with increases in the price of each contraception.
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Indarti, Junita, Lucas Christiawan, Dalri Suhartomo, Caroline Caroline, and Ditha Loho. "Postpartum contraceptive use among pregnant women who delivered at Cipto Mangunkusumo General Hospital: A descriptive study." Majalah Obstetri & Ginekologi 29, no. 3 (November 25, 2021): 124. http://dx.doi.org/10.20473/mog.v29i32021.124-128.
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HIGHLIGHT1. As maternal mortality rate (MMR) is still high, there should be ways to reduce the rate, one of which is the prevention of conception through contraceptive methods. 2. A descriptive study was conducted to all patients giving birth in a national hospital between 2016 to 2019 covering data on the patients, including age, parity, the origin of referral, and type of contraception.3. Most patients who gave birth in the hospital had postpartum contraception, especially permanent contraception and long-term contraception. ABSTRACTObjectives: The maternal mortality rate in Indonesia is one of the highest in the world at 305 out of 100.000 live birth. One of the best ways to reduce MMR is conception prevention through contraceptive methods. According to 2018 Demographic and Health Survey, Indonesia’s Contraceptive Prevalence Rate is as low as 57%, not even reaching the 2015 Millenium Development Goals target of 65%. We conducted a study on postpartum contraceptive use in Dr. Cipto Mangunkusumo National Central General Hospital (RSCM) to see the use of contraception in RSCM so that it can be an example of how contraception is used in RSCM for patients who give birth here.Materials and Methods: A descriptive study was conducted from all patients giving birth in RSCM from 2016 until 2019, data including patient data, consisting of patient age, parity, the origin of referral, and type of contraception, are input from the medical recordResults: There were 5,596 deliveries, consisting of 3,785 C-sections and 1,811 vaginal deliveries. As much as 5332 (95.3%) of subjects had postpartum contraception, 725 (13.67%) of which received tubectomy, and most of which received long-term contraceptive methods (IUD 4414 (82.78%) and implant 44 (0.82%)). As many as 1.065 subjects were more than 35 years of age, 6,2% of which did not use any postpartum contraception. As many as 984 subjects were RSCM bookcases, 6,9% of which did not use any postpartum contraception.Conclusion: Most patients giving birth in RSCM had postpartum contraception, especially permanent contraception and long-term contraception. The contraception profile in RSCM alone can neither describe nor represent the condition and distribution of contraceptive methods in Indonesia because RSCM is a national referral and medical education center whose cases are relatively more complex.
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MICHEL, F., and C. PLOTTON. "EVITER ET GERER L OUBLI DE CONTRACEPTION ORALE. ETUDE QUALITATIVE AUPRES D UTILISATRICES." EXERCER 35, no. 202 (April 1, 2024): 148–55. http://dx.doi.org/10.56746/exercer.2024.202.148.
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Introduction. En 2019, l’oubli de contraception orale concernait 74,8 % des femmes en France. Le risque d’oubli majore le fardeau de la contraception orale. L’échange d’informations, autour de données scientifiques divergentes, n’est pas satisfaisant. Objectif. Identifier les méthodes utilisées par les femmes pour éviter l’oubli de contraception orale et les stratégies de gestion de l’oubli. Méthode. Étude qualitative selon une approche de théorisation ancrée. Entretiens individuels entre septembre 2019 et juillet 2021 jusqu’à suffisance des données. Résultats. Pour éviter l’oubli, les méthodes identifiées inscrivaient la prise de contraception dans le quotidien. En cas d’oubli, les stratégies mises en place pouvaient être vécues en toute sérénité ou être source de panique. Un sentiment de responsabilité pouvait participer au tabou. La recherche d’informations pouvait rompre le tabou, effectuée auprès de professionnels de santé, préférés à Internet. L’oubli semblait mériter d’être davantage abordé par les professionnels de santé, voire la société. Discussion. La prise et l’oubli de contraception, en s’inscrivant dans le quotidien, et le sentiment de responsabilité contribuent au fardeau. Les contraintes liées au sentiment de responsabilité, ou travail contraceptif, s’accompagnent d’une charge mentale. La responsabilité féminine est expliquée par une logique de santé publique et de genre. Le travail contraceptif intègre également l’efficacité contraceptive avec la responsabilité d’un échec et les sanctions associées. Le travail contraceptif naturalisé au cours du temps pour devenir invisible peut participer au tabou. Conclusion. L’oubli pourrait être abordé en consultation de soins premiers sur le modèle d’une information brève pour limiter le tabou. Un processus de décision partagée avec un professionnel impliqué, s’appuyant sur des supports écrits, pourrait améliorer l’information des femmes, avec une responsabilité partagée réduisant le fardeau. Un accompagnement éducatif lors de consultations dédiées pourrait également réduire le fardeau, en intégrant davantage les hommes.
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URENA-DORES, A., B. LOGNOS, K. MOLL-LLOBELL, B. LOGNOS, and P. SERAYET. "Vasectomie : et si on en parlait avec les femmes ?" EXERCER 34, no. 198 (December 1, 2023): 446–52. http://dx.doi.org/10.56746/exercer.2023.198.446.
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Contexte. La vasectomie, méthode contraceptive masculine définitive, est légale en France depuis 2001. En 2019, elle était le moyen de contraception de 0,5 % des femmes de 15 à 49 ans, ce qui est peu comparé à d’autres pays (Australie, Angleterre, Belgique). Les études déjà réalisées sur le sujet ont surtout concerné les professionnels de santé et les hommes, très peu ont recueilli l’avis des femmes qui sont les principales interlocutrices en matière de contraception. Objectifs. L’objectif principal était de comprendre leurs représentations sur la vasectomie. L’objectif secondaire était de savoir s’il existait des freins féminins au développement de cette méthode contraceptive. Méthodes. Étude qualitative sur un échantillon raisonné de femmes âgées de 35 à 55 ans recrutées en cabinet de médecine générale dans le Gard. Une approche phénoménologique avec une analyse sémio-pragmatique a été réalisée. Résultats. Treize entretiens ont été analysés jusqu’à saturation des données, faisant émerger cinq catégories conceptualisantes. Les femmes de cette étude exprimaient le besoin d’être soulagées par leur conjoint de la charge mentale contraceptive, dans le cadre d’une décision de couple partagée. La vasectomie apparaît comme une solution adaptée s’ils ne désirent plus d’enfant, mais elle n’est pas ou peu connue par les patientes et les soignants en parlent peu. Conclusion. Cette étude a montré que les femmes, interlocutrices principales en matière de contraception en consultation, ne connaissent pas bien la vasectomie. Elles ont un rôle primordial dans le processus d’implication des hommes dans la contraception. Ces résultats permettent de donner des pistes pour mieux accompagner les femmes, hommes et couples dans leurs choix contraceptifs.
