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Covid-19 Pandemisi Sırasında Kadınların Kontraseptif Yöntem Kullanım Değişimlerinin ve Memnuniyetlerinin Değerlendirilmesi

Year 2022, , 118 - 127, 30.04.2022
https://doi.org/10.24938/kutfd.1023786

Abstract

Amaç: Coronavirüs hastalığı, küresel bir salgın olmasının yanı sıra, özellikle aile planlaması hizmetlerinde ve sağlık sisteminde bazı aksaklıklar yaratmaktadır. Çalışmamız, üniversite hastanemize başvuran kadın hastaların kontraseptif yöntem tercihlerini, memnuniyet düzeylerini ve pandemi nedeniyle yöntem kullanımlarının değişip değişmediğini değerlendirmeyi amaçlamıştır.
Gereç ve Yöntemler: Çalışmamıza Ocak 2021-Nisan 2021 tarihleri arasında kadın hastalıkları ve doğum polikliniğimize başvuran 18-49 yaş arası 286 kadın hasta dahil edildi. Pandemi süreci ve öncesinde kadınların gebelik önleyici yöntem tercihlerini, yönteme ilişkin şikayetlerini ve kullanım bilgilerini belirlemek amacıyla tanımlayıcı kesitsel bir çalışma gerçekleştirdik.
Bulgular: Çalışmamıza katılan 286 kadının 187’si (%65.4) modern ve geleneksel aile planlaması yöntemlerini kullanırken, 99’u (%34.6) herhangi bir yöntem kullanmamaktaydı. Pandemi döneminde oral kontraseptif kullanımında istatistiksel olarak anlamlı bir düşüş bulduk (p=0.041). Pandemi öncesinde herhangi bir yöntem kullanmayanların sayısı 83 (%29) iken, pandemi sürecinde 99 (%34.6) kişi herhangi bir yöntem kullanmamaktaydı.
Sonuç: Aile planlaması hizmeti, cinsel sağlık ve üreme sağlığı hizmetlerinin başında gelmektedir. Pandemi sürecinde sosyal mesafe, evde izolasyon, artan stres gibi faktörler cinsel sağlık ve üreme sağlığı hizmetlerine olan ihtiyacı artırmıştır. Ayrıca, hareket kısıtlamaları ve klinik kapanışlar, doğum kontrolü de dahil olmak üzere cinsel sağlık ve üreme sağlığı hizmetlerini daha az erişilebilir kılmaktadır. Tüm bu durumlar hatalı, plansız ve istenmeyen gebeliklerin sayısını artıracaktır. Çalışmamızda en çok tercih edilen doğum kontrol yöntemi kondom (%27.3), en az kullanılan yöntem ise enjeksiyon (%1.4) olarak bulundu. Klinisyenler, daha fazla sosyal mesafe önlemlerinin uygulanması durumunda kadınlara doğum kontrolü seçenekleri konusunda danışmanlık yapmalıdır.

