Different Types Of Contraceptives Research Articles

Association Between Hormonal Contraceptives and Cervical Neoplasia in Local Population of Khyber Pakhtunkhwa

Background: Hormonal contraception and the risk of developing cervical cancer is a contentious topic. These debates may reduce the popularity of hormonal birth control. Objectives: The goal of this study is to assess the prevalence of Cervical Smear abnormalities among Peshawar's multiethnic population in relation to the usage of hormonal contraceptives. Methods: This was a Case Control Study conducted on the females visiting DHQ Teaching Hospital Swabi, RHSC (A) KTH, HMC, LRH and FWC’s in district Peshawar who were persistent long-term users for more than 5 years of any type of hormonal contraception. The study was conducted during the period from 1st August, 2021 to 30th January, 2022. We made two groups, one who had never used any method of contraception and the other persistent users of hormonal contraception. After approval from ethical committee and an informed consent of the client, enrollment in the study was made. Results: A total of 300 patients were included in this study. 150 were cases whereas 150 were controls. Mean and SDs For Age 30+4.6 28+4.92. In the hormonal group, for type of contraceptives used, 98 (65.33%) patients used injectable, 40 (26.66%) patients used OCP whereas 12 (8%) patients used implants. As per frequencies and percentages for duration of use of contraceptives in the hormonal group, 120 (80%) were using different types of contraceptives for less than or equal to seven years whereas 30 (20%) were found using contraceptives for more than seven years As per frequencies and percentages for smear results in both groups, only 3 (2%) patients were found having atypical smear results who using injectable contraceptives for more than seven years however in the control group only 02 (1.33%) patient were having atypical smear results. Conclusion: Our research did not identify any correlation between using birth control and having an abnormal Pap smear. Additional prospective research is needed. Keywords: Pap smear, Abnormal, and Oral Contraceptive Pill (OCP).

Annals for Educators - September 2022

Annals for Educators - September 2022

Examining access to sexual and reproductive health services and information for young women with disabilities in Senegal: a qualitative study

This qualitative research aimed to examine Senegalese disabled women’s access to sexual and reproductive health (SRH) services and information. Poor access to SRH services and information can lead to a range of negative consequences, including poor sexual, reproductive, and maternal health outcomes; rights violations; and impacts on mental health and livelihoods. Disabled women, who are marginalised and stigmatised both by their gender and their disability, may face significant barriers in access, but a full understanding of this access is lacking due to a dearth of research on this population. We used a snowball sampling method to identify 31 women with physical motor disabilities in the Dakar region, and we interviewed them from October to December 2019 using a semi-structured questionnaire. We analysed interviews using thematic analysis, which we complemented with frequency calculations and graphs where appropriate. Respondents reported having difficulties accessing SRH services and information because of structural inaccessibility within health care establishments, financial limitations, inaccessible transportation and far-away health establishments, long wait times in health care establishments, and prejudices and discrimination from health providers. Women had low knowledge of STIs, but were generally well-informed on different types of contraception, felt that accessing SRH information is easier than accessing services, and wished to see improvements in the Senegalese health care system specifically geared towards people with disabilities. Evidence from this research can inform policy and programmatic efforts to improve disabled women’s access to SRH services and information.

Worldwide contraception

The latest statistics concerning contraceptive use in the world have been published in 2019 by the United Nations. Among the 1.9 billion of women of reproductive age (15-49 years), 1.1 billion have a need for family planning. Among them, 190 millions are not using any contraception, although they wanted to avoid a pregnancy. There is a significant discrepancy among continents concerning the percentage of contraceptive use and the distribution of the different types of contraception. Female sterilization is the most widespread method of contraception since it represents 24% of all contraception methods used. Male condoms is used by 21% of couples. Thus, progress is still needed to disseminate effective, well tolerated and potentially reversible methods of contraception. Education of females, couples, medical and paramedical staff is one of the priority targets to improve contraception throughout the world.