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Zgliczynska, Magdalena, Iwona Szymusik, Aleksandra Sierocinska, Armand Bajaka, Martyna Rowniak, Nicole Sochacki-Wojcicka, Miroslaw Wielgos, and Katarzyna Kosinska-Kaczynska. "Contraceptive Behaviors in Polish Women Aged 18–35—A Cross-Sectional Study." International Journal of Environmental Research and Public Health 16, no. 15 (July 30, 2019): 2723. http://dx.doi.org/10.3390/ijerph16152723.
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The aim was to evaluate contraceptive behaviors, and factors affecting them, in the population of Polish-speaking women. A cross-sectional study was performed on 6763 women, current contraceptive users, aged 18 to 35. An anonymous and voluntary questionnaire written in Polish, containing 33 questions, was distributed online from January to February 2017. The Internet and doctors were the most popular sources of information about contraception (82% and 73%, respectively). Upon choosing contraception, women paid the most attention to its efficacy (85%) and its impact on health (59%). The most common methods were combined oral contraceptives (38%) and condoms (24%). In total, 51% had chosen hormonal contraception, of which 68% experienced side effects. The most frequent were decreased libido (39%) and weight gain (22%). Factors associated with the usage of hormonal or non-hormonal contraception were: education, relationship status, parenthood, number of sexual partners, frequency of intercourses, sources of information about contraception, and factors considered most important when choosing a contraceptive method. The choice between short-acting and long-acting reversible contraception was influenced by age, relationship status, parenthood, smoking, sources of information about contraception, and factors considered most important when choosing a contraceptive method. Wide access to contraception, high-quality education, and counselling should become priorities in family planning healthcare.
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CHRISTINE ROUSSET-JABLONSKI1. "Contraception et cancers gynécologiques : intox ou vrai danger pour les femmes ?" REPRODUCTION HUMAINE ET HORMONES 33, no. 01 (October 1, 2020): 12. http://dx.doi.org/10.54695/rhh.33.01.4552.
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Le risque carcinologique est une inquiétude souventévoquée en consultation de contraception. Cependant,de nombreuses idées reçues persistent et le risque induitest souvent surévalués par les patientes, ainsi que parles professionnels de santé. Une augmentation modérée du risque de cancer du sein est retrouvée en coursd’utilisation de la contraception oestroprogestative.Cette augmentation de risque diminue après l’arrêtde la contraception hormonale. Une augmentationmodérée du risque a également été décrite avec lescontraceptions microprogestatives orales avec desdonnées contradictoires, et reste débattue avec leDIU au LNG à 52mg. La prise d’une contraceptionoestroprogestative entraîne une réduction des risquesde cancers de l’endomètre et de l’ovaire, avec un effetdurée prolongé après l’arrêt. Une réduction des risquesde cancers de l’endomètre et de l’ovaire est égalementretrouvée chez les utilisatrices de DIU au LNG à 52mg. Une augmentation modérée du risque de cancerinfiltrant du col de l’utérus a été décrite chez les utilisatrices de contraception orale, notamment pour lesdurées de prise prolongées, avec un impact qui sembles’estomper après l’arrêt. Lorsque l’on s’intéresse aurisque carcinologique global (tous types de cancersconfondus), les études ne retrouvent pas d’augmentation de l’incidence ou de la mortalité par cancer liée àla prise de contraception orale ou à l’utilisation d’unDIU au LNG. En pratique, les données sur les risquescarcinologiques font partie de l’information donnée,mais ne modifient pas la prescription d’une contraception, les bénéfices en termes contraceptifs restantsupérieurs aux risques. Le choix contraceptif restedépendant d’une balance bénéfice/risque individuelle
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Sylivester W. Mkama. "Determinants of contraceptive use among women of reproductive age attending antenatal clinic at Tumbi Regional Referral Hospital, Coast Region, Tanzania." Open Access Research Journal of Biology and Pharmacy 10, no. 2 (April 30, 2024): 105–13. http://dx.doi.org/10.53022/oarjbp.2024.10.2.0012.
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Background: Contraception is regarded as an important preventive measure of unintended pregnancies among women. This study aimed to assess the determinants of contraceptive use among women of reproductive age attending antenatal clinic at Tumbi Regional Referral Hospital, Coast Region, Tanzania. Material and Methods: This was a descriptive cross-sectional study conducted from June 01 to September 30, 2023. A total 310 women at reproductive age were enrolled in this study. Results: The analysis of 310 women intending to use contraceptive was done. Of these 19.3% were aged between 25 -29 years; 21.3% the husbands were aged between 30 -34 years. Marital status 92.3% were married. Women education level primary school was 68.4%, husband education level primary school was 72.6%. Women′s occupation, government employee 88.7%, husband′s occupation, peasant 73.2%. Living in Rural area was 75.0%. Awareness on contraception was 96.0%, knowledge of methods of contraception 97.7%, known methods of contraception pills 51.6%, known reasons for using contraception 83.9%, sources of information about contraception mass media 38.7%. Attitudes toward contraception; 48.4% contraception is beneficial. Ever used contraception; 52.6% used, reason for using contraception .79.0% to prevent unplanned pregnancy, reason for not using contraception, 52.3% embarrassment to buy or ask for them, place to get contraception, 52.9% pharmacy. Used contraceptive methods, 54.8% pills Conclusion: This study shows that contraceptive use among women of reproductive age attending antenatal clinic at Tumbi Regional Referral Hospital is preferred by women with primary education. Therefore, females should be encouraged to attain education of primary school which is universal education in our country. There is a need for the Government to have good plan, policy and clear strategy for implementation of use of family planning methods.
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Wallace, Harriet, Nadia Ekong, Michelle Loftus-Keeling, Jonathan Ross, Catherine Armitage, and Janet Wilson. "P045 Vaginal infections and contraception – results of a patient questionnaire." Sexually Transmitted Infections 93, Suppl 1 (June 2017): A32.2—A32. http://dx.doi.org/10.1136/sextrans-2017-053232.91.
