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

Autor: Yangsi TT; Department of Obstetrics and Gynecology, Faculty of Medicine and BioMedical Sciences, University of Yaoundé I, Yaoundé, Cameroon., Florent FY; Department of Obstetrics and Gynecology, Higher Institute of Medical Technology of Nkolondom, Yaoundé, Cameroon.; Obstetrics and Gynecology Unit, Yaoundé Central Hospital, Yaoundé, Cameroon.; Research, Education and Health Development Group 'GARES-Falaise,' Dschang, Cameroon., Ngole ME; Department of Disease Control, Ministry of Public Health, Yaoundé, Cameroon., Nelson F; Department of Obstetrics and Gynecology, Faculty of Medicine and BioMedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.; Obstetrics and Gynecology Unit, University Teaching Hospital of Yaoundé, Yaoundé, Cameroon.
Jazyk: angličtina
Zdroj: Clinical medicine insights. Reproductive health [Clin Med Insights Reprod Health] 2017 Jun 22; Vol. 11, pp. 1179558117713016. Date of Electronic Publication: 2017 Jun 22 (Print Publication: 2017).
DOI: 10.1177/1179558117713016
Abstrakt: 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 P < .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.
Competing Interests: DECLARATION OF CONFLICTING INTERESTS: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. Disclosures and Ethics Ethical clearance and administrative authorization of the study were obtained from the management board of CAMNAFAW and its ethical committee. All the information obtained from the FP registers remained confidential. The authors have read and confirmed their agreement with the ICMJE authorship and conflict of interest criteria. The authors have also confirmed that this article is unique and is not under consideration or published in any other publication, and that they have permission from rights holders to reproduce any copyrighted material. The external blind peer reviewers report no conflicts of interest.
Databáze: MEDLINE
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