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  • Title: [Unsuccessful contraception among patients seeking abortion on demand].
    Author: Chernev T, Tarashev S, Dimitrova V.
    Journal: Akush Ginekol (Sofiia); 1997; 36(3):32-5. PubMed ID: 9618956.
    Abstract:
    We have conducted a prospective study aimed to analyse contraceptive use among women seeking for legal abortion in the State University Hospital "Maĭchin dom"--Sofia. Our date demonstrate that the patients were well informed about the existing contraceptive methods. On the contrary the percentage of women-using contraception and especially those, using highly effective ones is relatively low. The patients claim the possible side effects of the high effective contraception as a reason against use. The goal of a prospective study was to investigate contraceptive use patterns among women who sought legal induced abortion at the state university hospital "Maichin Dom" in Sofia, Bulgaria. During the period of May-June 1996 a total of 162 patients were invited to respond to an anonymous questionnaire; 150 of these participated. They were grouped into 4 age groups: 20, 20-25, 25-35, and 35 years of age. The sample overall was characterized by a low rate of promiscuity. 120 women (80%) had a single partner, 17 women had two partners, and 4 women had three or more partners. 108 women had missed menstruation and consulted a doctor. 7 women did not answer the question about types of contraceptive known. 5 (3.3%) women knew only 1 method. 126 women (84%) were familiar with highly effective oral contraceptives, 114 (76%) knew the IUD, 104 (69%) knew coitus interruptus, and 98 (65%) were familiar with the condom, but only 33 (22%) knew about sterilization and 30 (20%) about spermicides. In spite of the women's overall good knowledge about the most effective contraceptives, in practice only 19% of them used the most common contraceptives (oral contraceptives and IUDs). 20% of them used condoms, and 47% relied on coitus interruptus. Among parous women the rate of correct use of contraceptives was higher (15%) than among nonparous women (9%). The extent of future contraceptive use indicated that 42.6% planned to use one of the highly effective methods, while 44% had reservations about their use. 5.3% of the women claimed that the high price of contraceptives hindered them from using them. The preference rates for future use of contraceptives were as follows: IUD (28%), oral contraceptives (26.6%), condoms (12%), injectables (6.6%), and sterilization (1.3%).
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