Contraceptive use among women with medical conditions: Factors that influence method choice |
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| Affiliation: | 1. Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Diego;2. Department of Obstetrics and Gynecology, University of California, Davis, United States;3. Department of Obstetrics and Gynecology, University of California, Los Angeles, United States;4. Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco;5. Department of Obstetrics and Gynecology, University of California, Irvine, United States;1. Division of Maternal Fetal Medicine, Women and Infants Hospital, Alpert Medical School of Brown University, 101 Dudley Street, Providence, RI 02906, United States;2. University of Michigan, Department of Obstetrics and Gynecology, Ann Arbor, MI, United States;1. Visiting Instructor, Department of Obstetrics and Gynecology, University of New Mexico Hospital, 4th Floor ACC, MSC10 5580, Albuquerque, NM 87131, United States;2. Medical Student, Department of Obstetrics and Gynecology, University of New Mexico Hospital, Albuquerque, NM, United States |
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| Abstract: | ObjectiveTo identify factors that influence contraceptive initiation among women with medical conditions.Study designWe conducted an exploratory cross-sectional survey of women 18–45 years old with medical conditions who received contraception consultation from complex family planning specialists at five University of California Medical Centers from June 2014-June 2015. We asked survey participants about factors that influence their decision of choosing and initiating a contraceptive method, how they accessed family planning specialists and the impact of this consultation on their contraceptive method choice.ResultsAmong 97 participants, 61 (63%) had one medical condition, 28 (29%) had two medical conditions, and 8 (8%) had three or four medical conditions. A majority of participants initiated long-acting reversible contraceptive methods including an intrauterine device (n = 54, 56%) and the contraceptive implant (n = 17, 18%). The most common reason for initiating contraception was to avoid pregnancy in the immediate future for personal reasons (n = 43, 44%). The most common reason for initiating a particular contraceptive method was safety given their medical condition (n = 19, 20%). After the consultation with the complex family planning specialist, participants commonly reported that the person with the most influence on their contraceptive method choice was the complex family planning specialist (n = 35, 36%) and less commonly the primary care provider (n = 9, 9%) and not at all by a family member or friend (n = 0, 0%).ConclusionWomen with medical conditions are highly influenced by a complex family planning specialist in regard to their contraceptive options and when receiving such counseling, will often choose highly effective methods.ImplicationsThis study provides insight into contraceptive decision-making among women with medical conditions referred to a complex family planning specialist for contraceptive care. |
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