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References

  • 1. Cevik M, Bamford C, Ho A. COVID-19 pandemic–a focused review for clinicians. Clin Microbiol Infect. 2020;26(7):842-7.
  • 2. World Health Organization (WHO). Accessed date: 1 April 2021: http://www.who.int.
  • 3. World do meters. Accessed date: 20 April 2021: https://www.worldometers.info/coronavirus.
  • 4. Lafrenière J, Sweetman C, Thylin T. Introduction: gender, humanitarian action and crisis response. Gender & Development. 2019;27(2):187-201.
  • 5. Uçar M, Demirbaş O, Aslan R, Kutlu R, Sayın S. Kadınların sosyodemografik özelliklerine göre kontraseptif yöntem kullanma durumları ve bu yöntemleri tercih nedenleri. Türkiye Aile Hekim Derg. 2014;18(3):134-41.
  • 6. Çolgar U. Reprodüktif Endokrinoloji ve İnfertilite. 2nd ed. İstanbul. İstanbul Medikal Yayıncılık, 2006.
  • 7. Hussein J. COVID-19: What implications for sexual and reproductive health and rights globally? Sex Reprod Health Matters. 2020;28(1):1746065.
  • 8. Sacco MA, Caputo F, Ricci P, Sicilia F, De Aloe L, Bonetta CF et al. The impact of the Covid-19 pandemic on domestic violence: The dark side of home isolation during quarantine. Med Leg J. 2020;88(2):71-3.
  • 9. Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği. 6. baskı. Ankara. Ankara Sist Ofset Matbaacılık, 2003.
  • 10. Johnson S, Pion C, Jennings V. Current methods and attitudes of women towards contraception in Europe and America. Reprod Health. 2013;10:7.
  • 11. Sağsöz N, Bayram M, Kamacı M. Kırıkkale ili ve çevresinde kullanılan kontraseptif yöntemler. Türkiye Klin J Gynecol Obs. 2000;10(4):266-9.
  • 12. Sektörler Arası Çocuk Kurulu. Türkiye Nüfus ve Sağlık Araştırması Raporu 2018. Accessed date: 1 April 2021: https://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf.
  • 13. Lete I. Combined hormonal contraception and COVID-19. Eur J Contracept Reprod Health Care. 2021;26(2):128-31.
  • 14. Flumignan RLG, de Sá Tinôco JD, Pascoal PIF, Areias LL, Cossi MS, Fernandes MICD et al. Prophylactic anticoagulants for people hospitalised with COVID‐19. Cochrane Database Syst Rev. 2020;10(10):CD013739.
  • 15. Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet. 2020;395(10234):1417-8.
  • 16. Lete I, Chabbert-Buffet N, Jamin C, Lello S, Lobo P, Nappi RE et al. Haemostatic and metabolic impact of estradiol pills and drospirenone-containing ethinylestradiol pills vs. levonorgestrel-containing ethinylestradiol pills: A literature review. Eur J Contracept Reprod Heal Care. 2015;20(5):329-43.
  • 17. Ferreira-Filho ES, de Melo NR, Sorpreso ICE, Bahamondes L, Simões RDS, Soares-Júnior JM et al. Contraception and reproductive planning during the COVID-19 pandemic. Expert Rev Clin Pharmacol. 2020;13(6):615-22.
  • 18. Wood SN, Karp C, OlaOlorun F, Pierre AZ, Guiella G, Gichangi P et al. Need for and use of contraception by women before and during COVID-19 in four sub-Saharan African geographies: results from population-based national or regional cohort surveys. Lancet Glob Health. 2021;9(6):e793-e801.
  • 19. Townsend JW, Ten Hoope-Bender P, Sheffield J; FIGO Contraception and Family Planning Committee. In the response to COVID-19, we can't forget health system commitments to contraception and family planning. Int J Gynaecol Obstet. 2020;150(3):273-4.

EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC

Year 2022, , 118 - 127, 30.04.2022
https://doi.org/10.24938/kutfd.1023786

Abstract

Objective: In addition to being a global epidemic, Coronavirus disease creates some disruptions in the health system, especially in family planning services. Our study aimed to assess the contraceptive method preferences of female patients who applied to our university hospital, their satisfaction levels, and whether their method usage had changed due to the pandemic.
Material and Methods: We included 286 female patients aged 18-49 who were admitted to our obstetrics and gynecology outpatient clinic between January 2021 and April 2021 in our study. We conducted a descriptive cross-sectional study to identify women's contraceptive method preferences, complaints about the method, and usage information before and during the pandemic.
Results: While 187 (65.4%) of 286 women participating in our study used modern and traditional family planning methods, 99 (34.6%) did not use any method. We found a statistically significant decrease in the use of oral contraceptives during the pandemic (p=0.041). While the number of women who did not use any method before the pandemic was 83 (29%), 99 (34.6%) women did not use any method during the pandemic.
Conclusion: Family planning service is one of the foremost sexual and reproductive health services. The factors such as social distance, isolation at home, and increased stress during the pandemic have increased the need for sexual and reproductive health services. Moreover, movement restrictions and clinical closures make sexual and reproductive health services, including birth control, less accessible. All of these conditions will raise the number of erroneous, unplanned, and undesired pregnancies. In our study, the most preferred method of contraception was found to be condoms (27.3%), while the least used method was injectable contraceptive (1.4%). Clinicians should counsel women on contraception options in the event that further social distancing measures are implemented.

