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The use of hormonal methods was additionally limited by reported or feared aspect-effects. Many of these self-reported facet-results usually are not causally related to hormonal contraception but constitute a barrier for using them. This is according to a report from Sweden where fear of side-results, was discovered to be a standard purpose for discontinuation of hormonal contraception . Very few women had data of or experience from using LARC-methods. This discovering in combination with the fact that more than half of all women expressed a wish to chorus from future pregnancies or postpone childbearing for a minimum of three years point out low contraceptive uptake among these women.
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In 1995 the abortion rate in Ukraine was among the many highest in Europe – 58,2 per a thousand women aged 15–forty nine years and higher than the average worldwide abortion price (35 per one thousand women aged 15–forty nine years). According to official abortion statistics abortion rates rapidly declined throughout 1995–2005 and after that the drop notably slowed (from 41,three% in 1995–2000 to 9,3% in 2009–2010). The birth fee in Ukraine in 2016 was 10.5 births per one thousand population.
Such data isn’t out there for all women in Ukraine at present. Neither is the data available for providers which after all are essential to be able to improve the uptake and change the attitudes concerning efficient methods for household planning. Data from Russia indicate a decline in the use of the simplest contraceptive methods corresponding to IUC due ukraine women to provider attitudes, in all probability by affecting women’s worry and knowledge . The most feared self-reported unwanted side effects related to hormonal contraception have been future infertility expressed by 177 women (35%), followed by thrombosis expressed by 118 (24%) and 107 women (21%) feared weight gain. More than a half of surveyed women, (sixty seven%) planned to wait a minimum of three years earlier than having a toddler or to refrain from further pregnancies.
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We discovered that the expertise of – in addition to data on – efficient contraceptive strategies were low among the many lately pregnant women assessed. Most women have been using perceived pure methods , condoms or oral contraception.
Most women (82%) also expressed a view that a medical physician constituted their most popular supply of knowledge. Barrier strategies and oral contraceptives had been the most commonly used strategies (75% and forty six% respectively) while only some women had used IUC (16%). (Fig.1) The knowledge concerning LARC methods corresponding to IUC and implants had been low (17% and 47% respectively). There have been more women within the postpartum group that had one or two earlier pregnancies in comparison with women within the publish abortion group (fifty eight% and 50% respectively). The purpose of the examine was to discover contraceptive uptake and data among recently pregnant women .
Intrauterine contraception and subdermal implants represent the most effective contraceptive methods particularly for women opting for long-acting strategies. Our examine confirms previous findings that Ukrainian women favor pure strategies, condoms or oral contraception. This was additionally the finding in a latest examine among Romanian feminine college college students . This is nevertheless in distinction with a national Multiple Indicator Cluster Survey in Ukraine for that reported IUC to be probably the most commonly used methodology for contraception. The discrepancy between these findings might reflect geographical variations.
Women accomplished the questionnaire throughout their keep at the clinic. A pilot survey of fifty women was carried out previous to the principle research.
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This gap of data needs to be addressed in future research. High charges of barrier methods such as condoms have additionally previously been proven amongst Ukrainian women, probably due to a nationwide AIDS information marketing campaign . While condom use is the one method for prevention of sexually transmitted infections, its efficacy for prevention of unplanned being pregnant is less than hormonal methods and much lower than for LARC strategies such as implants or IUCs . However these latter methods are not yet obtainable for all women in Ukraine.
The primary consequence was the contraceptive expertise among these women. This was assessed as the number of women who had ever used contraceptive strategies. Secondary outcomes had been contraceptive data and sources of information, plans for future pregnancies and obstacles for contraceptive use such as perceived or feared side effects. The question concerning contraceptive expertise was “what contraceptive technique have you ever used”, and for knowledge the query was “what contraceptive technique have you ever heard about”.
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Thirty-seven women (9%) expressed a want for a future pregnancy inside one 12 months and 24% wanted to attend between one and three years. Most women (89%) acknowledged that info concerning contraceptive methods was obtained from a medical physician.
Questionnaires have been answered both by women in their single rooms or in a separate personal room at the postpartum unit. Women who had undergone an abortion filled out the questionnaire in a separate room on the gynecological unit or within the abortion clinic. The questionnaires have been distributed from January to August 2015.
During the research period, there were 324 women attending the abortion clinic and 282 women that had a supply at the maternity clinic and 83% (500/606) were included within the study. A comfort sample of 500 women who had an abortion or a delivery were consecutively invited to participate within the research. Before women had been discharged from the clinic, study related data was supplied by the doctor in charge, and girls signed knowledgeable consent previous to participation in the research. A survey was carried out amongst women attending two abortion clinics and three gynecological units in Kiev, Ukraine. The gynecological items have been located at two Public Hospitals and within the postpartum clinic of the Institute of Pediatrics, Obstetrics and Gynecology of National Academy of Medical Sciences of Ukraine in Kiev.