Popis: |
Objective: We studied the socio-cultural aspects of contraception in a population of women followed for rheumatoid arthritis (RA) during the introduction of methotrexate. RA is a chronic inflammatory disease of the joints; methotrexate, its standard of care, which requires effective contraception before starting. Patients and methods: This was a descriptive cross-sectional study that included 42 women with RA of reproductive age. Results: The mean age of the patients was 34 years, extreme 20 and 49 years. The age group of 30-34 years was the most representative. In our study population 93% of women were married. The average duration of progression of their rheumatic disease was 60 months. Different constraints to the practice of contraception were identified: need of downstream of the spouse (90,47%), need of downstream of the beautiful family (23,8%), fear of the side effects (45,23%) , the desire of pregnancy for a better image in society (14,28%). Conclusion: several socio-cultural aspects hinder the practice of contraception in our study population. Their taking into account and a good involvement of the family is essential. |