Journal of obstetrics and women's diseasesJournal of obstetrics and women's diseases1684-04611683-9366Eco-Vector10082510.17816/JOWD100825Conference Report, Theses of ReportThe possibilities of improvement of post-partum contraceptionChardikovA. V.info@eco-vector.comGazazyanM. G.info@eco-vector.comKenyaA. N.info@eco-vector.comKursk State Medical University15121999485S51511502202215022022Copyright © 1999, Eсо-Vector1999<p><strong>Objective: </strong>Our purpose was to improve the system of post-partum contraception in agricultural regions.</p>post-partum contraceptionagricultural regionsCentral Russia<p><strong>Objective: </strong>Our purpose was to improve the system of post-partum contraception in agricultural regions.</p>
<p><strong>Methods: </strong>Individual work on choice of a post-partum contraceptive method had been conducted during the pregnancy and after delivery among 250 women, residents of typical agricultural region of Central Russia.</p>
<p><strong>Results</strong>: After delivery 7,5% of patients used surgical sterilization, 20,8% - intrauterine devices (IUD); 2,5% - hormone contraceptives, 54% - other contraceptive methods and 9,2% of parturient reject any contraceptives.</p>
<p>Surgical sterilization was carried out on 1-4 days after vaginal delivery via mini laparotomy under intravenous anesthesia without any immediate and remote complications. Insertion of IUDs was performed on 5-7 days after delivery in absence of clinical, bacteriological, ultrasound and histological (in placenta) features of inflammatory pelvic diseases. Medical complications during I year after inserting IUD were registered in 3,6% of cases (2,4%) - inflammatory pelvic processes; 1,2% - menometrorrhagia. Progestogens (pills and injectables) were used as hormone contraceptives. Patients begun its use in 1 month after delivery. The related medical complications were metrorrhagia with the rate 2,9%. Developed system of post-partum contraception resulted in 4,5% reducing of frequency of unplanned pregnancy during the 1<sup>st</sup>year after delivery.</p>
<p><strong>Conclusion: </strong>The developed system of post-partum contraception permits to reduce the frequency of unplanned pregnancy during the 1<sup>st</sup>year after delivery. However, the significant quantity of women, residents of agricultural regions are not ready yet to use modern contraceptive technologies (especially sterilization and hormones) in post-partum period and adopted other contraceptive measures or use no contraception at all, what led to high level of artificial abortions.</p>