Effectiveness of reproductive health counseling of women with systemic lupus erythematosus: observational cross-sectional study at an academic lupus clinic
| Autor: | Stefanie Silva, Luís Inês, Laura Andreoli, Luisa Brites |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Health Knowledge Attitudes Practice medicine.medical_specialty Cross-sectional study Immunology Abortion Intrauterine device Education Systemic lupus erythematosus Rheumatology Pregnancy Surveys and Questionnaires Humans Lupus Erythematosus Systemic Immunology and Allergy Medicine Maternal Health Services Reproductive health business.industry medicine.disease Pregnancy Complications Contraception Cross-Sectional Studies Family planning Family Planning Services Family medicine Cohort Female Observational study business |
| Zdroj: | Rheumatology International. 41:403-408 |
| ISSN: | 1437-160X 0172-8172 |
| DOI: | 10.1007/s00296-020-04671-9 |
| Popis: | Systemic lupus erythematosus (SLE) affects women of childbearing age. To optimize fetal and maternal outcomes, effective reproductive health counseling is crucial. To analyze the effectiveness of reproductive health counseling in women with SLE and identify gaps in patient educational needs. Cross-sectional study including women aged 18-45 years fulfilling ACR'97 and/or SLICC criteria, followed at an academic lupus clinic. Participants fulfilled a questionnaire evaluating brief obstetric history, knowledge about impact of SLE in pregnancy outcomes, recall of reproductive health counseling, contraception use and reproductive healthcare received. Effectiveness of reproductive health counseling was analyzed, and potential predictors of contraceptive use (age, previous spontaneous abortion, level of knowledge about SLE and reproductive planning) were tested by multiple regression analysis. We enrolled 108 women (mean age: 34.4 ± 7.1 years; mean disease duration: 10.3 ± 7.3 years). 64.8% of the patients recalled receiving information about family planning, and 81% about contraception. Only 38% declared to be well informed about the impact of SLE on pregnancy. In this cohort, 23.2% wanted a pregnancy in the future; the remainder already had the children they wanted or planned a subsequent pregnancy. Contraceptive use was reported by 79.6% of the patients (oral contraceptives by 39.8% and intrauterine device by 20.4%), while 11.1% reported unprotected intercourses. No statistically significant predictors of contraceptive use were identified. In this academic Lupus Clinic, most SLE women of childbearing age received effective reproductive health counseling and use contraceptive methods. Their unmet needs were identified to guide optimization of patient counseling. |
| Databáze: | OpenAIRE |
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