Eastern Mediterranean Health Journal · 1999 · 21 citations · 0 references
MedicineGynecologyContraceptionContraceptive CounselingReproductive HealthContraceptive CareContraceptive DiscontinuationContraceptive MethodsContraceptive Side EffectsContraceptive UseSide EffectsContraceptive Continuation CounselingContraceptive Discontinuation Due To Side EffectsContraceptive Method DiscontinuationDemographic Predictors Of DiscontinuationDiscontinuation Counseling
Probability of contraceptive continuation and factors associated with discontinuation were assessed in a retrospective study of women's records in Alexandria. Contraceptive continuation rates were 88/100, 75/100 and 56/100 women at 6, 12 and 24 months respectively. Reasons for discontinuation included side-effects and health concerns (30.4%), accidental pregnancy and personal reasons (6.4%) and desire for pregnancy (5.4%). Women who were older and who had several children were most likely to continue contraceptive use. Three significant predictors of discontinuation were side-effects and health concerns, age of the woman and contraceptive method. Women should be fully informed of the contraceptive methods available and their side-effects, and counselling programmes should be offered, particularly during the first 2 years of use.