Correction of female contraceptive behavior and its role in preventing undesired pregnancy

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Abstract


Aim. Finding approaches for the correction of female contraceptive behavior and assessment of its role in the prevention of undesired pregnancy.

Methods. In three city women's consultation clinics of Baku and adjacent schools and kindergartens a survey of women was conducted. International Women’s Health Questionnaire was used. The response comprised 1577 (39.4±0.8%) questionnaires. Outreach program for women on the issues of contraception was provided. It had lasted for 23-27 months. At the end, necessary data were obtained from 946 women.

Results. At the beginning of program, 48.1±1.6% of women used no contraception, only 11.8±1.0% of women constantly used it. As a result, among 4427 pregnancies the number of undesired pregnancies totaled 2092, 1901 of them resulted in abortion. As a result of organizational and informational outreach, the number of women not using contraception decreased to 15.5±1.2% (p <0.001), and the number of women using contraception on a permanent basis increased to 50.2±1.6% (p <0.001). Achievement of such positive results was facilitated by the fact that during 23-27 months the number of women using contraception on a permanent basis has significantly increased. Therefore, contraception plays a vital role in effective family planning, and, when used correctly and consistently, it prevents undesired pregnancies and related to them abortions. However, lack of awareness of the issues of contraception is the main reason for low level of using contraception. As a result, prevalence of undesired pregnancies per 1 woman during 23-27 months decreased from 2.16 to 0.19 cases (p <0.001).

Conclusion. Available outreach and regular contacts with women for a fixed period increased their demand of contraception, which significantly reduced the risk of undesired pregnancy and related to it rate of abortions.


K G Gabibova

Author for correspondence.
nauchnayastatya@yandex.ru
Azerbaijan Medical University Baku, Azerbaijan

  • Shuvalova M.P., Volgina V.F., Protopopova T.A. et al. Comparative analysis of abortions in the Russian Federation and the regions. Akusherstvo i gynaecology. 2011; (4): 85–88. (In Russ.)
  • Prilepskaya V.N. Evolution of contraception and reproductive health (presentation of a clinical lecture). Ginekologiya. 2014; (1): 7–11. (In Russ.)
  • Sitruk-Ware R., Nath A., Mis Hell D.R. Contraception technology: past, present and future. Contraception. 2013; 87 (3): 319–330. doi: 10.1016/j.contraception.2012.08.002.
  • Gallo M.F., Lopez L.M., Grimes D.A. et al. Combination contraceptives: effects on weight. Cochrane. Database Syst. Rev. 2014; (1): CD003987. doi: 10.1002/14651858.CD003987.pub5.
  • Dikke G.B. Prevention of repeat unwanted pregnancy, choice of a contraceptive method. Akusherstvo i ginekologiya. 2014; (4): 81–87. (In Russ.)
  • Erofeeva L.V. Prevention of unplanned pregnancy in young people. Akusherstvo i ginekologiya. 2014; (5): 68–73.
  • Moreau C., Trussell J., Desfreres J., Bajos N. Patterns of contraceptive use before and after abortion: results from a nationally representative survey of women undergoing an abortion in France. Contraception. 2010; 82 (4): 337–344. doi: 10.1016/j.contraception.2010.03.011.
  • Safe abortion: technical and policy guidance for health systems. 2nd ed. Geneva: World Health Organization. 2012. http://www.biomedsearch.com/article/Safe-abortion-technical-policy-guidance/
  • html (access date: 02.07.2017).
  • Dikke G.B., Erofeeva L.V. Contraception in Russia today: use and awareness (population study). Akusherstvo i ginekologiya. 2016; (2): 108–113. (In Russ.)
  • Tikhomirov A.A., Manukhin I.B., Gevorkyan M.A. et al. New approach to the selection of hormonal contraception via a compilation of existing drugs. Akusherstvo i ginekologiya. 2017; (2): 113–118. (In Russ.)
  • Schindler A.E. Non-contraceptive benefits of oral hormonal contraceptives. Int. J. Endocrinol. Metab. 2013; 11 (1): 41–47. doi: 10.5812/ijem.4158.
  • WHO. Medical eligibility criteria for contraceptive use. 5th ed. 2015. 267 p.
  • Hunter M.S. The Women's Health Questionaire (WHO): development standartizion and application of a measure of women's erpotional physical health. Quality of Life Res. 2000; 9: 733–738. doi: 10.1023/A:1008973822876.
  • Glants S. Mediko-biologicheskaya statistika. (Medical and biological statistics.) Moscow: Praktika. 1999; 459 p. (In Russ.)

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