Principles of contraception

2020 ◽  
pp. 1626-1634
Author(s):  
Zara Haider
Keyword(s):  
Sex Education ◽  
Potential Risk ◽  
Contraceptive Method ◽  
Intrauterine Device ◽  
Unprotected Sex ◽  
Online Resources ◽  
Contraceptive Methods ◽  
Duration Of Action ◽  
The Public

There are many contraceptive methods available (increasing year on year) which can be classified as: hormonal and non-hormonal, longer lasting, and those with a shorter duration of action, reversible and irreversible. No contraceptive method is 100% effective (apart from abstinence) and where there is potential risk of conception due to unprotected sex or an error with a contraceptive regimen, the patient must be informed about methods of emergency (post-coital) contraception, the most effective being the post-coital intrauterine device (PCIUD). Education of the public about the benefits of contraception is vital and must be done in a timely way (e.g. through school sex education, media, and online resources).

scholarly journals ‘Every medicine is part poison’: a qualitative inquiry into the perceptions and experiences of choosing contraceptive methods of migrant Chinese women living in Australia

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hankiz Dolan ◽  
Mu Li ◽  
Deborah Bateson ◽  
Rachel Thompson ◽  
Chun Wah Michael Tam ◽  
...  
Keyword(s):  
Decision Making ◽  
Contraceptive Method ◽  
Intrauterine Device ◽  
Qualitative Inquiry ◽  
Medical Advice ◽  
The Body ◽  
Hormonal Contraceptives ◽  
Contraceptive Methods ◽  
Structured Interviews ◽  
Women’S Perceptions

Abstract Background In Australia, ethnic Chinese people are one of the largest, youngest and fastest growing overseas-born groups. Yet, little is known about their perceptions of contraceptive methods and their experiences with choosing one. Decisions about contraceptive methods are preference sensitive. Understanding the influencing factors of Chinese migrant women’s contraceptive method choice and practices will help cater to their decision-making needs in a culturally sensitive and responsive way. Methods A qualitative study design underpinned by critical realism approach was used to explore Chinese migrant women’s perceptions and experiences of choosing contraceptive methods. Semi-structured interviews were conducted with 22 women who self-identified as being ethnically Chinese and had been living in Australia for no more than 10 years. The interview guide was adapted from the Ottawa Decision Support Framework. Majority of the interviews were conducted in Mandarin Chinese. Transcribed data was analysed using thematic analysis method. Results Four major themes were identified, including: ‘every medicine is part poison: hormonal contraceptives cause harm to the body’; ‘intrauterine device, a device used in the past for married women’; ‘it takes two (or one) to decide, depending on the relationship dynamics and contraception preferences’; and ‘it is not necessary to seek medical advice in choosing contraceptive methods’. Conclusions Our findings suggest that Chinese migrant women’s perceptions and experiences of choosing contraceptive methods are influenced by complex personal, cultural, societal and inter-relational factors. Chinese migrant women were cautious of using hormonal methods due to fears of side-effects, including reduced or absent menstrual bleeding. Women were also reluctant to consider intrauterine devices as options due to associating them with past experiences of other women and themselves and also fears of potential complications. There was a reluctant attitude towards seeking medical advice regarding contraception due to beliefs that needing to use contraception is not an illness requiring treatment. Such findings are likely to be useful in increasing healthcare professionals’ and policy makers’ understanding of Chinese migrant women’s contraceptive method preferences, beliefs and behaviours. They also help to develop culturally and linguistically sensitive strategies, which goes beyond the provision of contraceptive counselling, in assisting Chinese migrant women’s decision-making needs.

scholarly journals Kontrasepsi Darurat dan Permasalahannya

2021 ◽  
Vol 3 (1) ◽  
pp. 94
Author(s):  
Erna Suparman
Keyword(s):  
Emergency Contraception ◽  
Intrauterine Device ◽  
Unwanted Pregnancy ◽  
Unprotected Sex ◽  
Contraceptive Methods ◽  
Emergency Contraceptive Pills ◽  
Emergency Contraceptive Pill ◽  
Contraceptive Pills ◽  
Emergency Contraceptive ◽  
Copper Intrauterine Device

