Evaluation Of Choice Of Contraception Methods After Voluntary Termination Of Pregnancy in Adolescents

Year 2017, , 48 - 51, 01.04.2017

Runa Özelçi Derya Akdağ Cırık Berna Dilbaz Saynur Yılmaz Funda Akpınar Okan Aytekin Aysel Nalçakan Serdar Dilbaz

https://doi.org/10.1016/j.jpag.2015.09.011

Abstract

Aim: In this study, we aimed to investigate contraceptive intentions after voluntary termination of pregnancy among adolescents.Material And Methods: The medical records of 133 adolescents who applied to Etlik Zübeyde Hanım Women’s Health Teaching and Training Hospital Family Planning Clinics between June 2014 and December 2015 for elective surgical abortion were reviewed. Demographic variables and contraceptive choices after abortion were evaluated.Results: The mean age was 17.6 years min= 16, max=19 . After voluntary termination of pregnancy, the most preferred contraception method was condom % 29.3 and oral contraceptives % 25.6 respectively. The rate of use of intrauterin device and long acting hormonal contraceptive methods were similar and found %12.8. The percentage of women who applied no contraception was %19.5.Conclusion: Adolescents need to effective contraceptive counseling protocols and intensive efforts should be spent for reducing adolescent pregnancies and perinatal complications of this group.

Keywords

Adolescents, contraceptive methods, family planning

Adolesan Dönemdeki Hastaların İstemli Küretaj Sonrası Kontrasepsiyon Tercihlerinin Değerlendirilmesi

Abstract

Amaç: Bu çalışmada istemli cerrahi küretaj yapılan adölesanların cerrahi küretaj sonrası kontrasepsiyon seçimlerini incelemeyi amaçladık.Gereç ve Yöntemler: Ankara Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi Aile Planlaması polikliniğine 2014 Haziran- 2015 Temmuz tarihleri arasında istemli cerrahi küretaj için başvuran 133 adolesan hastanın kayıtları retrospektif olarak incelendi. Adolesanların demografik verileri ve istemli küretaj sonrası kontraseptif tercihleri değerlendirildi.Bulgular: Çalışmaya dahil edilen 133 adolesan gebenin yaş ortalaması 17.6 min=16,max=19 olarak bulundu. Hastaların istemli küretaj sonrasında en fazla tercih ettikleri kontraseptif yöntem, kondom % 29.3 olup ikinci sırada oral kontraseptifler OKS % 25.6 gelmekteydi. Adolesanlar arasında rahim içi araç RİA ve progesteron içeren uzun etkili hormonal kontraseptif yöntemlerin kullanım oranı benzer olup %12.8 olarak bulundu, 26 % 19.5 olgu ise herhangi bir yöntem kullanmayı tercih etmedi.Sonuç: Adolesanların etkili bir şekilde aile planlaması ve kontraseptif danışmanlık ihtiyacı vardır ayrıca adolesan gebelikleri ve bu grupta görülen perinatal komplikasyonları azaltmak için daha yoğun çalışmalar yapılmalıdır.

Keywords

Adolesan, kontraseptif yöntemler, aile planlaması

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