LARC METHODS AND ITS MYTHS. HOW TO IMPROVE OUR CONTRACEPTIVE COUNCIL
ESC Congress Library. Antolín N. 05/10/18; 208157; ESC231
Nahia Antolín
Nahia Antolín
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Abstract
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Objetive: The objective of our study is to know the most widespread myths or misconceptions about LARC methods among women of the population corresponding to the Integrated Health Organization Bilbao-Basurto (Osakidetza-Basque Health Service) of the city of Bilbao, and so we can improve our contraceptive advice, and that of the health staff of our organization, to influence the most controversial aspects and thus promote the use of effective, long and effective contraception. Design and methods: A qualitative study was carried out in the form of a structured survey, on the most frequent myths and misconceptions of the LARC methods registered in the literature. The sample analyzed was 500 women aged between 16 and 49 years. Age and being or having been users of LARC methods were used as the only exclusion criteria. Nationality, level of studies, couple, obstetric history and contraceptive method were asked. They were given a survey formed by 15 questions, in which commitments associated with the insertion of the IUD and the prejudices of the use of the IUD in young or nulliparous women, the dysmenorrhea with the use of LARC methods, the changes in the pattern of menstrual bleeding with the IUD, the IUD and the probability of ectopic pregnancy, the probability of PID with the use of the IUD, LARC and osteoporosis methods, LARC and cancer methods, Recovery of fertility after IUD removal, LARC methods in puerperium with lactation, Effectiveness of LARC methods with respect to other contraceptive methods and Cost of LARC methods for women were analyzed; with 3 answer options: Yes, No, Do not know / No answer. Results: The results showed the persistence in our society of the most frequent myths described for a long time on the LARC methods, finding statistically significant differences in the analysis of each myth according to variables such as: age, nationality, level of studies, parity or the contraceptive method used at the time of the study. For comparisons between groups, the Student's test (or the Wilcoxon rank sum test), ANOVA (or Kruskal-Wallis test), or the Chi2 test (or Fisher's exact test) were used as appropriate. A level of statistical significance of p < 0 .05 was assumed. Conclusion: The fundamental findings of our study and the differences or similarities with respect to the scientific evidence, we hope will be a reason for reflection and argumentation to offer the basic recommendations on a contraceptive advice free of myths and in search of the promotion of the LARC methods, and thus get the use of effective, long and effective contraception.
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