Different Types of Contraceptives Uses Among Women in Bangladesh: A Systematic Review and Meta-Analyses

Different Types of Contraceptives Uses Among Women in Bangladesh: A Systematic Review and Meta-Analyses

An Application of the Simple Additive Weighting Method in Recommendations for Contraception Tools (Case Study of BKKBN)

This study aims to create an application that can help provide recommendations for contraceptives that can be used based on the selected criteria and to apply the Simple Additive Weighting Method in the recommendation for contraceptives (BKKBN case study). This contraceptive recommendation application is made using the Visual Basic .Net programming language, where the application has implemented one of the Decision Support System Methods, namely Simple Additive Weighting. Contraceptives is a method used to prevent pregnancy. There are different types of contraception that can be used and each has its advantages and disadvantages. This application can help provide recommendations to users of contraceptives to choose a suitable tool for use with considerations, namely age, breastfeeding, number of children, blood pressure, body mass index. Based on the results of black box testing, the functionality of the application has been running properly and is able to display the results of contraceptive recommendations based on the SAW method process

Sexual and Reproductive Health Needs of Adolescent Secondary School Girls in Bayelsa State

Introduction- Pinpointing sexual and reproductive health needs from the students` perspective is a key step towards prevention of avoidable global adolescents` death and promotion of health. The purpose of this article was to explore the sexual and reproductive health needs of adolescent secondary school students in Bayelsa State. Method- A descriptive qualitative design was adopted for this study using the purposive sampling technique with a sample of 10 participants in one public secondary school. The Source of data was a semi-structured interview guide and a voice recorder. Data was analyzed thematically in six sequential steps. Findings- Two (2) themes, sexual and reproductive health needs of adolescents, methods of sexual health dissemination and five (5) sub-themes emerged. Conclusion- Findings indicate that the public-secondary school adolescent girls require education on; menstrual cycle, prevention of sexually transmitted infections, Human Immuno-Deficiency Virus /Acquired Immune Deficiency Syndrome, as well as on appropriate use of different types of contraceptives from established centres for sexual and reproductive health services. To ensure the public secondary school girls have access to the services and utilize the services, this study recommends the dare need to adopt different methods to disseminate sexual and reproductive health information to reach the secondary school girls to prevent avertable illnesses and deaths.

Using the Social-Ecological Model to Understand the Current Perspective of Contraceptive Use in the United States: A Narrative Literature Review

Contraceptive use is deemed one of the 10 greatest public health achievements of the 20th century because its benefits are universally acknowledged as a cornerstone for reducing global maternal morbidity and mortality. However, although the adoption of the Affordable Care Act in the United States (US) enhanced access to preventive health services, as well as increased contraceptive use, a considerable proportion of reproductive-aged women still have unmet reproductive health needs. Current data indicates gaps in contraceptive use patterns in the US, particularly among low-income women and those from racial/ethnic and gender minority subgroups, necessitating further investigation using an ecological approach. This narrative literature review aims to investigate the current perspective of contraceptive use in the US using the social-ecological model (SEM). Based on SEM levels, barriers to contraceptive use entail the following levels: individual (e.g., misbelief about the side effects of contraceptives), interpersonal (e.g., influence of family and friends), institutional (e.g., lack of training on how to use different types of contraceptives), community (e.g., societal stigma and shame), and policy (e.g., restrictive federal and states policies). Access to contraceptives for women is a system-level issue that necessitates consideration for multilevel strategies by key stakeholders to improve contraceptive uptake among vulnerable populations.

Level and determinants of contraceptive uptake among women attending facilities with abortion-related complications in East and Southern Africa.

