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Category: Volume 05 Issue 11 November 2017
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Title: Choice of Oral Contraception among Urban Women in Eastern India: A Prospective Observational Study

Authors: Biswajyoti Guha, Piya Ray, Shinjita Ghosh, Ayon Mitra, Amal Kumar Bandopadhay, Sukanta Sen

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.164

Abstract

Background: The use of contraceptive has been recognised as a key element in reducing fertility and control of population, which in turn is important for the development of the nation. Family planning means achieving the desired number of children with appropriate spacing and timing. Failure to plan a pregnancy can adversely affect the health of a woman by exposing her to high risk pregnancies, unsafe abortions, reproductive tract infections and sexually transmitted diseases.

Objectives: This study was aimed to assess the pattern of oral contraceptive usage among women in reproductive age group in relation to reason of use, choice of formulation, duration of use, practice of prior consultation before starting OCP and side effects.

Results: Total 672 samples have been questioned amongst which 367 active oral contraceptive pill users are included in this study. The average of contraceptive usage of OCP is 52 (SD=53.24). The requisite of emergency contraception is also peak within this age group. It has been observed that emergency pill is the most widespread choice amongst the users followed by combined pill. The average of combined pill usage is 33 (SD=35.80). The average of mini pill usage is 23.75 (SD=28.61).

Conclusion: OCP continues to be a popular choice among urban population. Myths and Misconception deter women from widespread use. Emergency contraception preferred by significant first time user. Study shows lack of knowledge about pills amongst educated urban population.

Keywords: Oral Contraception, Emergency pill, Mini pill, Centchroman, Urban Women, Usage.

References

  1. National Family Welfare Programme.http://pbhealth.gov.in/pdf/FW.pdf.
  2. Levine R, Langer A, Birdsall N, Matheny G, Wright M, Bayer A. Contraception. In: Jamison DT, Breman JG, Measham AR, et al., editors. Disease Control. Priorities in Developing Countries. New York: Oxford University Press; 2006. pp. 1075–1090.
  3. Lule E, Singh S, Chowdhury SA. Fertility Regulation Behaviors and Their Costs: Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia. Washington DC, USA: HNP Publication, World Bank; 2007. Dec,
  4. Singh S, Darroch JE, Vlassof M, Nadeau J. Adding It Up: The Benefits of Investing in Sexual and Reproductive Health Care. New York: Alan Guttmacher Institute; 2003. Available at: guttmacher.org/pubs/addingitup.pdf.
  5. Collumbien M, Gerressu M, Cleland J. Non-use and use of ineffective methods of contraception. In: Ezzati M, Lopez AD, Rodgers A, Murray CJL, editors.  Compar-ative Quantification of Health Risks: Global and Regional Burden of Disease Attributable to Selected Major Risk Fact-ors. Geneva: WHO; 2004. pp. 1255–1320.
  6. Adeyemo AR, Asabi O, Adedotun O. Knowledge and Practice of Contraception among Women of Reproductive Ages in South West, Nigeria. The International Journal of Engineering and Science. 2012 ; 1 (2): 70-76
  7. Riphagen F E, Lehert P. A survey of contraception in five West European countries. J Biosoc Sci 1989; 21: 23-46.
  8. Schedlin MG, Hollerbach PE. Modern and traditional fertility regulation in a Mexican community- the process of decision making, JSTOR. Stud Fam Plan 1988; 12: 278-96.
  9. Ajayi AA, Marangu LT Miller J, Paxman JM, Adolescent sexuality and fertility in Kenya: a survey of knowledge, perceptions and practices. Stud Fam Plan 1991; 22: 205-16.
  10. Casterline JB, Perez AE, Biddlecom AE. Factors underlying unmet need for family planning in the Philippines. Stud Fam Plan 1997; 28: 173-91.
  11. Biddlecom AE, Fapohunda BM. Covert contraceptive use; prevalence, motivations and consequences. Stud Fam Plan 1998; 29: 360-72.
  12. Rosalia Sciortino. The challenge of addressing gender in reproductive health programmes examples from Indonesia, Reproductive Health Matters 1998; 6(11): 33-44.
  13. Ashford L. Ensuring a wide range of family planning choices. Washington, DC, Population Reference Bureau, 2008. In English or in French.
  14. Davis K, Blake J. Social structure and fertility: an analytical framework.  Economic and Cultural Change 1956; 4; 211–235.
  15. Bongaarts J. A framework for analysing proximate determinants of fertility. Population and Development Review 1978; 4:105–131.
  16. Ross JA, Winfrey WL. Unmet need for contraception in the developing world and the former Soviet Union: an update estimate. Int Fam Plan Perspect. 2002; 28:138–43.
  17. United Nations. Department of Economic and Special Affairs. Population Division. Level and trends of contraceptive use as assessed in 2002.New York, NY: Department of Economic and Social Affairs, United Nations; 2002. p. 247 p.
  18. Saleem S, Fikhree FF. The quest for small family size among Pakistani women—is voluntary termination of pregnancy a matter of choice or necessity? J Pak Med Assoc. 2005; 55:288–91.
  19. Marzieh N, Abdolrasool A, Safiyeh A-M. Burden of abortion: induced and spontaneous. Arch Iran Med. 2006;9:39–45.
  20. Sedgh G, Henshaw S, Singh S, Ahman E, Shah IH. Induced abortion: estimated rates and trends worldwide. 2007; 13(370):1338-45.
  21. Wellbery C. Emergency contraception.  Arch Fam Med. 2000; 9:642–6. 
  22. Wertheimer RE. Emergency postcoital contraception. Am Fam Physician. 2000; 62:2287–92.
  23. Baveja R, Buckshee K, Das K, Das SK, Hazra MN, Gopalan S, et al. Evaluating contraceptive choice through the method-mix approach: An Indian Council of Medical Research (ICMR) Task Force study.  2000 Feb; 61(2):113-9.
  24. Anna Glasier, David Baird. The effects of self-administering emergency contracep-tion. The New England Journal of Medicine. 1998; 339:1-4
  25. La Vecchia C, Tavani A, Franceschi S, Parazzini F. Oral contraceptives and cancer: A review of the evidence.Drug Safety 1996; 14:260–72.
  26. Mosher WD, Martinez GM, Chandra A, Abma JC, Willson SJ. Use of contraception and use of family planning services in the United States: 1982–2002. Advance Data from Vital Health Stat 2004; 350.
  27. Tatjana Gazibara, Goran Trajkovic, Nikolina Kovacevic, Ilma Kurtagic, Selmina Nurkovic, Darija Kisic-Tepavcevic, Tatjana Pekmezovic. Oral contraceptives usage patterns: study of knowledge, attitudes and experience in Belgrade female medical students. Arch Gynecol Obstet. 2013; 288:1165–1170.
  28. Speroff L, Darney P. A Clinical Guide for contraception. Lippincott Williams & Wilkins; 2005; 4:21–138.

Corresponding Author

Dr Biswajyoti Guha

Assistant Professor, Department of Obstetrics & Gynaecology, ICARE Institute of Medical Sciences and Research,

Haldia, West Bengal 721645, India Ph: +91- 9007539296 (M)