Contraceptive Use Among Women in the United States Aged 18–44 Years with Selected Medical Contraindications to Estrogen

Erly, Steven; Forward, Terra R.; Rogers, Zoe; Hawes, Stephen E.; Micks, Elizabeth

doi:10.1089/jwh.2020.8905

Cited by 3 publications

(3 citation statements)

References 23 publications

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“…This study found a high prevalence of contraindicated use of modern contraceptive methods than other studies 8 , 10 , 12 , 23 . However, Assiri et al 9 from Saudi Arabia found a prevalence of contraindicated use of combined oral contraceptives of 31.3%, slightly higher than in this investigation.…”

Section: Discussioncontrasting

confidence: 52%

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Contraindicated use of modern contraceptives among mothers from a Pelotas Birth Cohort

Houvèssou,

Farías-Antúnez,

Bertoldi

et al. 2024

Rev. saúde pública

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OBJECTIVE To describe the prevalence of contraindicated use of combined hormonal contraceptives, progesterone-only contraceptives, and intrauterine devices in mothers participating in the 2015 Pelotas Birth Cohort according to the WHO medical eligibility criteria. METHODS The biological mothers of children belonging to the 2015 Pelotas birth cohort who attended the 48-month follow-up were studied. The 48-month follow-up data were collected from January 1, 2019, to December 31, 2019. Contraindicated use of modern contraceptives was considered to occur when these women presented at least one of the contraindications for the use of modern contraceptives and were using these methods. The prevalence of contraindicated use was calculated according to each independent variable and their respective 95% confidence intervals (95%CI). RESULTS The analyzed sample consisted of 3,053 women who used any modern contraceptive method. The prevalence of contraindicated use of modern contraceptives totaled 25.9% (95%CI: 24.4–27.5). Combined hormonal contraceptives showed the highest prevalence of contraindicated use (52.1%; 95%CI: 49.3–54.8). The prevalence of contraindicated use of modern contraceptives methods was greater in women with family income between one and three minimum wages, a 25–30 kg/m 2 body mass index, indication by a gynecologist for the used method, and purchasing the contraceptive method at a pharmacy. The higher the women’s education, the lower the prevalence of inappropriate use of modern contraceptives. CONCLUSION In total, one in four women used modern contraceptives despite showing at least one contraindication. Policies regarding women’s reproductive health should be strengthened.

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Section: Discussioncontrasting

confidence: 52%

“…In the literature on this subject, studies have been limited to evaluating contraindications for CHC [8][9][10][11][12][13] . There is a paucity of studies that included progesterone-only contraceptives (POC) and IUD, which would make it possible to outline their contraindicated use.…”

Section: Introductionmentioning

confidence: 99%

Contraindicated use of modern contraceptives among mothers from a Pelotas Birth Cohort

Houvèssou,

Farías-Antúnez,

Bertoldi

et al. 2024

Rev. saúde pública

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“…115 Furthermore, given that the highest rates of OCP contraindications, including hypertension, are observed among groups with the highest unintended pregnancy rates (ie, individuals from low-income households and without a high school education), special care must be taken to ensure equity in contraindication screening. 117 Additional work is needed to identify and implement culturally competent and language-congruent strategies for risk factor and hypertension screening prior to over-the-counter OCP use.…”

Section: Reviewmentioning

confidence: 99%

Oral Contraceptive Pills and Hypertension: A Review of Current Evidence and Recommendations

2023

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Oral contraceptive pills (OCPs) have been used as effective and popular forms of contraception since the middle of the last century. By 2019, over 150 million reproductive-aged individuals were using OCPs to prevent unintended pregnancies worldwide. Safety concerns regarding the effects of OCPs on blood pressure were reported soon after these pills gained approval. Although OCP doses were subsequently reduced, epidemiologic evidence continued to support a smaller, but significant association between OCPs and hypertension. Given the rising prevalence of hypertension, as well as the adverse effects of cumulative exposure to blood pressure elevations on cardiovascular disease risk, understanding the nature of the association between OCPs and hypertension is important for clinicians and patients to assess the risks and benefits of use, and make individualized decisions regarding contraception. Therefore, this review summarizes the current and historical evidence describing the association between OCP use and blood pressure elevations. Specifically, it identifies the pathophysiologic mechanisms linking OCPs to hypertension risk, describes the magnitude of the association between OCPs and blood pressure elevations, and distinguishes the effects of various OCP types on blood pressure. Finally, it describes current recommendations regarding hypertension and OCP use, as well as identifies strategies, such as over-the-counter OCP prescribing, to safely and equitably improve access to oral contraception.

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Magnitude of unintended pregnancy among rural reproductive women in Ethiopia: A Multilevel analysis using 2016 EDHS data

Jejaw,

Demissie,

Tiruneh

et al. 2024

Preprint

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Despite growing utilization of family planning in Ethiopia, many pregnancies in rural areas are still unintended and it remains the main global public and reproductive health challenges with devastating impact on women and child health and general public. Hence, this study was sought to determine the prevalence and associated factors of unintended pregnancy in rural women of Ethiopia. This study used the 2016 Ethiopian Demography and Health Survey data. Total weighted samples of 974 reproductive-aged rural women were included in the analysis. Multilevel mixed logistic regression analysis was employed to consider the effect of hierarchal nature of EDHS data by using stata version 14 to determine individual and community level factors. Variables significantly associated with unintended pregnancy were declared with adjusted odds ratio with 95% CI at p-value < 0.05. The prevalence of unintended pregnancy in rural women was 31.66%( 95%CI: 28.8%, 34.66%). Have no media exposure (AOR: 2.67, 95%CI: 1.48, 4.83), not working (AOR: 0.33, 95%CI: 0.21, 0.52), household size of one to three (AOR: 0.44 95%CI: 0.2, 0.96), primiparous (AOR: 0.41, 95%CI: 0.17, 0.99), poor women (AOR: 2.4, 95%CI: 1.24, 4.56), didn’t have intention to use contraceptive (AOR: 0.24, 95%CI: 0.14, 0.44) were individual factors associated to unintended pregnancy. Large central region (AOR: 4.2, 95%CI: 1.19, 14.62) and poor community level (AOR: 4.3, 95%CI: 1.85, 10.22) were community level factors associated to unintended pregnancy. The present study prevalence of unintended pregnancy in rural women was high. Maternal occupation, household size, media exposure, parity, women wealth, intention to use contraceptive, region and community level wealth were factors statistically associated with unintended pregnancy. Hence, demographer and public health practitioners give great emphasis to set strategies to increase accessibility women to media and improve women financial capacity, and strengthen availability of maternal health service to decrease unintended pregnancy adverse outcome in rural areas.

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Contraceptive Use Among Women in the United States Aged 18–44 Years with Selected Medical Contraindications to Estrogen

Cited by 3 publications

References 23 publications

Contraindicated use of modern contraceptives among mothers from a Pelotas Birth Cohort

Contraindicated use of modern contraceptives among mothers from a Pelotas Birth Cohort

Oral Contraceptive Pills and Hypertension: A Review of Current Evidence and Recommendations

Magnitude of unintended pregnancy among rural reproductive women in Ethiopia: A Multilevel analysis using 2016 EDHS data

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