Abstract: Emergency contraception is a contraceptive method that can prevent pregnancy if used immediately following unprotected sex. The use of emergency contraception could reduce the rate of unwanted pregnancy by up to 50%. There are two emergency contraceptive methods, including the emergency contraceptive pill and copper intrauterine device (IUD). Emergency contraceptive pills should be taken immediately following unprotected sex and are most effective when taken within 24 hours. IUD as an emergency contraceptive can be applied five days after unprotected sex, and it does not cause abortion. There is no absolute contraindication for emergency contraception except for known pregnancy, and simply because it is ineffective. The efficacy of emergency contraception can be defined by the proportion of women who become pregnant after using this method and the total pregnancy observed after using the method divided by the estimated number of pregnancies that would occur without using the method.Keywords: emergency contraception; sexual intercourse; pregnancy  Abstrak: Kontrasepsi darurat dapat mencegah kehamilan bila digunakan segera setelah senggama. Penggunaan kontrasepsi darurat dapat menurunkan angka kehamilan yang tidak diinginkan hingga 50%. Terdapat dua metode kontrasepsi darurat, yaitu pil kontrasepsi darurat dan alat kontrasepsi dalam rahim (AKDR) yang menggunakan tembaga. Pil kontrasepsi darurat harus diberikan sesegera mungkin setelah senggama tidak terlindungi, dan paling efektif bila diberikan dalam waktu 24 jam. AKDR sebagai kontrasepsi darurat dapat dipasang hingga lima hari pasca senggama tidak terlindungi. Kontrasepsi darurat terutama bekerja dengan mencegah fertilisasi, dan tidak menggugurkan kehamilan. Tidak ada kontraindikasi absolut untuk penggunaan kontrasepsi darurat kecuali kehamilan yang diketahui, dan ini hanya karena tidak efektif. Efektivitas kontrasepsi darurat dapat didefinisikan dari proporsi wanita menjadi hamil setelah menggunakan metode ini, dan jumlah kehamilan yang diamati setelah penggunaan dibagi dengan perkiraan jumlah kehamilan yang akan terjadi tanpa penggunaan.Kata kunci: kontrasepsi darurat; senggama; kehamilan

scholarly journals Experiences, Preferences, and Needs of Adolescents and Urban Youth in Contraceptive Use in Conakry, 2019, Guinea

2021 ◽  
Vol 2 ◽  
Author(s):  
Charlotte Bangoura ◽  
Nafissatou Dioubaté ◽  
Hawa Manet ◽  
Bienvenu Salim Camara ◽  
Mariama Kouyaté ◽  
...  
Keyword(s):  
Side Effects ◽  
Young People ◽  
Service Delivery ◽  
Sex Education ◽  
Sexual Pleasure ◽  
Religious Leaders ◽  
Contraceptive Methods ◽  
Duration Of Action ◽  
Proven Efficacy ◽  
The Cost

Introduction: The use of contraceptive methods is very low in Guinea, particularly among adolescents and young people. The purpose of this study is to analyze the experiences and expectations of adolescents and young people regarding the use of contraceptive methods in 2019 in Conakry, Guinea.Methods: We conducted a 6-month qualitative and descriptive study. Data were collected through individual in-depth interviews and focus group discussions with adolescents and young people, health providers and health policy makers. Two approaches of deductive and inductive analysis were used to synthesize the main insights from the data.Findings: Twenty-six participants were included in this study. Adolescents and young people have personal, family and community experiences that positively or negatively influence their contraceptive needs and preferences. Positive experiences include the relative cost of injectable forms, perceived absence of side effects of implants, proven efficacy and duration of action of the modern method used (implants and injectable form). Negative experiences included cost of implants remain high (15 Euros), perceived side effects including weight gain, pill compliance, method indiscretion, and low sensation of sexual pleasure for the condom. The preferences of the young participants were dominated by Implants and injectable forms that better meet their contraceptive needs. In terms of needs, the expectations expressed revolved around needs related to the health system, including sex education, reduction in the cost of some contraceptives (implants), availability of contraceptive methods, and equity in the provision of family planning services to adolescents and young people.Conclusion: Exploring the contraceptive experiences, needs and preferences of adolescents and young people reveals decision-making dilemmas. Adolescents and young people expressed their experiences in terms of the cost of preferred contraceptives (implants), side effects, proven efficacy, and duration of action. However, their decisions are still influenced by availability, equity in service delivery, and the involvement of parents and religious leaders in sex education. Decision-makers should then place particular emphasis on improving health service delivery, adolescent sexual and reproductive health, availability of preferred contraceptive methods at affordable cost, and a program on sexuality education with the involvement of parents and religious leaders and the promotion of condom use.