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IntroductionBacterial vaginosis (BV) and candida are common problems among females using contraception. Associations between BV/candida and different contraception are described but not proven.Aim(s)/objectivesEstablish knowledge of BV/candida among contraceptive users. Assess whether future research on BV/candida and contraception would interest patients.MethodsSurveys were distributed to females at two sexual health clinics and a student General Practice by staff not seeing patients. Responses were anonymous. Questions included knowledge of BV/candida, existing contraception, future contraceptive choices related to BV/candida and importance of research findings.Results298 completed a survey; 157/298 attending for contraception (90% using/starting a method), 141/298 attending for other sexual health reasons/GP consultation. Of 157 contraception patients, 22% were <20yrs, 96% were <35yrs. Overall, 40% had heard of BV and 39% of candida but in <20yrs, 26% had heard of BV, 17% candida. 47% were interested in outcomes of further research between BV/candida and contraception (30% neutral, 17% not interested), rising to 56% in those who had heard of BV and/or candida. Similar results were seen in surveys from 141 females not attending for contraception (58% interested if heard of BV and/or candida). 81% stated they would definitely/probably change from a contraceptive if it was proven to increase the development of BV/candida, and they acquired the infection.DiscussionThere is patient interest in further research assessing associations between contraception and BV/candida, which would influence contraception choices. Patients preferred more knowledge on any links between contraceptive types and BV/candida rather than number of recurrences or persistence of symptoms.
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Oppelt, Patricia, Christine Fahlbusch, Katharina Heusinger, Laura Lotz, Ralf Dittrich, and Friederike Baier. "Situation of Adolescent Contraceptive Use in Germany." Geburtshilfe und Frauenheilkunde 78, no. 10 (October 2018): 999–1007. http://dx.doi.org/10.1055/a-0684-9838.
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Abstract Introduction Would adolescent girls in Germany choose a different method of contraception to the combined oral contraceptive if provided with the appropriate information? Is there a need for long-acting contraception among our adolescent girls? How satisfied are female patients with the information they receive at their respective gynaecology practices, and how much do the girls know about different methods of contraception? Materials and Methods In the study “Thinking About Needs in COntraception” (TANCO), not only female patients, but also their respective gynaecologists were surveyed online about current methods of contraception, their satisfaction with these methods, and also their level of knowledge concerning the individual methods of contraception, the situation related to advice about different contraceptive options and their general satisfaction with gynaecological care. This article presents the data from the subset of adolescent girls aged 14 to 19 years (n = 2699) out of the total of 18 521 women surveyed. Results The girls surveyed were familiar with at least the name of more than five different methods of contraception (average 5.3). The doctors assumed that the respondents would know only 4.2 different methods. When asked explicitly about how the individual methods of contraception work, clear deficits became evident. This applies not only to the entire population of respondents, but also the users of the respective contraceptive method. In addition, a strong interest in long-acting contraception emerged from the survey, particularly among young women. Discussion The data from the TANCO study reveal a clear discrepancy between the existing contraception almost exclusively in the form of the contraceptive pill and the contraceptive options considered by adolescent girls if they are thoroughly informed. The need for education into alternatives to the pill is high, as is the willingness to use such alternatives after receiving information – much higher than the figures suggested by the gynaecologists.
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Kolanska, Kamila, Philippe Faucher, Émile Daraï, Philippe Bouchard, and Nathalie Chabbert-Buffet. "La contraception d’urgence." médecine/sciences 37, no. 8-9 (August 2021): 779–84. http://dx.doi.org/10.1051/medsci/2021116.
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La contraception d’urgence (CU) évolue depuis les années 1960, devenant de mieux en mieux tolérée par les femmes qui la prennent. Les contraceptions d’urgence hormonales ont ainsi utilisé des doses d’hormones de plus en plus faibles, avec des schémas d’utilisation simplifiés. Les œstrogènes ont finalement été abandonnés, conduisant à la mise en vente de ces contraceptions sans besoin d’une prescription. Le dispositif intra-utérin au cuivre, qui nécessite, quant à lui, le recours à un professionnel de santé, est moins accessible. Pourtant, il permet l’instauration d’une contraception au long cours. Malgré des progrès indéniables, la contraception d’urgence reste encore trop peu utilisée, faute d’une information efficace mais aussi de différents freins.
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Jamil, Nurhayani, Werna Nontji, Syafruddin Syarif, Mardiana Ahmad, Suryani As‘ad, Azniah Syam, and Andi Syarifah Irmadani. "Handling Contraceptive Acceptors’ Complaints by Using Android-Based Application." Global Journal of Health Science 11, no. 9 (July 9, 2019): 61. http://dx.doi.org/10.5539/gjhs.v11n9p61.
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INTRODUCTION: Contraception is a method which used to prevent pregnancy and to reduce the maternal mortality, particularly in 4T condition; too young to give birth, too often to give birth, too close in spacing between births, and too old to give birth. However, the number of Drop Out from contraceptive in Indonesia is still high due to the concern of contraceptive acceptors about the side effects of contraception and the inaccuracy of re-injection schedule causing the acceptors to stop using contraception. Conventional method has been used by publics to manage the contraception for a long time. In this case, conventional method has been used to deal with the side effects of contraceptive use. By using the conventional method, the acceptor must visit the public health to consult their complaints to a midwife. Moreover, midwife will give the family planning control card to the acceptor which involves re-injection’s schedule. However, many acceptors do not come to do re-injection as the schedule because they do not have an automatic reminder to remind them. Thus, the researcher interested to create a contraceptive’s application in order to help the acceptors managing their schedule.
MATERIAL & METHODS: This study employed comparative method to find out the comparison on the attitude of contraceptive acceptors in solving the problems by using the Smart Contraception application and conventional method. By using purposive sampling technique, 44 respondents were chosen in this study. The respondents were divided into two groups involving 22 respondents who used Smart Contraception application and 22 respondents who used conventional method. Then, the data were analyzed by using Chi-square test.
RESULTS: The result of the study showed that the use of Smart Contraception application was better than conventional method in handling the problems experienced by contraceptive acceptors. The statistical result on the attitude of contraceptive acceptors in handling the problems of contraception shows p-value 0.026 (<0.05) and p-value 0.023 (<0.05) on the accuracy of re-injection schedule, which means that there was difference between the use of Smart Contraception application and conventional method.
CONCLUSION: There was difference between the use of Smart Contraception application and conventional method. Furthermore, the use of Smart Contraception was better than conventional method in handling the problems experienced by contraceptive acceptors.
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Gallagher, Bridget, Sharon T. Cameron, Alison Craig, Annette Gallimore, and Fatim Lakha. "Antenatal contraception counselling and provision of contraception after delivery for first-time young mothers enrolled with a Family Nurse Partnership programme." BMJ Sexual & Reproductive Health 45, no. 4 (August 7, 2019): 243–48. http://dx.doi.org/10.1136/bmjsrh-2018-200214.