To investigate the level and determinants of nonreceipt of contraception among women admitted to facilities with abortion-related complications in East and Southern Africa. Cross-sectional data from Kenya, Malawi, Mozambique, and Uganda collected as part of the World Health Organization (WHO) Multi-Country Survey on Abortion-related morbidity. Medical record review and the audio computer-assisted self-interviewing system were used to collect information on women's demographic and clinical characteristics and their experience of care. The percentage of women who did not receive a contraceptive was estimated and the methods of choice for different types of contraceptives were identified. Potential determinants of nonreceipt of contraception were grouped into three categories: sociodemographic, clinical, and service-related characteristics. Generalized estimating equations were used to identify the determinants of nonreceipt of a contraceptive following a hierarchical approach. A total of 1190 women with abortion-related complications were included in the analysis, of which 33.9% (n=403) did not receive a contraceptive. We found evidence that urban location of facility, no previous pregnancy, and not receiving contraceptive counselling were risk factors for nonreceipt of a contraceptive. Women from nonurban areas were less likely not to receive a contraceptive than those in urban areas (AOR 0.52; 95% CI, 0.30-0.91). Compared with women who had a previous pregnancy, women who had no previous pregnancy were 60% more likely to not receive a contraceptive (95% CI, 1.14-2.24). Women who did not receive contraceptive counselling were over four times more likely to not receive a contraceptive (AOR 4.01; 95% CI, 2.88-5.59). Many women leave postabortion care having not received contraceptive counselling and without a contraceptive method. There is a clear need to ensure all women receive high-quality contraceptive information and counselling at the facility to increase contraceptive acceptance and informed decision-making.

A cross sectional study of contraceptive use and reasons for unmet needs among mothers attending immunisation clinic at tertiary care centre of central India

Background: Unmet need of contraception remains a national problem. The study was conducted among the mothers attending immuno-prophylaxis clinic (IPC) at tertiary care centre of central India to determine the use of different types of contraception and assess the unmet need for contraception along with the reasons associated with the unmet needs of contraception. Aim and objective was to study the contraceptive use, reasons for unmet needs amongst the mothers attending IPC and some related factors.Methods: This was a cross-sectional study conducted during the period from February-April 2016 at IPC in tertiary care setting. In this study 280 mothers attending IPC for Measles and DPT 1st booster of their child were enrolled. The sample population was selected by simple random sampling method. A pre-tested structured questionnaire was used to collect data from the respondents with written informed consent.Results: This study shows that, 65% of mother told they were practicing any type of family planning method. Unmet need for contraception was 37.14 per cent. Among those having unmet need (n=104), fear of side effects (41.35%), infrequent sex (25%) were the common reasons for unmet need. Religion, age of marriage, age at 1st pregnancy, education, socioeconomic status, occupation of husband, counselling about contraceptives during ANC/PNC visits and resumption of menses were significantly associated with the use of contraceptives.Conclusions: The unmet need for contraception was quite high. Most of the study subjects were not using contraception due to fear of side effects and lack of knowledge.

Utilization of Family Planning Methods Among Postpartum Mothers in Kailali District, Nepal.

BackgroundPostpartum contraceptives use offers a distinctive opportunity to maintain appropriate birth spacing for health benefits to both mother and child. However, the concept of postpartum family planning (PPFP) is poorly understood and contraceptives use during the postpartum period remains low in Nepal. Therefore, this study aimed to assess the factors affecting the utilization of family planning (FP) methods among postpartum mothers in the Kailali district, Nepal.MethodsA community-based cross-sectional study was conducted between September and October 2013 among postpartum mothers in Kailali district. Simple random sampling was applied to select a total of 427 study participants. A pre-tested standard semi-structured questionnaire was used for gathering data. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 20.0.ResultsOverall, 32.8% of the postpartum women used different types of contraceptives. Condoms (37.1%) followed by Depo-Provera 29.3% were the most used postpartum contraceptives. Half (50%) of the postpartum women had an unmet need for family planning. Multiple logistic regression model revealed that the occupation of husband [AOR=3.2 (95% CI: 2.0–6.00], past use of family planning methods [AOR=4.0 (95% CI:2.4–6.5)] and resumption of menstruation [AOR=2.5 (95% CI:1.6–4.1)] were significantly associated with the use of modern contraceptives during the first year of the postpartum period.ConclusionContraceptive uptake within the first year of postpartum was found to be low among women in the Kailali district, Nepal. Previous experience with the use of family planning methods, occupation of the husbands, and resumption of menstruation are important factors in the PPFP decisions of women in this population. Therefore, the family planning program should work on improving couples’ knowledge of the risk of pregnancy, fertility returning time and modern contraceptives use during the postpartum period targeting women whose husbands are in migrant occupations, who are not menstruating and who have not used FP before.

