Introduction: We aim to describe and compare the prevalence of subjective side effects associated with hormonal contraceptive use among reproductive healthcare users seeking either abortion care or contraceptive services.
Methods: This substudy derives from a previously reported cross-sectional survey involving 1006 users of public reproductive healthcare services in the Helsinki metropolitan area in Finland. We included all 813 respondents with a history of hormonal contraceptive use (mean age 27 years, IQR 24-33 for abortion care; 24 years, IQR 19-30 for contraceptive services). The study followed STROBE guidelines.
Results: Altogether 400 respondents sought abortion care, while 413 sought contraceptive services (counselling, prescription renewal, symptoms and/or dissatisfaction with their contraceptive method). Combined oral contraceptives and progestin-only pills were the most used methods in both groups. Respondents seeking abortion care reported contraception-associated weight changes, sex-related problems, mood changes, and acne more frequently than those seeking contraceptive services (p-value<0.05 for all). Some 52% of respondents seeking abortion care reported mood changes compared with 29% of those seeking contraceptive services, with a crude OR of 2.7 (95% CI 2.00 to 3.57). After adjustment, the OR for reporting mood changes among respondents seeking abortion care was 1.5 (95% CI 1.05 to 2.23).
Conclusions: Mood changes associated with hormonal contraceptive use were the most frequently reported side effect among all respondents. These findings suggest a need for individualised counselling on mood-related side effects as mood changes may contribute to higher discontinuation rates.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1136/bmjsrh-2024-202442 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Quality of care offered by health care retail markets for medication abortion self-management: Findings from states in Nigeria and India.
PLOS Glob Public Health
January 2025
Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
Dispensing of misoprostol and mifepristone by pharmacies and chemist shops for self-management of medication abortion (MA) fills a crucial gap in settings where abortion care by trained health professionals is not readily available. This promising service delivery pathway, endorsed by the World Health Organization (WHO), is hindered by concerns of poor-quality care. Simulated clients collected data on MA pill dispensing practices from 92 pharmacies and chemist shops in three Nigerian states and 127 pharmacies in an Indian state that we have anonymized.
View Article and Find Full Text PDFPatient and provider perspectives on pain management during manual vacuum aspiration.
Afr J Reprod Health
December 2024
Nyanza Reproductive Health Society, Kisumu, Kenya.
Manual vacuum aspiration (MVA) is a painful procedure often conducted without analgesia. The World Health Organization (WHO) recommends a paracervical block (PCB) as the mode of pain relief during MVA. Few studies have assessed patient perspectives on pain control during MVA.
View Article and Find Full Text PDFAge of Viability: Clarifying Prenatal Documentation and Definitions in India's Contemporary Medical Landscape.
J Obstet Gynaecol India
December 2024
Bharati Vidyapeeth DTU Medical College, Pune, India.
The concept of foetal viability has evolved significantly and has been influenced by advancements in neonatal care and legal frameworks. This review explores the complexities of defining foetal viability in India's contemporary medical landscape, particularly in light of the recent extension of the Medical Termination of Pregnancy (MTP) Act to 24 weeks. The article examines the confusion surrounding the classification of extreme preterm births, Medical Termination of Pregnancy (MTP) Act, and prenatal documentation during sonography.
View Article and Find Full Text PDFAttitudes Toward Pregnancy and Their Impact on Timing of Prenatal Care Initiation after Prior Spontaneous Preterm Delivery: A Qualitative Descriptive Study.
Womens Health Rep (New Rochelle)
December 2024
Department of Obstetrics and Gynecology, Duke University School of Medicine, Durham, North Carolina, USA.
Introduction: Timely presentation to prenatal care (PNC) is especially important for patients with a history of spontaneous preterm birth (sPTB). Our objective was to identify factors that pregnant individuals with prior sPTB perceived affected the timing of initiating PNC.
Materials And Methods: We conducted in-depth interviews (IDIs) with non-Hispanic (NH) Black or NH White pregnant individuals who had a prior sPTB and presented early (<20 weeks gestation) or late (≥20 weeks gestation) to care in the index pregnancy.
Gender differentials in access to medical services during COVID-19 lockdown: Insights from Nigeria.
Afr J Reprod Health
November 2024
National Centre for Technology Management (NACETEM), Obafemi Awolowo University, Ile-Ife, Nigeria.
During the COVID-19 pandemic, Nigeria, like many other countries, implemented a lockdown policy that restricted all movement except for essential services. Access to medical services is a critical component of an effective healthcare system, and without equitable access across genders, improving the overall health outcomes of the population is unlikely to be achieved. This study analyses gender differential in access to medical services and sexual reproductive health services namely, family planning, child health, adult health, pharmacy, emergency care, vaccination, and other medical services during the COVID-19 lockdown in Nigeria, using both descriptive and inferential analytical techniques.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!