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ObjectiveTo evaluate antenatal contraceptive counselling and provision of postpartum contraception on contraceptive choices of first-time teenage mothers enrolled with a Family Nurse Partnership (FNP) programme.DesignHealth service research evaluation.PopulationCohort of FNP clients (n=195), Scotland, UK.MethodsAntenatal contraceptive counselling and provision of chosen method from the hospital. Evaluation consisted of (i) self-administered questionnaires of FNP clients and (ii) interviews with FNP clients and FNP nurses.Main outcome measuresFNP client views on intervention. Secondary outcomes included: contraceptive choice antenatally, at day 10 postpartum, 3 and 12 months after delivery, and views of FNP nurses on the intervention.ResultsAntenatal questionnaires were completed by 118/195 (61%) clients. 96/118 (81%) agreed that it was very or quite helpful to receive antenatal contraceptive counselling and 80/118 (68%) were planning to use a long-acting reversible method of contraception (LARC). 97/121 (80%) wished to receive contraception before leaving the hospital. 104/195 (53%) completed a questionnaire at day 10 postpartum, of which 33 (32%) indicated that they had received contraception from the hospital. FNP nurses expressed frustration when contraception was not provided; this was usually attributed to the busy workload of the maternity department.ConclusionsAntenatal contraceptive counselling was appreciated by FNP clients and they expressed a preference for contraception provision following delivery. Over two-thirds planned to use a LARC method but many did not receive this from the hospital. Further interventions are required to ensure that the provision of postpartum contraception is prioritised for this group of young women.
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Kumari, Snigdha, Mansi Dhingra, and Syed Nawaz Ahmed. "Contraceptive practices and awareness: a survey among nursing staff at a tertiary care hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 12 (November 26, 2019): 4751. http://dx.doi.org/10.18203/2320-1770.ijrcog20195314.
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Background: India is the second most populous country in the world next to China. Increasing the contraceptive awareness and practice and proper implementation of family planning services are the major tool for improving the health of the population along with stabilizing it. Knowledge and contraceptive practice in the Nursing personnel can positively or negatively influence the population coming in contact with them. Objective of this study was to investigate the knowledge and practice of contraceptive methods among the nursing staff at a tertiary care set up.Methods: Tertiary care set up, cross sectional study. This was a cross sectional study conducted over a period of three months. Fifty staff nurses under the age of 49 years were interviewed through a pre-designed questionnaire regarding knowledge and use of contraceptive methods.Results: Contraception was practiced in 88 percent of the staff nurses. Barrier method of contraception was the most commonly used form of contraception. Permanent method of contraception was opted in 14 percent of cases. Fifty-seven percent of the females were aware of emergency contraception. Twenty-eight percent of females had used emergency contraception in the past.Conclusions: A high percentage of nursing staff was practicing some form of contraception; however, the use of permanent methods and hormonal methods remains low. Only half of study population was aware of post coital methods of contraception with only 28 percent having used it in the past.
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Paramitha, Dyah Pradnya. "A Relationship Between Contraception Service Sources And Modern Contraception Methods Used By Couple Of Bearing Age In Indonesia." Jurnal Ners dan Kebidanan Indonesia 8, no. 3 (November 19, 2020): 185. http://dx.doi.org/10.21927/jnki.2020.8(3).185-193.
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<p>Population growth is a big problem for a country. The number of couple of bearing age who using contraception should be increased in order to deal with this problem. Based on the results of the 2017 Indonesian Health Demographic Survey, the number of couple of bearing age using contraceptives was 57%, and the most widely used type of contraceptive method was the non-Long-Term Contraceptive Method. To increase the use of contraception, it is necessary for health facilities to play a role not only as providers of contraception, but also as providers of promotive and preventive services, so that couple of bearing age can rationally choose the contraception to be used as needed. This research aimed to discover the relationship between contraceptive service sources and the modern contraceptive method used by couple of bearing age.</p><p>This research used the secondary data from the 2018 Program Performance and Accountability Survey of Population, Family Planning, and Family Development (abbreviated<em> SKAP-KKBPK</em> in Indonesia), using the cross-sectional research design and the Chi-square bivariate analysis. The population used in this research was all couple of bearing age in Indonesia who becomes responden in SKAP-KKBPK, which were 60.599 couples, and the samples were all couple of bearing age who used modern contraception, which were 26,776 couples. The analysis results showed that there was a relationship between the contraceptive service sources and the contraceptive method used by the reproductive couples, shown by the <em>p</em>-value = 0.000. As many as 76.9% preferred to use the non-MKJP contraception. The respondents who used the non-MKJP contraception were more likely to visit the private contraception service sources (85.9%), while those who used the MKJP contraception were more likely to visit the state-owned (government) contraception service sources (52.6%).<strong></strong></p>
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Kusuma, Nabella. "Relationship Between Method and Duration of Contraception Usage to Subjective Health Complaints." Jurnal Berkala Epidemiologi 4, no. 2 (February 5, 2017): 164. http://dx.doi.org/10.20473/jbe.v4i2.2016.164-175.
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Subjective health complaints is identified is symptoms and uncomfortable feeling felt by the respondents. Health Complaint is the most common cause of acceptor stops using contraception. The aim of this study was to exsamine between of subjective health complaints related by contraception method and duration of contraception usage. This study was observational analytic with cross sectional design. The sample of study were acceptor living at RW 6 Kalitengah Sidoarjo district and using simple random sampling technique to collect the data. Statistical test using chi square to determine the relationship between variables. The study showed that most of the respondents were aged > 35 years old (62,5%), educated as high as high school (59,7%), were housewife (70,8%). Statistic test using chi square showed that there was relationship between contraception method (p = 0.0098) and the duration of contraception usage (p = 0.012) with subjective health complaints. Hormonal contraceptive methods may increase the risk of 4,05 times to experience subjective health complaints compared with respondents who use non-hormonal contraception. Respondents with long ≤ 5 years of contraceptive use may increase the risk of 7,82 times to experience subjective health complaints compared with respondents who used the contraceptive for > 5 years. It is concluded that contraception method and the duration of contraception usage are related to subjective health complaints. It is recommended for the midwives to educate respondents who were using hormonal contraception to change into using non hormonal contraception when have complaint.Keywords: contraception method, usage duration, subjective health complaints
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Kusuma, Nabella. "Relationship Between Method and Duration of Contraception Usage to Subjective Health Complaints." Jurnal Berkala Epidemiologi 4, no. 2 (February 5, 2017): 164. http://dx.doi.org/10.20473/jbe.v4i22016.164-175.
