CONTRACEPTIVE CHOICES IN WOMEN BEFORE UNWANTED PREGNANCIES
ESC Congress Library. Vale D. 05/28/14; 50439; A-021
Dr. Diana Vale
Dr. Diana Vale
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Abstract
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In our country, since July 2007, abortion is legal by women’s request until 10 weeks of gestation. There was noted a slight increase in the number of abortion between 2007 and 2011 and then a decrease until 2013. Several factors (personal, professional and economic) may contribute to the contraceptive choices of women and play a role in the number of unintended pregnancies.


Objective: This study wants to analyze the type of the contraceptive made by women before an unwanted pregnancy, and if their personal, familiar, and socio-economic characteristics influence their choices.


Methods: Retrospective study of the clinical files of 3596 women, which had an unwanted pregnancy, between July 2007 and June 2013 and requested for abortion at our institution. Two groups were created: Group 1– women without previous contraceptive method; Group 2– women with previous contraceptive method. Statistical analysis (Excel and SPSS 21) was performed to compare and analyze different factors between the groups.


Results: Among a total of 3596 women, 1027 (28,6%) were not using any contraception method (Group 1) and 2569 (71,4%) had a contraceptive method (Group 2). In group 1, 9,2% referred they were in oral contraception pause; 5% were changing the method; 4,4% referred a sporadic sexual intercourse; 1,7% had history of sterility; 0,7% think they had menopause and 74,9% didn’t appoint any reason. In group 2, 53,4% were with hormonal contraception (81% referred missed pills); 38,6% used condom; 1,7% had long-term methods (IUD, implants and tubal ligation); and 7,3% were using natural methods. The mean age in group 1 was 28,4 (minimum 13; maximum 48) vs 28,7 years old in group 2 (minimum 13; maximum 49) (p=0.330). Other analyzed factors were (Group 1 vs Group 2): multiparous in 48,5% vs 55,9% (p<0.001), Portuguese nationality in 84,3% vs 88,3% (p=0.001), married woman in 26,5% vs 34,7% (p<0.001), secondary or superior education level in 59,3% vs 72,2% (p=0.001), and remunerated work in 53,3% vs 58,1% (p=0.004).


Conclusions: Despite the common belief, in this study 71% of women who had unintended pregnancies were using some kind of contraceptive method, mostly hormonal methods. Excluding the age factor, it can be said that women who use a contraceptive method have had more previous pregnancies, were in a higher percentage immigrants, were married, had an higher educational level and were linked to an remunerated work.


 


In our country, since July 2007, abortion is legal by women’s request until 10 weeks of gestation. There was noted a slight increase in the number of abortion between 2007 and 2011 and then a decrease until 2013. Several factors (personal, professional and economic) may contribute to the contraceptive choices of women and play a role in the number of unintended pregnancies.


Objective: This study wants to analyze the type of the contraceptive made by women before an unwanted pregnancy, and if their personal, familiar, and socio-economic characteristics influence their choices.


Methods: Retrospective study of the clinical files of 3596 women, which had an unwanted pregnancy, between July 2007 and June 2013 and requested for abortion at our institution. Two groups were created: Group 1– women without previous contraceptive method; Group 2– women with previous contraceptive method. Statistical analysis (Excel and SPSS 21) was performed to compare and analyze different factors between the groups.


Results: Among a total of 3596 women, 1027 (28,6%) were not using any contraception method (Group 1) and 2569 (71,4%) had a contraceptive method (Group 2). In group 1, 9,2% referred they were in oral contraception pause; 5% were changing the method; 4,4% referred a sporadic sexual intercourse; 1,7% had history of sterility; 0,7% think they had menopause and 74,9% didn’t appoint any reason. In group 2, 53,4% were with hormonal contraception (81% referred missed pills); 38,6% used condom; 1,7% had long-term methods (IUD, implants and tubal ligation); and 7,3% were using natural methods. The mean age in group 1 was 28,4 (minimum 13; maximum 48) vs 28,7 years old in group 2 (minimum 13; maximum 49) (p=0.330). Other analyzed factors were (Group 1 vs Group 2): multiparous in 48,5% vs 55,9% (p<0.001), Portuguese nationality in 84,3% vs 88,3% (p=0.001), married woman in 26,5% vs 34,7% (p<0.001), secondary or superior education level in 59,3% vs 72,2% (p=0.001), and remunerated work in 53,3% vs 58,1% (p=0.004).


Conclusions: Despite the common belief, in this study 71% of women who had unintended pregnancies were using some kind of contraceptive method, mostly hormonal methods. Excluding the age factor, it can be said that women who use a contraceptive method have had more previous pregnancies, were in a higher percentage immigrants, were married, had an higher educational level and were linked to an remunerated work.


 


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