scholarly journals Contraceptıve use in perımenopausal women

2020 ◽  
Vol 17 (2) ◽  
pp. 548-557
Author(s):  
Belma Toptaş ◽  
Hilmiye Aksu
Keyword(s):  
Contraceptive Method ◽  
Contraceptive Use ◽  
Intrauterine Device ◽  
Cross Sectional Study ◽  
English Summary ◽  
Modern Contraceptive ◽  
Contraceptive Methods ◽  
Chi Square ◽  
Cross Sectional ◽  
Perimenopausal Women

The aim of this study was to determine contraceptive method use in perimenopausal women. This cross-sectional study was carried out in XXXXXXXXXXX Hospital between 6 June and 7 September in 2016. The study sample included 243 women selected through random sampling, a non-probability sampling. Data were collected with a questionnaire created by the researchers in light of the literature. The analysis of the data obtained from the research was carried out in the SPSS 20.0 package program. Percentage ratios, arithmetic mean and standard deviation, chi square test have been used in analysis of data. The mean age of the women was 47.7±3.4 years. At the time of the study, 77.4% of the women were using a contraceptive method, but 22.6% of the women were not using any contraceptive methods. The most frequent method was intrauterine device at the rate of 25.1%. Twenty-three-point nine percent of the women had tubal ligation and 14.8% of the women were using withdrawal. Formerly, the most frequently used modern contraceptive method had been contraceptive pills at the rate of 53.8%. The second most frequent former method had been male condom at the rate of 46.5% and the third most frequent former method had been copper intrauterine device at the rate of 32.9%. Nine-point nine percent of the women had not used any contraceptive methods previously. Fifty-four-point three percent of the women did not know how long they should use a contraceptive method after their periods ended due to menopause. The decreased rate of contraceptive use and not knowing how long contraceptives should be used in perimenopausal women reveal an unfulfilled need for counseling in these women. It can be recommended that perimenopausal women should be provided counseling appropriate for their age and needs. ​Extended English summary is in the end of Full Text PDF (TURKISH) file.   Özet Bu araştırmanın amacı perimenopozal dönemdeki kadınların kontraseptif yöntem kullanım durumlarını belirlemektir. Kesitsel tipteki bu çalışma XXXXXXXXXXX Hastanesi’nde 06/06/2016 ile 07/09/2016 tarihleri arasında yapılmıştır. Araştırmanın örneklemini 243 kadın oluşturmuş ve örnekleme alınacak kadınları belirlemede olasılıksız örnekleme yöntemlerinden gelişigüzel örnekleme yöntemi seçilmiştir. Araştırma verileri, araştırmacılar tarafından literatüre uygun elde edilen soru formu ile toplanmıştır. Verilerin analizi SPSS 20,0 paket programında gerçekleştirilmiştir. Verilerin analizinde, yüzdelik oranlar, aritmetik ortalama, standart sapma, ve Ki kare testi kullanılmıştır. Kadınların yaş ortalamaları 47,7±3,4’dir.  Kadınların %77,4’ü halen gebelikten korunmak için bir yöntem kullanırken %22,6’sı hiçbir yöntem kullanmamaktadır. Şuanda kullanılan kontraseptif yöntemin en yüksek oranda (%25,1) rahim içi araç (RİA) olduğu belirlenmiştir. Kadınlar %23,9 oranında tüp ligasyon ve %14,8 oranında ise geri çekme yöntemi ile gebelikten korunmaktadırlar. Araştırmaya katılan kadınların yarıdan fazlası (%53,8) geçmişte gebelikten korunmak için modern yöntem olarak hap kullanmıştır. Erkek kondomu %46,5 oranı ile ikinci sırada yer alırken, %32,9 oranı ile bakırlı RİA üçüncü sırada kullanılmıştır. Yöntem kullanmayan kadın oranı ise %9,9’dur. Kadınların %54,3’ü menopoz nedeni ile adetten kesildikten sonra ne kadar süre daha gebelikten korunmaları gerektiğini bilmemektedir. Perimenopozal dönemde yöntem kullanımının azalması ve bu dönemde ne kadar süre gebelikten korunması gerektiğinin bilinmemesi kadınların karşılanamayan danışmanlık gereksinimlerinin olduğunu ortaya koymaktadır. Bu danışmanlığın kadının yaşına ve ihtiyacına uygun verilmesi önerilebilir.