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Subjective health complaints is identified is symptoms and uncomfortable feeling felt by the respondents. Health Complaint is the most common cause of acceptor stops using contraception. The aim of this study was to exsamine between of subjective health complaints related by contraception method and duration of contraception usage. This study was observational analytic with cross sectional design. The sample of study were acceptor living at RW 6 Kalitengah Sidoarjo district and using simple random sampling technique to collect the data. Statistical test using chi square to determine the relationship between variables. The study showed that most of the respondents were aged > 35 years old (62,5%), educated as high as high school (59,7%), were housewife (70,8%). Statistic test using chi square showed that there was relationship between contraception method (p = 0.0098) and the duration of contraception usage (p = 0.012) with subjective health complaints. Hormonal contraceptive methods may increase the risk of 4,05 times to experience subjective health complaints compared with respondents who use non-hormonal contraception. Respondents with long ≤ 5 years of contraceptive use may increase the risk of 7,82 times to experience subjective health complaints compared with respondents who used the contraceptive for > 5 years. It is concluded that contraception method and the duration of contraception usage are related to subjective health complaints. It is recommended for the midwives to educate respondents who were using hormonal contraception to change into using non hormonal contraception when have complaint.Keywords: contraception method, usage duration, subjective health complaints
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Sultan, Khawar, Zainab Maqsood, M. Sajid Rafiq Abbasi, Shoukat Hussain, M. Arshad Abbasi, and Muhammad Hussain Baloch. "Contraceptive counseling: An unaddressed issue of Post Renal transplant women of reproductive age." Pakistan Journal of Medical and Health Sciences 16, no. 8 (August 31, 2022): 172–73. http://dx.doi.org/10.53350/pjmhs22168172.
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Background: Counseling regarding conceiving and contraception in post renal transplant female recipients is neglected and important aspect of post-transplant care. Aim: To conduct to report use of contraceptive measures, pregnancy and its outcomes during post-transplant period. This study highlights the importance of contraceptive counseling after renal transplant. Results: Out of total 14 patients of our study only 5 (36%) were using contraception while 9 (64%) were not using any contraceptive method. Out of 9 non users 7 patients were never counseled regarding contraception. Moreover they had no awareness regarding drug modification or renal and feto-maternal outcomes of pregnancy after renal transplant. Conclusion: Reproductive age female patients undergoing renal transplant should be given special attention regarding counselling on contraception, pregnancy and it outcomes. Key words: Contraception, renal transplant, pregnancy,
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ObelenienÄ—, BirutÄ—, and Andrius Narbekovas. "Ethics of natural family planning (NFP) vs ethics of contraception." New Trends and Issues Proceedings on Humanities and Social Sciences 2, no. 3 (December 7, 2016): 21–26. http://dx.doi.org/10.18844/prosoc.v2i3.1053.
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The article analyses the moral difference between Natural Family Planning (NFP) and contraception. Problem Statement: Today one of the most frequently asked questions is the following: if contraception and NFP both have the same purpose of avoiding pregnancy, how can there be any moral difference between them. Moreover, people state that it does not make any difference which method is used, if the end and purpose are the same. In fact, proponents of contraceptives often argue that there is no moral difference between contraception and NFP and even treat NFP as a natural form of contraception. Purpose of the study: To disclose the ethical/moral difference between contraception and NFP. Research methods: Theoretical structural method was used for thorough understanding of human person as a bodily and sexual being. Comparative analysis was used to find the distinction between Christian anthropology and dualistic anthropology. Action assessment criteria were used to evaluate the difference between contraceptive action and contraceptive purpose. Findings: In order to show the moral difference between contraception and NFP, firstly thorough understanding of human person as a bodily and sexual being is given, the difference of the use of NFP and contraception in the aspect of human dignity is revealed, and then a distinction between a contraceptive action and a contraceptive will is drawn. Conclusion. The end or purpose of family planning does not make all of the various practices ethically the same. NFP is not a natural contraception; it is the ethical opposite. Keywords: Christian anthropology, dualistic anthropology; bodility; sexuality; natural family planning; contraceptive action; conjugal act.
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Arlotti-Parish, Elizabeth, Carolyne Ajema, Lilian Mutea, and Susan Ontiri. "Determinants of Contraceptive Use among Unmarried Young Women in Kakamega County, Kenya." Adolescents 3, no. 3 (June 27, 2023): 382–93. http://dx.doi.org/10.3390/adolescents3030026.
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Adolescent pregnancies adversely impact mental and reproductive health as well as educational and socio-economic outcomes. In Kakamega County, Kenya, 20% of adolescents begin childbearing by age 19. To inform interventions to reduce adolescent pregnancy, Jhpiego used the Barrier Analysis methodology, which is based on the Doer/Non-Doer study model, in which participants are categorized according to whether they are “Doers” or “Non-Doers” of the study behavior. This study examines the determinants of the behavior, “young unmarried women currently use modern contraceptive methods”. Participants included young women aged 15–19 who were sexually active, unmarried, and were using (“Doers”) or not using (“Non-Doers”) modern contraception. The findings reveal that the majority of Doers (88%) and Non-Doers (80%) understand the pregnancy risk associated with non-use, and there is no statistically significant difference between Doers’ and Non-Doers’ understanding of contraceptive benefits. Knowledge of side effects and misconceptions, such as the belief that contraception causes infertility, does not deter Doers from using contraception. Seventy percent of Doers note that contraception is accessible/available, while 39% of Non-Doers state the opposite. Doers are almost three times more likely than Non-Doers to say that most people approve of their contraceptive use, while Non-Doers are twice as likely as Doers to say that most people would not approve. Doers are four times more likely to indicate approval from their mothers and boyfriends. Non-Doers are five times more likely than Doers to have specific professional goals for the future. These findings illustrate the importance of moving away from fear-based messaging and instead highlighting social acceptability and contraception’s role in achieving future goals.
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Boog, Katie, Zhong Eric Chen, and Sharon Cameron. "Sexual and reproductive healthcare providers’ opinions on expansion of pharmacy-led provision of contraception." BMJ Sexual & Reproductive Health 45, no. 3 (June 1, 2019): 183–89. http://dx.doi.org/10.1136/bmjsrh-2018-200252.
