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Dilbaz B, Çalışkan E, Turgal M , Yıldırım D, Taşçı Y, Haberal A

Contraceptive use patterns among 9394 women attending to a metropolitan Family Planning C enter in Turkey. Dilbaz B, Çalışkan E, Turgal M , Yıldırım D, Taşçı Y, Haberal A Ankara Etlik Maternity and Women’s Health,Education&Research Hospital

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Dilbaz B, Çalışkan E, Turgal M , Yıldırım D, Taşçı Y, Haberal A

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  1. Contraceptive use patterns among 9394 women attending to a metropolitan Family Planning Center in Turkey Dilbaz B, Çalışkan E, Turgal M, Yıldırım D, Taşçı Y, Haberal A Ankara Etlik Maternity and Women’s Health,Education&Research Hospital 9th Congress of the European Society of Contraception  3-6 MAY 2006 ISTANBUL/ TURKEY

  2. OBJECTIVE • In this study; we evaluated the contraceptive use patterns of 9394 women attending to a metropolitan Family Planning (FP) center between 2000 and 2005.

  3. MATERIALS & METHOD • Computerized hospital database (Patient registration programme)was used to evaluate the contraceptive use patterns of applicants • The data was analyzed statistically • Data recorded were -age -literacy -obstetric history -fertility goal -current use or nonuse of a contraceptivemethod -desire for sterilization -contraceptive effort

  4. RESULTS-1 • A total of 9394 women were recorded. • The mean age of the patients was 33.5 ± 7.4 (range 17-50). • Of all the patients; -1.2 %, adolescent -74.2%, reproductive age -24.5%, perimenopausal women. • Parity: Multiparous women were the most frequent (78.3%) group, followed by primiparous women (19.7%) and grand multiparous women (2.0%). • The mean number of living children was 2.8 ± 0.9 (range 0-5).

  5. RESULTS-2 • The most frequently used contraceptive method among the study population was IUD (54.2%). • Other contraceptive methods; - withdrawal (29.9%) - no method (5.6%) - hormonal (5.4%) - female sterilization (4.1%) - vasectomy (0.3%) - condom (0.0%) - voluntary termination of pregnancy (0.3%)

  6. RESULTS-3 • 57.5% of women have stated that they wanted to have no more pregnancy. • Tubal ligation was more frequent in the illiterate group (17.2% vs 3.0%) while vasectomy was more common in the literate group (0.5% vs 0.2%) (p<0.001). • Most commonly used method in the illiterate group was withdrawal (37.3%) followed by IUD (33.6%) • IUD was the most commonly used method in the literate group (55.9%) followed by withdrawal (29.3%)

  7. RESULTS-4 • The use of condom was very low in both groups (0.3% and 0.0% respectively). • Contraceptive effort was present in 95.6% of the women attending to the FP clinic, 3.5% have stated that they would like to have sterilization. • Desire for sterilization was significantly higher in the illiterate group (1.6% vs 2.7%, p<0.001). • Contraceptive effort was higher in the literate group (95.9% vs 91.9%).

  8. RESULTS-5 • The most popular method among all age groups was IUD (48.4%, 52.4% and 58.4% respectively), followed by withdrawal (26.3%, 30.6% and 28.7% respectively). • Hormonal methods were most popular among reproductive age group (6.1%), and least popular in the adolescent age group (3.2%). • Tubal ligation was highest in the reproductive age group (4.3%).

  9. Parity & Literacy

  10. Contraceptive Method & Literacy

  11. Contraceptive Method & Age

  12. ILLITERATE GROUP

  13. LITERATE GROUP

  14. The most widely used method was IUD in our patient group and traditional method use was still very high -the second most widely used method of contraception just similar to the findings of the last Turkish Demographic Health Survey (2003). • Counselling should be strenghtened in order to increase the use of modern methods and women who do not have any more children should be counselled thoroughly about sterilization.

  15. THANK YOU FOR YOUR ATTENTİON

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