Use of Different Types of Contraceptives -Drospirenone/Ethinyl Estradiol- in Prevention of Unintended Pregnancy

Contraception can reduce the risk of unintended pregnancies, but also allow preservation of fertility and optimizing health before pregnancy. In addition, hormonal contraceptives (drospirenone/ethinyl estradiol) reduce the risk of heavy menstrual bleeding, dysmenorrhea and some types of cancer. The research aimed to evaluate predictors of unintended pregnancy reporting at medical students of University of Timisoara in 2014-2015. The study population included 1,298 women of 18-25 years-old, 58.8% of them being first year medicine students, and 41.2% last year medicine students. The mean age of first year female medicine students was significantly lower than the age of the last year female medicine students, [0.001. The working method was the transverse population survey. Unintended pregnancies were reported as 4.2% for one pregnancy and 0.5% for two or more pregnancies, with no significant difference between juniors and teens. In the multivariate model, major predictors (odds ratio, OR ] 3) for unwanted pregnancies were: active sexual life (in the last 3 months, OR = 4.175), followed by contraceptive methods such as coitus interruptus (OR = 3.355), calendar method (OR = 3.235) and spermicidal substances (OR = 3.126).

Trends, patterns and determinants of long-acting reversible methods of contraception among women in sub-Saharan Africa.

BackgroundMethod-specific contraceptive prevalence varies widely globally, as huge variations exist in the use of different types of contraception, with short-term methods being the most common methods in sub-Saharan Africa (SSA). Evidence is scanty on the trends, patterns and determinants of long-acting reversible contraceptive (LARC) methods in SSA. This study aimed to address this knowledge gap.MethodsUsing a pseudo longitudinal research design and descriptive and inferential statistics, we analysed Demographic and Health Survey data of eight countries selected on the basis of contraceptive prevalence rates across SSA. Multinomial logistic regression modelling was used to tease out the predictors of the uptake of LARC methods in the selected countries.ResultsFindings exhibit a steady but slow upward trend in LARC methods across selected countries, as a marginal increase was recorded in LARC uptake over a 10-year period in many of the selected countries. Results established significant predictors of LARC methods uptake, including fertility-related characteristics, age, level of education, work status, wealth index and exposure to mass media. This study underscored the need to address various barriers to the uptake of LARC methods in SSA. It is recommended that governments at different levels undertake to cover the costs of LARC methods in order to increase access and uptake.

Integrating reproductive and child health services enables access to modern contraception in Sierra Leone.

From mid-2015, reproductive and child health interventions were integrated into a routine 6-month contact point: vitamin A supplementation, nutrition counseling with the mother's participation in the preparation of a complementary food, and confidential family planning counseling with provision of modern forms of contraceptives. By mid-2017, these services had reached 28% of health facilities nationwide. To evaluate awareness and uptake of modern contraception and complementary feeding practices. All health facilities were visited, and the health worker "in-charge" were interviewed to ascertain their training status and supply chains. Within each catchment, community mothers of children 6 to 23months of age were interviewed. Interviews were conducted with 321 "in-charges" and 670 mothers. Advantages and different types of contraception were understood by 99.0% of mothers, and 52.7% reported they were utilizing depot injections, hormonal implants, or oral contraceptive pills (45.1%, 34.6%, and 20.6% of users, respectively). Uptake was higher among Christians (62.1%) versus Muslims (48.6%) and among those with secondary/tertiary (61.5%) or primary education (60.5%) versus no education (43.3%) (P<0.005 and P<0.05, respectively). Complementary feeding practices included minimal meal diversity, 49.2% (fed three or more of six food groups), and recommended minimal meal frequency appropriate for age, 52.6%. Health workers reported frequent stockouts of vitamin A capsules (8%), male condoms (1%), oral contraceptives (10%), depot injections (20%), and hormonal implants (30%). In communities served by these integrated services, awareness and uptake of modern contraception exceeded national targets despite weak supply chains, and complementary feeding practices were favorable compared with the national survey.

