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
used.
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.