Project Number

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References

  • 1. Cevik M, Bamford C, Ho A. COVID-19 pandemic–a focused review for clinicians. Clin Microbiol Infect. 2020;26(7):842-7.
  • 2. World Health Organization (WHO). Accessed date: 1 April 2021: http://www.who.int.
  • 3. World do meters. Accessed date: 20 April 2021: https://www.worldometers.info/coronavirus.
  • 4. Lafrenière J, Sweetman C, Thylin T. Introduction: gender, humanitarian action and crisis response. Gender & Development. 2019;27(2):187-201.
  • 5. Uçar M, Demirbaş O, Aslan R, Kutlu R, Sayın S. Kadınların sosyodemografik özelliklerine göre kontraseptif yöntem kullanma durumları ve bu yöntemleri tercih nedenleri. Türkiye Aile Hekim Derg. 2014;18(3):134-41.
  • 6. Çolgar U. Reprodüktif Endokrinoloji ve İnfertilite. 2nd ed. İstanbul. İstanbul Medikal Yayıncılık, 2006.
  • 7. Hussein J. COVID-19: What implications for sexual and reproductive health and rights globally? Sex Reprod Health Matters. 2020;28(1):1746065.
  • 8. Sacco MA, Caputo F, Ricci P, Sicilia F, De Aloe L, Bonetta CF et al. The impact of the Covid-19 pandemic on domestic violence: The dark side of home isolation during quarantine. Med Leg J. 2020;88(2):71-3.
  • 9. Taşkın L. Doğum ve Kadın Sağlığı Hemşireliği. 6. baskı. Ankara. Ankara Sist Ofset Matbaacılık, 2003.
  • 10. Johnson S, Pion C, Jennings V. Current methods and attitudes of women towards contraception in Europe and America. Reprod Health. 2013;10:7.
  • 11. Sağsöz N, Bayram M, Kamacı M. Kırıkkale ili ve çevresinde kullanılan kontraseptif yöntemler. Türkiye Klin J Gynecol Obs. 2000;10(4):266-9.
  • 12. Sektörler Arası Çocuk Kurulu. Türkiye Nüfus ve Sağlık Araştırması Raporu 2018. Accessed date: 1 April 2021: https://www.sck.gov.tr/wp-content/uploads/2020/08/TNSA2018_ana_Rapor.pdf.
  • 13. Lete I. Combined hormonal contraception and COVID-19. Eur J Contracept Reprod Health Care. 2021;26(2):128-31.
  • 14. Flumignan RLG, de Sá Tinôco JD, Pascoal PIF, Areias LL, Cossi MS, Fernandes MICD et al. Prophylactic anticoagulants for people hospitalised with COVID‐19. Cochrane Database Syst Rev. 2020;10(10):CD013739.
  • 15. Varga Z, Flammer AJ, Steiger P, Haberecker M, Andermatt R, Zinkernagel AS et al. Endothelial cell infection and endotheliitis in COVID-19. Lancet. 2020;395(10234):1417-8.
  • 16. Lete I, Chabbert-Buffet N, Jamin C, Lello S, Lobo P, Nappi RE et al. Haemostatic and metabolic impact of estradiol pills and drospirenone-containing ethinylestradiol pills vs. levonorgestrel-containing ethinylestradiol pills: A literature review. Eur J Contracept Reprod Heal Care. 2015;20(5):329-43.
  • 17. Ferreira-Filho ES, de Melo NR, Sorpreso ICE, Bahamondes L, Simões RDS, Soares-Júnior JM et al. Contraception and reproductive planning during the COVID-19 pandemic. Expert Rev Clin Pharmacol. 2020;13(6):615-22.
  • 18. Wood SN, Karp C, OlaOlorun F, Pierre AZ, Guiella G, Gichangi P et al. Need for and use of contraception by women before and during COVID-19 in four sub-Saharan African geographies: results from population-based national or regional cohort surveys. Lancet Glob Health. 2021;9(6):e793-e801.
  • 19. Townsend JW, Ten Hoope-Bender P, Sheffield J; FIGO Contraception and Family Planning Committee. In the response to COVID-19, we can't forget health system commitments to contraception and family planning. Int J Gynaecol Obstet. 2020;150(3):273-4.
There are 19 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

İlkin Seda Can 0000-0002-2029-7281

Project Number yok
Publication Date April 30, 2022
Submission Date November 15, 2021
Published in Issue Year 2022

Cite

APA Can, İ. S. (2022). EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC. The Journal of Kırıkkale University Faculty of Medicine, 24(1), 118-127. https://doi.org/10.24938/kutfd.1023786
AMA Can İS. EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC. Kırıkkale Üni Tıp Derg. April 2022;24(1):118-127. doi:10.24938/kutfd.1023786
Chicago Can, İlkin Seda. “EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC”. The Journal of Kırıkkale University Faculty of Medicine 24, no. 1 (April 2022): 118-27. https://doi.org/10.24938/kutfd.1023786.
EndNote Can İS (April 1, 2022) EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC. The Journal of Kırıkkale University Faculty of Medicine 24 1 118–127.
IEEE İ. S. Can, “EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC”, Kırıkkale Üni Tıp Derg, vol. 24, no. 1, pp. 118–127, 2022, doi: 10.24938/kutfd.1023786.
ISNAD Can, İlkin Seda. “EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC”. The Journal of Kırıkkale University Faculty of Medicine 24/1 (April 2022), 118-127. https://doi.org/10.24938/kutfd.1023786.
JAMA Can İS. EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC. Kırıkkale Üni Tıp Derg. 2022;24:118–127.
MLA Can, İlkin Seda. “EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC”. The Journal of Kırıkkale University Faculty of Medicine, vol. 24, no. 1, 2022, pp. 118-27, doi:10.24938/kutfd.1023786.
Vancouver Can İS. EVALUATION OF CONTRACEPTIVE METHOD USAGE CHANGES AND SATISFACTION OF WOMEN DURING THE COVID-19 PANDEMIC. Kırıkkale Üni Tıp Derg. 2022;24(1):118-27.

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