Modern Contraceptive Choice Among Patients Seen at the "Cameroon National Planning Association for Family Welfare" Clinic Yaoundé.

Clinical Medicine Insights-Reproductive Health Pub Date : 2017-06-22 eCollection Date: 2017-01-01 DOI:10.1177/1179558117713016

Tameh Theodore Yangsi, Fouelifack Ymele Florent, Mbong Eta Ngole, Fomulu Nelson

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引用次数: 6

Abstract

Background: To understand the low modern contraceptive prevalence in Cameroon, we reviewed the methods chosen and determined their side effects among patients in an urban setting.

Methods: We conducted a cross-sectional study at the "Cameroon National Planning Association for Family Welfare (CAMNAFAW) Clinic" in Yaoundé. Data were processed by SPSS software version 20.0 for Windows, and all tests were considered statistically significant at P < .05.

Results: Of the 1180 women sampled, the most chosen methods were as follows: depot medroxy progesterone acetate: 72.1% (787 of 1091), followed by oral combined contraceptives: 21.3% (232 of 1091), subcutaneous implants: 3.2% (35 of 1091), and intrauterine contraceptive devices: 1.9% (21 of 1091). A hundred and forty two (14.5%) of the 977 women received at least once (revisits) at the Center, reported at least one side effect. Irregular vaginal bleeding was the most frequent side effect: 44.6% (84 of 188 total documented side effects). Side effects were most common among users of subcutaneous implants: 28% (7 of the 25 implant users).

Conclusions: Prescription of contraceptives should reflect not only the desire of couples but also the side effects associated with each method. This would optimize observance and adherence, consequently decreasing the failure rate.

Abstract Image

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在“喀麦隆国家家庭福利计划协会”诊所看到的患者的现代避孕选择。

背景:为了了解喀麦隆低现代避孕普及率，我们回顾了在城市环境中选择的方法并确定了其副作用。方法:我们在喀麦隆国家家庭福利计划协会(CAMNAFAW)诊所进行了横断面研究。数据采用SPSS 20.0软件处理，P < 0.05认为所有检验具有统计学意义。结果:在1180例抽样妇女中，选择的避孕方法最多的是醋酸甲孕酮储罐，占72.1%(1091例中787例)，其次是口服联合避孕药，占21.3%(232例)，皮下植入占3.2%(35例)，宫内节育器占1.9%(21例)。977名妇女中有142名(14.5%)在中心接受了至少一次(复诊)，报告了至少一种副作用。不规则阴道出血是最常见的副作用:44.6%(188个记录的副作用中有84个)。副作用在皮下植入物使用者中最常见:28%(25名植入物使用者中有7名)。结论:避孕药具的处方不仅要反映夫妇的意愿，而且要反映每种方法的副作用。这将优化遵守和坚持，从而降低故障率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Medicine Insights-Reproductive Health OBSTETRICS & GYNECOLOGY-

自引率

0.00%

发文量

审稿时长

8 weeks

期刊介绍： Clinical Medicine Insights: Reproductive Health is a peer reviewed; open access journal, which covers all aspects of Reproduction: Gynecology, Obstetrics, and Infertility, spanning both male and female issues, from the physical to the psychological and the social, including: sex, contraception, pregnancy, childbirth, and related topics such as social and emotional impacts. It welcomes original research and review articles from across the health sciences. Clinical subjects include fertility and sterility, infertility and assisted reproduction, IVF, fertility preservation despite gonadotoxic chemo- and/or radiotherapy, pregnancy problems, PPD, infections and disease, surgery, diagnosis, menopause, HRT, pelvic floor problems, reproductive cancers and environmental impacts on reproduction, although this list is by no means exhaustive Subjects covered include, but are not limited to: • fertility and sterility, • infertility and ART, • ART/IVF, • fertility preservation despite gonadotoxic chemo- and/or radiotherapy, • pregnancy problems, • Postpartum depression • Infections and disease, • Gyn/Ob surgery, • diagnosis, • Contraception • Premenstrual tension • Gynecologic Oncology • reproductive cancers • environmental impacts on reproduction, • Obstetrics/Gynaecology • Women''s Health • menopause, • HRT, • pelvic floor problems, • Paediatric and adolescent gynaecology • PID