Contraceptive Practices of Women With Complex Congenital Heart Disease
| Autor: | Kathryn J. Junge, Philip Moons, Adrienne Kovacs, Kate A. Shaw, Deena Barber, Susan M. Fernandes, D Pearson, Mary M. Canobbio, Ami S. Bhatt, Mary Schlater, Michelle J. Nickolaus, Yvonne Balon, Pamela D. Miner |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Heart Defects Congenital Pediatrics medicine.medical_specialty Cross-sectional study Population 030204 cardiovascular system & hematology Intrauterine device 03 medical and health sciences 0302 clinical medicine Pregnancy Interquartile range Surveys and Questionnaires Humans Medicine 030212 general & internal medicine education Contraception Behavior education.field_of_study business.industry Pregnancy Unplanned Middle Aged medicine.disease Vaginal ring Cross-Sectional Studies Family planning North America Cohort Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | The American Journal of Cardiology. 119:911-915 |
| ISSN: | 0002-9149 |
| Popis: | Understanding the contraceptive practices of women with complex congenital heart disease (CHD) and providing them individualized contraception counseling may prevent adverse events and unplanned high-risk pregnancies. Given this, we sought to examine the contraceptive practices in women with CHD, describe adverse events associated with contraceptive use, and describe the provision of contraception counseling. Women >18 years were recruited from 2011 to 2014 from 9 adult CHD (ACHD) centers throughout North America. Subjects completed a 48-item questionnaire regarding contraceptive use and perceptions of contraception counseling, and a medical record review was performed. Of 505 subjects, median age was 33 (interquartile range 26 to 44) and 81% had CHD of moderate or great complexity. The majority (86%, 435 of 505) of the cohort had used contraception. The types included barrier methods (87%), oral contraception (OC) 84%, intrauterine device (18%), Depo-Provera (15%), vaginal ring (7%), patch (6%), hormonal implant (2%), Plan B (19%), and sterilization (16%). Overall OC use was not significantly different by CHD complexity. Women with CHD of great complexity were more likely to report a thrombotic event while taking OC than those with less complex CHD (9% vs 1%, p = 0.003). Contraception counseling by the ACHD team was noted by 43% of subjects. Unplanned pregnancy was reported by 25% with no statistical difference by CHD complexity. In conclusion, contraceptive practices of women with complex CHD are highly variable, and the prevalence of blood clots while taking OC is not insignificant while provision of contraception counseling by ACHD providers appears lacking. publisher: Elsevier articletitle: Contraceptive Practices of Women With Complex Congenital Heart Disease journaltitle: The American Journal of Cardiology articlelink: http://dx.doi.org/10.1016/j.amjcard.2016.11.047 content_type: article copyright: © 2016 Elsevier Inc. All rights reserved. ispartof: American Journal of Cardiology vol:119 issue:6 pages:911-915 ispartof: location:United States status: published |
| Databáze: | OpenAIRE |
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