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IntroductionReduced funding to contraceptive services in the UK is resulting in restricted access for women. Pharmacists are already embedded in sexual and reproductive health (SRH) care in the UK and could provide an alternative way for women to access contraception. The aim of this study was to determine the views of UK contraception providers about community pharmacist-led contraception provision.MethodsAn anonymous questionnaire was distributed to healthcare professionals at two UK SRH events, asking respondents about: (1) the use of patient group directions (PGDs) for pharmacist provision of oral contraception (OC); (2) the sale of OC as a pharmacy medicine or general sales list medicine; (3) the perceived impact of pharmacy provision of OC on broader SRH outcomes; and (4) if other contraceptive methods should be provided in pharmacies.ResultsOf 240 questionnaires distributed, 174 (72.5%) were returned. Respondents largely supported pharmacy-led provision of all non-uterine methods of contraception, excluding the contraceptive implant. Provision of the progestogen-only pill by PGD was most strongly supported (78% supported initiation). Respondents felt that the use of bridging (temporary) contraception would improve (103/144, 71.5%), use of effective contraception would increase (81/141, 57.4%), and unintended pregnancies would decline (71/130, 54.6%); but that use of long-acting reversible contraception would decrease (86/143, 60.1%). Perceived barriers included pharmacists’ capacity and competency to provide a full contraception consultation, safeguarding concerns, and women having to pay for contraception.ConclusionsUK SRH providers were largely supportive of community pharmacy-led provision of contraception, with training and referral pathways being required to support contraception delivery by pharmacists.
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Handamari, Endang Wahyu. "Usage Pattern Exploration of Effective Contraception Tool." Journal of Research in Mathematics Trends and Technology 1, no. 1 (February 7, 2019): 1–6. http://dx.doi.org/10.32734/jormtt.v1i1.750.
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Determination of methods or contraception tool used by acceptors to support the Family Planning (“Keluarga Berencana”) is a problematic. In choosing methods or contraception tool, the acceptor must consider several factors, namely health factor, partner factor, and contraceptive method. Each method or contraception tool which is used has its advantages or disadvantages. Although it has been considering the advantages and disadvantages, it is still difficult to control fertility safely and effectively. Consequently acceptor change the method or a contraception tool that is used more than once. In order acceptors get the appropriate contraception tool then the patterns of changing in the usage of effective methods or contraception tool is determined. One of the methods that can be used to look for the patterns of changing in the usage of contraception tool is data mining. Data mining is an interesting pattern extraction of large amounts of data. A pattern is said to be interesting if the pattern is not trivial, implicit, previously unknown, and useful. The patterns presented should be easy to understand, can be applied to data that will be predicted with a certain degree, useful, and new. The early stage before applying data mining is using k nearest neighbors algorithm to determine the factors shortest distance selecting the contraception tool. The next step is applying data mining to usage changing data of method or contraception tool of family planning acceptors which is expected to dig up information related to acceptor behavior pattern in using the method or contraception tool. Furthermore, from the formed pattern, it can be used in decision making regarding the usage of effective contraception tool. The results obtained from this research is the k nearest neighbors by using the Euclidean distance can be used to determine the similarity of attributes owned by the acceptors of Family Planning to the training data is already available. Based on available training data, it can be determined the usage pattern of contraceptiion tool with the concept of data mining, where the acceptors of Family Planning are given a recommendation if the pattern is on the training data pattern. Conversely, if the pattern is none match, then the system does not provide recommendations of contraception tool which should be used.
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Pawłowska, Paulina, Alicja Ozga-Stachurska, Justyna Wójcik-Grudzień, and Martyna Rozenbajgier. "Contraception - methods, effectiveness and safety." Journal of Education, Health and Sport 12, no. 9 (September 9, 2022): 607–13. http://dx.doi.org/10.12775/jehs.2022.12.09.072.
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Introduction
The article provides an overview of the available methods of contraception, effectiveness, safety, advantages and disadvantages of using a given contraceptive.
The use of contraception is becoming more and more popular in society. There are many methods of contraception. The choice depends mainly on the patient's preferences, but diseases and a well-collected history are also important.
The aim of the study
Review the latest literature on methods of contraception
Material and methods
The research was conducted using Articles by PubMed and Google Scholar on methods of contraception
Description of the state of knowledge:
There are many methods of contraception, Hormonal methods include oral contraceptive pills, contraceptive patches, implants, hormone injections. Barrier products such as copper / levonogestrel IUDs prevent pregnancy by creating a mechanical barrier to prevent conception. [1,2] The most common method - the use of condoms prevents sperm from entering the uterus. All products and methods have benefits and potential complications, therefore the method should be selected individually for each patient. [6,7]
Summary:
There are many types of contraception . Some of them are almost 100% effective in preventing pregnancy. [1,3,4,5,] It should be remembered that each method of contraception should be selected individually, depending on the patient's needs. [8,9]
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Ngerageze, Innocent, Madeleine Mukeshimana, Aimable Nkurunziza, Emmanuel Bikorimana, Ernest Uwishimye, Deborah Mukamuhirwa, Judith Mbarushimana, et al. "Knowledge and Utilization of Contraceptive Methods among Secondary School Female Adolescents in Rwamagana District, Rwanda." Rwanda Journal of Medicine and Health Sciences 5, no. 1 (April 12, 2022): 71–84. http://dx.doi.org/10.4314/rjmhs.v5i1.9.
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BackgroundAdolescent pregnancy is a global health concern. Many adolescent deaths occur due to early marriage and pregnancy. This study assessed knowledge and utilization of contraception among secondary school female adolescents at selected secondary schools in Rwamagana district.MethodsCross-sectional design using a self-administered questionnaire was conducted on 117 participants selected by simple random. Analysis used descriptive and inferential statistics at 95% confidence interval, employing SPSS Version 23. Dependent variable was the use of contraceptive and independent variables were socio-demographics and knowledge variables. Bivariate analysis assessed the association between independent and dependent variables. Multivariate analysis assessed the strength of association between dependent and independent variables by computing Odds Ratio. Results are presented in tables and figures. ResultsThe majority (88%) had heard of contraception, though knowledge about contraception was inadequate (61.54%). Level of contraceptive use was low (17%). The significant independent predictors of contraceptive use were the level of education, having heard of contraception, knowledge of source of contraception, and knowledge of specific contraception methods. ConclusionHearing about contraception, was not proportionately associated with knowledge or practicing contraception among the sexually active female adolescents. There is a need to enhance sex education, youth-friendly health services, and research.
Rwanda J Med Health Sci 2022;5(1):71-84
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Hsueh, Aaron J. W. "Contraception: Designer contraceptive pills." Human Reproduction 10, no. 8 (August 1995): 1997–2000. http://dx.doi.org/10.1093/oxfordjournals.humrep.a136223.
