雅温得“喀麦隆国家家庭福利规划协会”诊所患者的现代避孕选择

Modern Contraceptive Choice Among Patients Seen at the "Cameroon National Planning Association for Family Welfare" Clinic Yaoundé.

作者信息

Yangsi Tameh Theodore, Florent Fouelifack Ymele, Ngole Mbong Eta, Nelson Fomulu

机构信息

Department of Obstetrics and Gynecology, Faculty of Medicine and BioMedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Department of Obstetrics and Gynecology, Higher Institute of Medical Technology of Nkolondom, Yaoundé, Cameroon.

出版信息

Clin Med Insights Reprod Health. 2017 Jun 22;11:1179558117713016. doi: 10.1177/1179558117713016. eCollection 2017.

DOI:10.1177/1179558117713016

PMID:28804250

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5484599/

Abstract

BACKGROUND

To understand the low modern contraceptive prevalence in Cameroon, we reviewed the methods chosen and determined their side effects among patients in an urban setting.

METHODS

We conducted a cross-sectional study at the "Cameroon National Planning Association for Family Welfare (CAMNAFAW) Clinic" in Yaoundé. Data were processed by SPSS software version 20.0 for Windows, and all tests were considered statistically significant at < .05.

RESULTS

Of the 1180 women sampled, the most chosen methods were as follows: depot medroxy progesterone acetate: 72.1% (787 of 1091), followed by oral combined contraceptives: 21.3% (232 of 1091), subcutaneous implants: 3.2% (35 of 1091), and intrauterine contraceptive devices: 1.9% (21 of 1091). A hundred and forty two (14.5%) of the 977 women received at least once (revisits) at the Center, reported at least one side effect. Irregular vaginal bleeding was the most frequent side effect: 44.6% (84 of 188 total documented side effects). Side effects were most common among users of subcutaneous implants: 28% (7 of the 25 implant users).

CONCLUSIONS

Prescription of contraceptives should reflect not only the desire of couples but also the side effects associated with each method. This would optimize observance and adherence, consequently decreasing the failure rate.

摘要

背景

为了解喀麦隆现代避孕普及率较低的情况，我们回顾了城市环境中患者所选择的避孕方法，并确定了这些方法的副作用。

方法

我们在雅温得的“喀麦隆国家家庭福利规划协会（CAMNAFAW）诊所”开展了一项横断面研究。数据使用Windows版SPSS软件20.0进行处理，所有检验在P<0.05时被认为具有统计学意义。

结果

在抽取的1180名女性中，最常选择的避孕方法如下：醋酸甲羟孕酮长效注射剂：72.1%（1091名中的787名），其次是口服复方避孕药：21.3%（1091名中的232名），皮下植入剂：3.2%（1091名中的35名），以及宫内节育器：1.9%（1091名中的21名）。在977名女性中，有142名（14.5%）至少到该中心复诊过一次，她们报告至少出现过一种副作用。不规则阴道出血是最常见的副作用：在所有记录的188种副作用中占44.6%（84种）。副作用在皮下植入剂使用者中最为常见：28%（25名植入剂使用者中的7名）。