Department of Psychiatry, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Department of Obstetrics and Gynecology, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
PLoS One. 2020 Sep 4;15(9):e0238766. doi: 10.1371/journal.pone.0238766. eCollection 2020.
Women with mental illness have a special need for family planning as they carry a high risk of unplanned pregnancy, sexual violence and, the poor obstetric outcomes due to their mental illness, as well as teratogenicity from exposure to psychotropic medications lower antenatal care utilization.
To assess knowledge, and utilization of family planning and associated factors among women attending psychiatric outpatient clinics in Addis Ababa.
A cross-sectional study was conducted among 423 women attending the outpatient psychiatric clinics of three general and one specialized mental hospital in Addis Ababa, the capital city of Ethiopia. A structured and pretested questionnaire were administered by psychiatric nurses. Multiple logistic regression analysis was conducted to identify factors associated with utilization of family planning methods.
Four hundred twenty-two participants who had follow up at the psychiatric outpatient departments participated in the study. Almost 88% of participants had an unintended pregnancy. Only 68% of study participant had ever heard about Family planning. Just over one third (38.6%) reported current use of at least one method of Family planning. Of those not using family planning 73.3% had no intention to have children. And 38.8% did not have any intention to use Family Planning in the future. Fear of drug-interaction with psychiatric medication was the most common reason not to use contraceptives. Having one or two children was associated with higher utilization of family planning [adjusted odds ratio (95%, confidence interval) 2.05 (1.06, 3.99)].
In this study, the majority of women with mental illness were not using family planning methods. The Awareness of the Family planning methods is lower than the national average. Education and counselling about family planning for women attending psychiatric outpatient departments should be strengthened.
精神疾病女性对计划生育有特殊需求，因为她们面临意外怀孕、性暴力以及精神疾病导致的不良产科结局的风险较高，同时由于暴露于精神药物而导致的致畸性也会降低产前保健的利用率。
评估在埃塞俄比亚首都亚的斯亚贝巴的精神科门诊就诊的女性对计划生育的知识、利用情况及其相关因素。
本研究为横断面研究，在埃塞俄比亚亚的斯亚贝巴的三家综合医院和一家专门的精神病医院的精神科门诊就诊的 423 名女性中进行。由精神科护士管理结构化和预测试的问卷。采用多因素逻辑回归分析确定与计划生育方法利用相关的因素。
422 名在精神科门诊有随访的参与者参加了研究。几乎 88%的参与者有非意愿妊娠。仅有 68%的研究参与者听说过计划生育。略超过三分之一（38.6%）报告目前至少使用了一种计划生育方法。在未使用计划生育的人群中，73.3%的人没有生育孩子的打算。38.8%的人将来没有使用计划生育的打算。担心与精神科药物相互作用是不使用避孕药具的最常见原因。有一个或两个孩子与更高的计划生育利用率相关[调整后的优势比（95%置信区间）2.05（1.06，3.99）]。
在这项研究中，大多数患有精神疾病的女性没有使用计划生育方法。对计划生育方法的认识低于全国平均水平。应该加强对精神科门诊就诊女性的计划生育教育和咨询。