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Di Meglio, Giuseppina, Jessica Yeates, and Gillian Seidman. "Can youth get the contraception they want? Results of a pilot study in the province of Quebec." Paediatrics & Child Health 25, no. 3 (May 2, 2019): 160–65. http://dx.doi.org/10.1093/pch/pxz059.
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Abstract Objectives Canadian contraceptive providers report many barriers to access to contraception, and perceive youth as particularly vulnerable to these barriers. This study explores Quebec youth’s experience of obtaining contraception. Methods A convenience sample of Quebec youth (aged 14 to 21 years) participated in an online anonymous survey of their experiences obtaining contraception. Data were collected between June 1, 2016 and December 31, 2016. Results One hundred and five youth were eligible to participate. Of these, 95 had used at least one form of contraception. Twelve (13%) reported not being able to obtain their preferred method of contraception, with cost being the most common barrier (N=10). Eleven participants (12%) stopped using their preferred contraceptive method: cost was a factor in four cases, and difficulty with access to the clinic/prescription in seven. Youth who required confidential access experienced more difficulty obtaining contraception (P<0.01). Conclusion Despite benefitting from universal pharmacare and a network of youth sexual and reproductive health clinics, Quebec youth still experience barriers to obtaining and continuing their preferred contraceptive. Youth who desire confidential care are more likely to experience difficulty obtaining contraception.
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Santos, Osmara Alves dos, Ana Luiza Vilela Borges, Christiane Borges do Nascimento Chofakian, and Kátia Cibelle Machado Pirotta. "Determinants of emergency contraception non-use among women in unplanned or ambivalent pregnancies." Revista da Escola de Enfermagem da USP 48, spe (August 2014): 16–22. http://dx.doi.org/10.1590/s0080-623420140000600003.
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Objective To analyze the determinants of emergency contraception non-use among women in unplanned and ambivalent pregnancies. Method Cross-sectional study with a probabilistic sample of 366 pregnant women from 12 primary health care units in the city of São Paulo, Brazil. A multinomial logistic regression was performed, comparing three groups: women who used emergency contraception to prevent ongoing pregnancies (reference); women who made no use of emergency contraception, but used other contraceptive methods; and women who made no use of any contraceptive methods at all. Results Cohabitation with a partner was the common determinant of emergency contraception non-use. No pregnancy risk awareness, ambivalent pregnancies and no previous use of emergency contraception also contributed to emergency contraception non-use. Conclusion Apart from what is pointed out in the literature, knowledge of emergency contraception and the fertile period were not associated to its use.
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Pitt, Katherine. "Emergency contraception." InnovAiT: Education and inspiration for general practice 11, no. 11 (September 12, 2018): 613–19. http://dx.doi.org/10.1177/1755738018767693.
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Emergency contraception is used to prevent unwanted pregnancy in women following unprotected sexual intercourse, including contraceptive failure. The primary healthcare team has an important role in the provision of emergency contraception. Other providers include sexual health clinics, pharmacies and emergency departments. Three methods are used in the UK: levonorgestrel oral emergency contraception, ulipristal oral emergency contraception, and the copper intrauterine device. In 2017 the Faculty of Sexual and Reproductive Healthcare (FSRH) produced guidance on emergency contraception and quick starting regular contraception. This article will provide an approach to counselling patients about emergency contraception, and practice pointers from the FSRH guidelines. Case studies will be used for illustration.
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Rodriguez-Muguruza, S., S. Castro Oreiro, M. J. Poveda, N. Del Castillo, M. Menacho, G. Valldosera, M. Just, N. Mohino, and R. Fontova. "AB1645 CONTRACEPTION IN WOMEN WITH IMMUNE-MEDIATED INFLAMMATORY DISEASE." Annals of the Rheumatic Diseases 82, Suppl 1 (May 30, 2023): 2057.1–2057. http://dx.doi.org/10.1136/annrheumdis-2023-eular.2481.
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BackgroundGiven that teratogenic medications prescribed to women with immune-mediated inflammatory disease (IMID) may cause significant fetal harm, the use of effective contraception is crucial in reproductive-age women receiving potentially teratogenic medications.ObjectivesTo determine: Relationship between potentially teratogenic drugs and the efficacy of contraception methods. The prevalence of contraceptive methods in women of reproductive age with IMID.MethodsCross- sectional study (May 2021 - May 2022). All women of reproductive age with an IMID (rheumatology, dermatology and gastroenterology external consultation) were invited to participate. Patients with rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis, psoriasis, Crohn’s disease and ulcerative colitis were included. Patients with hysterectomy, primary or secondary amenorrhea were excluded. A self-administered questionnaire including questions on the use of contraceptive methods was administered.Medications prescribed for IMID were identified and assigned a pregnancy risk category (according FDA): Class A - B (safe to use during pregnancy), C (have not been adequately studied to assign a pregnancy classification) and D-X (potentially teratogenic, their use is relatively/ absolutely contraindicated during pregnancy). For women who were prescribed multiple drugs, we assigned their FDA risk category based on their drug with the highest potential teratogenicity.Contraceptive methods were also classified according to their relative effectiveness (based on World Health Organization (WHO)) (Table 1). When women had more than one contraceptive method we classified according to their most effective method.Our analysis categorizes drugs as either A/B/C or D/X, (“low risk” vs “high risk”). To determine the relationship between the potential teratogenic drug and the effectiveness of contraceptive method we used Chi-square tests.ResultsA total of 59 women participated (Table 2), mean age 41.2 (SD ± 6.8) years. Contraceptive use was referred by 41 (69.5%) of the patients (Table 1): 56.1% (23 patients) used a method classified as moderately effective, 31.7% (13) as highly effective and 9.8% (4) as ineffective.Of women with teratogenic drugs: 37.5% (15 patients) did not use a contraception method or it was considered as ineffective.The relationship between potentially teratogenic drugs and effectiveness of contraceptive methods has a P value of 0.668 (Table 3).ConclusionThe prevalence of contraception methods in reproductive-age women with IMID is about 70%.In women who used a contraceptive method, contraception considered to be ineffective was the least frequent.We found no relationship between the risk of teratogenicity in drugs prescribed for IMID and the effectiveness of contraceptive method.References[1]Hunt N. Family Planning and Rheumatoid Arthritis. Curr Rheumatol Rep. 2019;21:16[2]Leverenz DL. Contraception methods used by women with rheumatoid arthritis and psoriatic arthritis. Clin Rheumatol. 2019;38:1207-12Table 1.Frequency of contraceptive use (N 41)MethodFrequency (%)OMS classificationCondoms15 (36.6)ModerateOral contraceptive7 (17.1)ModerateSurgical sterilization6 (14.6)HighIntrauterine device4 (9.8)HighCoitus interruptus3 (7.3)IneffectiveVasectomy2 (4.9)HighVaginal rings2 (4.9)ModerateEmergency contraception1 (2.4)IneffectiveSubdermic implants1 (2.4)ModerateTable 2.Diagnosis frequencyDiagnosisFrequency (%)Rheumatoid arthritis20 (34.9)Crohn ´s disease12 (20.3)Psoriasis11 (18.6)Ankylosing spondylitis8 (13.6)Psoriatic arthritis7 (11.9)Ulcerative colitis1 (1.7)Table 3.Relationship between potentially teratogenic drugs and effectiveness of contraceptive methodsHigh effectiveness of contraceptionModerate effectiveness of contraceptionIneffective or not use of contraceptionHigh risk of teratogenicity (N 40)10 (25%)15 (37.5%)15 (37.5%)Low risk of teratogenicity (N 19)3 (15.8%)9 (47.4%)7 (36.8%)Acknowledgements:NIL.Disclosure of InterestsNone Declared.