ASSOCIATION OF CONTRACEPTIVE BARRIERS WITH SOCIO DEMOGRAPHIC VARIABLES

Background: In Pakistan population explosion is an important issue. Objectives of this study were to determine frequency of contraception users, frequency of different types of contraceptives used and association between contraceptive barriers and socio demographic variables. Materials &amp; Methods: This comparative cross-sectional study was conducted at Department of Community Medicine, Gomal medical College, D.I.Khan, Pakistan from 1st February to 31st March 2019. Sample size was 100. Sampling technique was consecutive. Only married women of reproductive age having already one child at least were included in the sample. Sociodemographic variables were age, residence, education, family income, family type, awareness of contraception, willingness for contraception, use of different contraceptive methods, age of marriage, age at first pregnancy and number of live children. Research variables were personal, religious, cultural and service barriers to use of contraception. All variables were recorded on categorical scale, whereas age of marriage, age at first pregnancy and number of live children were numerical variables expressed as mean and standard deviation. Chi-square test of association was performed. Results: Out of 100 respondents, 49% were from 15 to 30 years. Family income was

Risk of unsafe abortion associated with long-term contraception behaviour: a case control study from Sri Lanka

BackgroundWhen faced with an unintended pregnancy, some women choose to undergo an unsafe abortion, while others do not. This choice may depend on long-term contraception that shapes the fertility goals of women, along with many other risk factors. We assessed the risk for unsafe abortion associated with contraceptive practices based on women’s long-term behaviour, and its likely modification by the use of different types of contraceptives among women in Sri Lanka.MethodsAn unmatched case-control study was conducted in nine hospitals among 171 women admitted for care following an unsafe abortion (Cases) and 600 women admitted to same hospitals for delivery of an unintended term pregnancy (Controls). Interviewer-administered-questionnaires assessed their socio-economic, reproductive and fertility (decisions on family size, family completion) characteristics, contraceptive method last used (traditional, modern), reasons for discontinuation/never-use, and contraceptive practices assessed at different time points.Using several regression models, the risk of abortion was assessed for ‘non-use’ of contraception against ‘ineffective use’ at conception; for non-use further categorised as ‘never-use’, ‘early-discontinuation’ (discontinued before last birth interval) and ‘late-discontinuation’ (discontinued during last birth interval); and for any interaction between the contraceptive practice and contraceptive method last used among the ever-users of contraception.ResultsAt conception, ‘non-use’ of contraception imparted a two-fold risk for abortion against ineffective use (adjusted-OR = 2.0; 95% CI: 1.2–3.2). The abortion risk on ‘non-use’ varied further according to ‘early’ (adjusted-OR = 1.7; 95% CI: 1.1–3.1) and ‘late’ (adjusted-OR = 2.3; 95% CI: 1.5–3.6) discontinuation of contraception, but not with ‘never-use’ (crude-OR = 1.1; 95% CI: 0.6–2.3).Among the ever-users, the risk of abortion varied within each contraceptive practice by their last used contraceptive method and reasons for discontinuation. A significant interaction between modern contraceptives and early discontinuation (adjusted-OR = 1.4; 95% CI = 1.1–3.1) demonstrated a seven-fold abortion risk for early discontinuation of modern methods against its ineffective use. In particular, hormonal methods seemed to be responsible for this risk (51.1% cases versus 42.5% controls).ConclusionsLong-term contraceptive practices showed varying risk for abortion, and was further modified by early discontinuation of modern contraceptives. This knowledge should be applied during postnatal visits by public-health staff.

