Abstract
Objective
This study aims to determine the rates of contraceptive discontinuation and usage failure and to examine their relation with termination of pregnancy.
Materials and methods
This is a descriptive (cross-sectional) type of study. The study population was chosen among women treated at a state hospital in Karaman City, located in the southern part of Turkey. A total of 695 women were interviewed for the present study. Data were collected using a face-to-face interview technique with the questionnaire developed by the researchers. Chi-square test was applied as the significance test.
Results
While 44.3% and 23.7% of the women used medical and traditional methods of contraception, respectively, 32.0% did not use any method at all. Sixty percentage of the unintended pregnancies were terminated. Unintended pregnancy rate due to use of the withdrawal method was significantly high (p < 0.000). For the reasons of women’s discontinuation of family planning methods, it was observed that both usage failure and unintended pregnancy were among the top reasons for the discontinuation of medical methods; discontinuation of the withdrawal method was due to unintended pregnancies.
Conclusions
Withdrawal users have the highest unintended pregnancy rates. Most of these unintended/unplanned pregnancies are terminated. To increase the rate of use of medical contraceptive methods, users should be provided with adequate and high-quality consultancy services and evaluation of the applicant should be in accordance with the WHO criteria.
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References
T.R. Ministry of Health (2000) General Directorate of Mother and Child Health/Family Planning, National Family Planning Services Guide Book, vol I–II, Damla Printing, Ankara
World Health Organization, Department of reproductive health and research (2003) Unsafe abortion: global and regional estimates of incidence of unsafe abortion and associated mortality, 5th edn. WHO Library Cataloguing-in-Publication Data Geneva, Switzerland
World Health Organization (2007) Department of reproductive health and research facts on induced abortion worldwide
Bahadur A, Mittal S, Sharma JB, Sehgal R (2008) Socio-demographic profile of women undergoing abortion in a tertiary centre. Arch Gynecol Obstet 278(4):329–332
Ersin F, Gözükara F, Şimşek Z, Kayahan M, Kurçer MA (2003) Situations of married women usage family planning methods and reason for discontinuation. Turk J Res Dev Nurs 5(1):30–37
Şahin NH, Bulduk SB (2004) Eligibility criteria for contraceptive methods of the WHO. Düzce Medical Faculty Journal of Abant İzzet Baysal University, vol 1. pp 37–41
Hacettepe University Institute of Population Studies (2009) Turkey Demographic and Health Survey, 2008. Hacettepe University Institute of Population Studies, Ministry of Health General Directorate of Mother and Child Health and Family Planning, T.R. Prime Ministry Undersecretary of State Planning Organization and TÜBİTAK, Ankara, Turkey
Family Planning Association of Turkey (1995) Family planning and Islam, 3rd edn. Ankara, p 56–57
Ergöçmen BA, Yiğit E, Tunçkanat FH, “Family planning” Hacettepe University Institute of Population Studies (2009) Turkey Demographic and Health Survey, 2008. Hacettepe University Institute of Population Studies, Ministry of Health General Directorate of Mother and Child Health and Family Planning, T.R. Prime Ministry Undersecretary of State Planning Organization and TÜBİTAK, Ankara, pp 75–93
Medical Eligibility Criteria For Contraceptive Use (2008) Third edition World Health Organization. Department of Reproductive Health and Research, p 176
Yanikkerem E, Acar H, Elem E (2006) Withdrawal users’ perceptions of and experience with contraceptive methods in Manisa Turkey. Midwifery 22(3):274–284
Ortayli N, Bulut A, Ozugurlu M, Cokar M (2005) Why withdrawal? Why not withdrawal? Men’s perspectives. Reprod Health Matters 13(25):164–173
Koyuncuer A (2004) Contraception and situation in Turkey. STED 13(12):455–459
Adegbola O, Okunowo A (2009) Intended postpartum contraceptive use among pregnant and puerperal women at a university teaching hospital. Arch Gynecol Obstet 280(6):987–992
Aksu H, Küçük M, Karaöz B, Unay V (2009) Knowledge, practices, and barriers concerning the use of emergency contraception among women of reproductive age at a university hospital of Aydin, Turkey. Arch Gynecol Obstet. doi:10.1007/s00404-009-1267-x
Allen RH, Goldberg AB (2007) Emergency contraception: a clinical review. Clin Obstet Gynecol 50(4):927–936
Westhoff C (2003) Emergency contraception. N Engl J Med 349:1830–1835
Adeyemi AS, Adekanle DA, Komolafe JO (2008) Pattern of contraceptives choice among the married women attending the family planning clinic of a tertiary health institution. Niger J Med 17(1):67–70
Bibi S, Memon A, Memon Z, Bibi M (2008) Contraceptive knowledge and practices in two districts of Sindh, Pakistan: a hospital based study. J Pak Med Assoc 58(5):254–258
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The authors declare that they have no conflict of interest. They also indicate that they had no financial relationship with the organization that sponsored the research.
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Bal, M.D., Şahin, N.H. The usage and discontinuation of contraceptive methods. Arch Gynecol Obstet 284, 151–155 (2011). https://doi.org/10.1007/s00404-010-1613-z
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DOI: https://doi.org/10.1007/s00404-010-1613-z