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Sori, Demisew Amenu, Gurmesa Tura Debelew, Lema Seboka Degefa, and Zerihun Asefa. "Continuous quality improvement strategy for increasing immediate postpartum long-acting reversible contraceptive use at Jimma University Medical Center, Jimma, Ethiopia." BMJ Open Quality 12, no. 1 (February 2023): e002051. http://dx.doi.org/10.1136/bmjoq-2022-002051.
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BackgroundEven though the immediate postpartum period is a golden time and a great opportunity to provide long-acting reversible contraceptives to prevent unintended pregnancy, its utilisation is very low in Ethiopia. Quality of care in postpartum long-acting reversible contraceptive provision is thought to be an issue for this low utilisation. Thus, continuous quality improvement intervention is necessary to increase the use of postpartum long-acting reversible contraceptives at Jimma University Medical Center.MethodA quality improvement intervention to offer long-acting reversible contraceptive methods to immediate postpartum women at Jimma University Medical Center was initiated in June 2019. To study the baseline prevalence of long-acting reversible contraceptive use at Jimma Medical Centre over 8 weeks, we reviewed postpartum family planning registration logbooks and patients’ charts. Based on the baseline data, the quality gaps were identified, prioritised and change ideas were generated and tested over another 8 weeks towards achieving the immediate postpartum long-acting reversible contraceptive prevalence target set.ResultThis new intervention resulted in an average increase in immediate postpartum long-acting reversible contraceptive methods use from 6.9% to 25.4% by the end of the project intervention. The major barriers to low long-acting reversible contraceptive use were lack of attention from hospital administrative staff and quality improvement teams on the provision of long-acting reversible contraceptives, lack of training of healthcare providers on postpartum contraception and unavailability of contraception commodities at each postpartum service delivery points.Conclusion and recommendationsThe immediate postpartum long-acting reversible contraceptive use at Jimma Medical Centre was increased by training of healthcare providers, availing contraception commodities through administrative staff involvement, weekly audit and feedback on contraception use. Thus, training of the newly hired healthcare providers on postpartum contraception, involvement of hospital administrative staff, regular audits and feedback on contraception use is necessary to increase postpartum long-acting reversible contraception uptake.
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Dembélé, Dr Sitapha, Albachar Hamidou, Cheickna Sylla, Hamady Sissoko, Seydou Z. Dao, Alou Samaké, Saleck Doumbia, Arouna Dembélé, and Sanogo Siaka Amara. "Knowledge, Attitudes and Practices of Adolescent Girls on Contraception in Schools in Commune V of the District of Bamako." Scholars Journal of Medical Case Reports 11, no. 02 (February 15, 2023): 157–65. http://dx.doi.org/10.36347/sjmcr.2023.v11i02.016.
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Introduction: In Mali, adolescent girls aged 15 to 19 contribute nearly 14% total fertility carried health risks for the mother and the fetus during pregnancy and childbirth. Purpose: To study knowledge attitudes and practices among adolescents relating to contraception in school in Commune V of the District of Bamako. Material and Methods: This was a cross-sectional study with an evaluative and descriptive aim on knowledge attitudes and practices among adolescents relating to contraception in school in Commune V of the District of Bamako. Results: In our study, 87% of adolescents knew about contraception and 29% usued to contraceptive method. The 16-17 age group represented 74%. 36.33% of adolescents girls had already had sexual intercourse. The most usued contraceptive method was the condom with 24. 34%. The use of contraception in school was influenced by sci o-cultural, religious weigtht and ignorance (lack of sex education). Conclusion: Knowledge of contraception does not equate to its pratical use among adolescents. The majority of teenage girls said they knew about contraception, of which only a Fès of them used a contraceptive.
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Adiba Akhtar Khalil, Munawar Jannat Rana, Umbreen Akram, Sumaira Khan, Joodi Kizilwarda Akhtar, and Shahzadi Neelam. "Decline in contraceptive use- is the health care provider to blame, too?" Professional Medical Journal 30, no. 06 (May 31, 2023): 741–46. http://dx.doi.org/10.29309/tpmj/2023.30.06.7410.
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Objective: To assess what impact does primary physician counseling have on contraceptive uptake. Study Design: Cross-sectional Comparative study. Setting: Study was done in three semi – government hospitals in three different cities. Period: April 2022 to May 2022. Material & Methods: Patients in outpatient clinics of the hospitals were given a questionnaire by simple random sampling. It was to assess women for their current use of contraception based on the source of their information about contraception. These groups were compared with each other for their contraception uptake. Associations between education, parity, working status and contraception use was also sought. The sample size was 175 women. Results: Out of 175 participants, 74 (42.3%) were practicing contraception at the time and 53 (30.3%) did not know about contraception. Reasons for not using contraception included side effects 71 (40.6%), Doctor never told them 56 (32%) and husband not willing 50 (28.6%). More women were of parity 4 or less (58 vs 34) and more working women used contraception (16 vs 6). The difference was not statistically significant. Illiterate women used contraceptives less. With education, there was significantly more use (38 vs 10) p < 0.001. Most Women knew about contraception from neighbor/ relatives 57 (32.5%) and 41 (23.4%) did not practice any method. A doctor/health professional was the source in 37 (21.2%), only 12 (6.9%) did not adopt contraception with p = 0.003. There was a strong statistical significance. Conclusion: There was a strong association between the physician counseling and contraceptive use. There is a strong need of regular, persistent contraceptive advice during each antenatal visit to individualize a contraception plan to suit a couple.