Knowledge regarding emergency contraception among college students

Background Emergency contraception refers to contraceptive methods that can be used by women in the first few days following unprotected intercourse to prevent unwanted pregnancy. Knowledge of emergency contraception is particularly important among teenagers because of the high rates of unwanted pregnancy among them.Objectives 1. To assess the knowledge regarding emergency contraceptive methods among the college students. 2. To educate the students about emergency contraceptives.Methodology A cross-sectional study conducted in Bagalkot district among 3rd year students of different colleges. A pretested structured questionnaire was used for data collection. Following this a lecture on emergency contraception was given with a post-test in the end. Results Among 592 students 48.3 were males and 51.7 were females. Medical 100 nursing 82 and B.Sc. 71 students had better knowledge about different types of contraception than others.Conclusion There is a significant improvement in knowledge about emergency contraception before and after the lecture.

Contraception for Women with Diabetes Mellitus

use in women with diabetes mellitus.&#x0D; Method: Literature review.&#x0D; Result: Women in the reproductive age who are affected by a wide&#x0D; range of chronic medical conditions, one of which is diabetes mellitus&#x0D; (DM), may experience adverse health effects pre-conception and&#x0D; in pregnancy. This condition will influence outcome of pregnancy&#x0D; and contraceptive choice after delivery. Planning the use of contraception for women with DM who would experience high-risk pregnancy is a necessity, and counseling must consider the safety of different types of contraception that in comparison to the risk of pregnancy.&#x0D; WHO has provided a guideline on choosing contraception, which is available from the UK Medical Eligibility Criteria for Contraceptive&#x0D; Use (UKMEC), as the basis for contraception selection for women with DM. For DM patients without complication any type of contraception can be used in consideration for the advantages and disadvantages of each type of contraception. For diabetics with complications&#x0D; or multiple risk factors, in the selection of contraceptive,&#x0D; hormonal contraception (especially for combined hormonal contraception (CHC) pill and injection method) requires proper consideration and consultation with health care providers.&#x0D; [Indones J Obstet Gynecol 2014; 4: 226-231]&#x0D; Keywords: complications, contraception, diabetes mellitus, hormonal,&#x0D; pregnancy

Rural-Urban Contraceptive Use in Uganda: Evidence from UDHS 2011

Knowledge of the different types of contraception is universal, yet their use is generally low incountries that are predominantly rural. The aim of this paper is to ascertain whether the place of r...

A Cross Sectional Study of Contraceptive Uses and Unmet Need for Family Planning Among Rural Population of Vadodara.

Introduction: Unmet need of contraception remains a national problem. The study was conducted among the eligible couples of rural area of Vadodara district, India, to assess the unmet need for contraception and to determine the use of different types of contraception along with the reasons associated with the unmet needs of contraception. Objective: This study aimed to measure the prevalence of contraception and reasons for unmet need of contraception. Methods: This was community based cross-sectional study. In this study 100 couples who were sexually active, fecund and in which women are in reproductive age group were enrolled. The sample population was selected by two stage random sampling method. A pre-tested structured questionnaire was used to collect data from the respondents with written consent. Results: This study enlighten that, in a rural area 72% of eligible couple was practicing any type of family planning method. Unmet need for contraception was 20 per cent. Among those having unmet need (n=20), lack of knowledge (55%), ignorance (25%), inaccessibility (10%) and non-affordability (10%) were responsible factors for unmet need. Conclusion: This study revealed lack of knowledge was the main reason for the unmet need of contraception among study population. Government should have to organise frequent family planning awareness programme at community level.