CONTRACEPTION IN DIABETIC PATIENTS

1974 ◽  
Vol 77 (3_Suppl) ◽  
pp. S87-S94 ◽  
Author(s):  
J. Wiese ◽  
M. Osler
Keyword(s):  
Side Effects ◽  
Contraceptive Method ◽  
Low Dose ◽  
Unplanned Pregnancy ◽  
Intrauterine Device ◽  
Diabetic Patients ◽  
Intrauterine Contraception ◽  
Unwanted Pregnancies ◽  
Unreliable Method ◽  
Retrospective Investigation

ABSTRACT A retrospective investigation was made of contraception in diabetic women delivered in our department in 1969 and 1970. Seventy-nine (69 per cent) answered the questionnaires. About one third had found the contraceptive instruction insufficient. A shift from conventional to intrauterine contraception and sterilization was seen, but nearly 25% of the patients were still using conventional methods, mainly the condom. The patients consider this an unreliable method. Thirty-three patients were using intrauterine contraception. Although 10 of them had bleeding irregularities, all were satisfied with the method. Sterilization had been performed on 17 patients, all of whom were fully satisfied and had experienced no side effects. Four of 11 insulin-requiring diabetics, who have used combined oestrogen-progesterone medication have had difficulties in the regulation of the diabetes. Of 24 unwanted pregnancies 12 occurred since the hospitalization in 1969 and 1970. In diabetic women the contraceptive method should either be sterilization, intrauterine device or low dose progestagens, and only in a few cases conventional. A thorough contraceptive instruction as well as a close control of the diabetic women are of importance in order to avoid unplanned pregnancy. The best way to achieve this is by having an out-patient clinic in connection with the obstetrical department to supervise contraception in all diabetic women in the area.

Analysis of Korean adolescents' sexual experience and substance use

2017 ◽  
Vol 45 (5) ◽  
pp. 809-817
Author(s):  
Gyu-Young Lee ◽  
Yun-Jung Choi
Keyword(s):  
Alcohol Consumption ◽  
Sex Education ◽  
Online Survey ◽  
Illicit Drugs ◽  
Sexual Experience ◽  
National Policy ◽  
Unprotected Sex ◽  
Sexual Experiences ◽  
Chi Square ◽  
Korean Adolescents

We investigated the relationship between Korean adolescents' sexual experience—including, kissing, petting, and sexual intercourse—and their alcohol consumption and use of illegal drugs and tobacco. We analyzed data taken from the responses of 74,186 adolescents who had participated in the 2012 Korean Youth Health Behavior Online Survey. Variables regarding sexual experiences, experience of contraception, and substance and alcohol use were extracted and analyzed using descriptive statistics, chi-square tests, and logistic regression. The results showed that fewer than 30% of the respondents reported always using contraception, and almost half reported rarely using contraception. The number of boys and girls reporting having had sexual experiences increased from 2 to 4 times when they also reported use of illicit drugs, smoking tobacco, or alcohol consumption. The results highlight a need for school-based sex education supported by a national policy and the provision of basic resources to reduce the incidence of unprotected sex and to improve healthy behavior of adolescents.

