Contraceptive use among women operated for ectopic pregnancy

Contraceptive use among women operated for ectopic pregnancy 

S. Ozalp, H.M. Tanir, H. Hassa, H. Antep, T. Oge, B. Cakmak 

Eskisehir Osmangazi

University School of Medicine, Department of Obstetrics and Gynecology,

Eskisehir, Turkey 

Objective This retrospective study was designed to document

the last contraceptive use among women operated due to ectopic pregnancy. 

Design and methods Fifty-one women that have been operated due to ectopic

pregnancy (study group) and fifty-one women admitted to outpatient gynecology

clinic (control group) were included in to this study. Groups were then compared

based on the number of parity, gravidity and their last contraceptive methods


Results Mean ages of study and control groups were 29.9±5.8 years and

32.3±5.8 years, respectively (p>0.05). In addition, there were no

statistical differences detected between two groups, with regard to number of

parity and gravidity. Of 51 cases operated due to ectopic pregnancy, the most

frequent contraceptive method used was IUD (68.6%, p<0.001) while in 16(31.4%) cases, coitus interruptus was the last contraceptive method used. Among control cases, coitus interruptus was preferred in 31(60.8%) of cases. Condom use was seen in 6 (5.9%) of control cases. None of women in the study group used combined oral contraceptives or condoms. 

Conclusions According to

this study, none of women operated for ectopic pregnancy used oral

contraceptives and condom but higher use of IUD was relevant in this group. To

reduce risk of ectopic pregnancy, use of effective contraceptive methods such as

combined oral contraceptives and condom should be encouraged. Furthermore, the

use of condom should be promoted to lessen sexually transmitted diseases and

subsequently, the risk of ectopic pregnancy and pelvic adhesion. IUD is an

efficient contraceptive method but its use in cases with or prone to pelvic

infections may be a risk factor for ectopic pregnancy. IUD should not be applied

to women with pelvic infection. During follow-up, women with IUD should be

screened for signs and symptoms of pelvic infections.

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