Melinda Vanya
Speeches:
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Postpartum contraceptive preference in South-Eastern Hungary
Melinda Vanya1, Ivan Devosa2, Zoltan Kozinszky3, Katalin Barabás2, György Bartfai1 1Department of Obstetrics and Gynaecology, Faculty of General Medicine, Albert Szent-Gyorgyi Health Centre, University of Szeged, Szeged, Hungary, 2Institute of Behavioural Science, Faculty of General Medicine, Albert Szent-Gyorgyi Health Centre, University of Szeged, Szeged, Hungary, 3Department of Obstetrics and Gynaecology, University Hospital of Northern Norway, University of Tromsø, Tromsø, Norway - vmelinda74@gmail.com
Objective: The objective of our study was to determine the contraceptive practices among mothers in the postpartum period. Patients and methods: All women who delivered between 1st September 2013 and 31st March 2014 in the Department of Obstetrics and Gynaecology, University of Szeged were invited to participate in the cross-sectional survey. We prepared a 63-item questionnaire form which was asking socioeconomic and demographic background, contraceptives methods before/after delivery, sexual activity after delivery, length and effectiveness of lactational amenorrhoea as a natural contraceptive. Structured questionnaires have been sent by code to a secured webpage by email. Results: Data from 200 questionnaires were analysed. The average age of women in the study group is 26 (±4.96) years. 18.4 % of women didn’t use any contraceptive methods at 6 weeks after delivery because of the lactational amenorrhea. 53.2 % of the 200 couples didn’t used reliable contraceptive methods such as (40.7%) condom, (10.7%) withdrawal, (0.9 %) vaginal douche and (0.9%) spermicide. 12.6 % of women used progestogen-only pill (POP), 3.7 % of women reported that they used an intrauterine device, 4 % of participants were using an intrauterine system and 2.7 % of the study group underwent sterilisation. The influence of planned pregnancy and the father’s income were significantly higher among the reliable contraceptive user than in the less reliable contraceptive user (p=0.002 and p=0.036) Conclusion: In our setting 81.6% of women have used a contraceptive method in the postpartum period. The POP was the most preferred method. Acknowledgement: The project was supported by the European Society of Contraception and Reproductive Health.