scholarly journals Predictors of contraceptive method discontinuation among adolescent and young women in three West African countries (Burkina Faso, Mali, and Niger)

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Adja Mariam Ouédraogo ◽  
Adama Baguiya ◽  
Rachidatou Compaoré ◽  
Kadari Cissé ◽  
Désiré Lucien Dahourou ◽  
...  
Keyword(s):  
Marital Status ◽  
Burkina Faso ◽  
Young Women ◽  
Contraceptive Method ◽  
Occupation Number ◽  
Education Level ◽  
Demographic And Health Surveys ◽  
Contraceptive Methods ◽  
Unintended Pregnancies ◽  
Contraceptive Discontinuation

Abstract Background The effective use of contraception among adolescents and young women can reduce the risk of unintended pregnancies. However, the prevalence of contraceptive use remains low in this age group. The objective of this study was to estimate the rate of contraceptive method discontinuation among adolescents and young women and to identify its associated factors in Burkina Faso, Mali, and Niger. Method This was a secondary analysis of data from Demographic and Health Surveys of Burkina Faso (2010), Mali (2012–2013), and Niger (2012). The dependent variable was the time to discontinuation of contraceptive methods. Independent variables were represented by sociodemographic, socioeconomic, and cultural characteristics. Mixed-effects survival analysis with proportional hazards was used to identify the predictors. Results A total of 2,264 adolescents and young women aged 15 to 24 years were included in this analysis, comprising 1,100 in Burkina Faso, 491 in Mali, and 673 in Niger. Over the last five years, the overall contraceptive discontinuation rate was 68.7% (50.1% in Burkina Faso, 59.6% in Mali, and 96.8% in Niger). At the individual level, in Burkina Faso, occupation (aHR = 0.33), number of living children (aHR = 2.17), marital status (aHR = 2.93), and region (aHR = 0.54) were associated with contraceptive discontinuation. Except for education and marital status, we found the same factors in Mali. In Niger, a women's education level (aHR = 1.47) and her partner (aHR = 0.52) were associated with discontinuation. At the community level, the region of origin was associated with discontinuation of contraceptive methods. Conclusion Most adolescents and young women experienced at least one episode of discontinuation. Discontinuation of contraceptive methods is associated with the level of education, occupation, number of children, marital status, and desire for children with the spouse. Promotion of contraceptive interventions should target adolescents, young women, and their partners, as well as those with a low education level or in a union.

scholarly journals Sexting and risky sexual behaviours among undergraduate students in Botswana: An exploratory study

2017 ◽  
Vol 11 (2) ◽  
Author(s):  
Obakeng L. Makgale ◽  
Ilse Elisabeth Plattner
Keyword(s):  
Sex Education ◽  
Undergraduate Students ◽  
Exploratory Study ◽  
Unprotected Sex ◽  
Public Health Care ◽  
African Countries ◽  
Alcohol And Drugs ◽  
Sexual Behaviours ◽  
Number Of Sexual Partners ◽  
Risky Sexual Behaviours

Little is known about sexting behaviours among young people living in African countries. This exploratory study investigated sexting behaviours among undergraduate students in Botswana (N = 309, 64.5% female; mean age = 20.3 years). Most participants (84.8%) had received sexts and many (61.8%) had sent sexts at least once in their lifetime. Reasons for sending sexts were to flirt (42.9%), to have fun (24.6%), and/or to initiate sexual activity (17.8%). Only 36.7% of the participants were worried about their sexts being forwarded to others, and 30.2% had forwarded sexts to others. Being sexually active (OR = 4.52), drinking alcohol (OR = 2.52), and having a mother with tertiary level education (OR = 0.40) emerged as significant predictors of sending sexts. Among participants who had sexual intercourse at least once in their lifetime (N = 164), an increase in the frequency of sexting was associated with an increase in the number of sexual partners and with sex under the influence of alcohol and drugs. However, sexting behaviours were not associated with unprotected sex. The results are compared with findings from Western countries and discussed with regard to public health care and safe sex education in Botswana.

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