Effect of the consulting given young people admitted to the Youth Friendly Center with suspicion of unwanted pregnancy on repeated admission
ESC Congress Library. Ozalp S. May 4, 2016; 126947; A-121
Prof. S. Sinan Ozalp
Prof. S. Sinan Ozalp
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Abstract
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Aim: To determine the effect of consulting given young people admitted to the Youth Friendly Center at Eskisehir Osmangazi University (ESOGU YFC) with suspicion of unwanted pregnancy on repeated admission, and to do planning and to regulate the necessary infrastructure for the prevention of unwanted pregnancies and repeated admissions.Method: This is a retrospective registry study carried out on 569 students admitted to ESOGU YFC with the suspicion of unwanted pregnancy between the years 2005-2015. The students admitting for 'emergency contraception' within 72 hours and those admitting for a pregnancy test in urine or blood within 10 weeks after an unprotected sexual intercourse were considered as having 'suspicion of unwanted pregnancy'. Statistical analysis was performed by using chi-square and structural equation model (SEM).Results: Of our university population, 1.4%, 1.6% and 2.7% were admitted to YFC for 'emergency contraception', pregnancy termination and contraceptive supply, respectively. Of the students with a mean first sexual intercourse age of 19.3-19.5 years, 23.9% and 27.8% were admitted with suspicion of unwanted pregnancy within first 10 weeks and first 72 hours and the remaining 48.2% were admitted for contraceptive supply. Of these students, 72.2%, 19.0% and 8.8% were admitted with suspicion of unwanted pregnancy for one time, two times and three or more times, respectively. Of the 294 patients admitted with suspicion of unwanted pregnancy, pregnancy was terminated in 20.7% at the Department of Obstetrics and Gynecology. Approximately 1/3 of these students reported that they had not use any contraceptive method before admitting to YFC. The use of withdrawal method was more common in students admitting with suspicion of unwanted oregnancy within 10 weeks or first 72 hours compared to those admitting for contraceptive supply (54.6% and 39.6% vs. 6.1%) condom method was only used by students admitting for contraceptive supply.The SEM analysis performed to determine the factors affecting the frequency of admission shows that the consulting given to high-risk group of students resulted in decreased frequency of admission to YFC with suspicion of unwanted pregnancy among the students who underwent an invasive intervention for unwanted pregnancy(p<0.001).Conclusion: the frequency of unwanted pregnancy among young people was found to decrease with the effective consulting as well as with emergency contraception and pregnancy termination functions. Therefore, it should be the major approach to educate young people in order to prevent the unwanted pregnancies. The prevention of unwanted pregnancies among university students will also preclude medical, social and psychological problems

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