Berna DİLBAZ, Serdar DİLBAZ, Saynur YILMAZ, Runa ÖZELÇİ, Funda AKPINAR, Derya AKDAĞ CIRIK, Okan AYTEKIN, Aysel NALÇAKAN

Adolesan Dönemdeki Hastaların İstemli Küretaj Sonrası Kontrasepsiyon Tercihlerinin Değerlendirilmesi

Amaç: Bu çalışmada istemli cerrahi küretaj yapılan adölesanların cerrahi küretaj sonrası kontrasepsiyon seçimlerini incelemeyi amaçladık.Gereç ve Yöntemler: Ankara Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi Aile Planlaması polikliniğine 2014 Haziran- 2015 Temmuz tarihleri arasında istemli cerrahi küretaj için başvuran 133 adolesan hastanın kayıtları retrospektif olarak incelendi. Adolesanların demografik verileri ve istemli küretaj sonrası kontraseptif tercihleri değerlendirildi.Bulgular: Çalışmaya dahil edilen 133 adolesan gebenin yaş ortalaması 17.6 min=16,max=19 olarak bulundu. Hastaların istemli küretaj sonrasında en fazla tercih ettikleri kontraseptif yöntem, kondom % 29.3 olup ikinci sırada oral kontraseptifler OKS % 25.6 gelmekteydi. Adolesanlar arasında rahim içi araç RİA ve progesteron içeren uzun etkili hormonal kontraseptif yöntemlerin kullanım oranı benzer olup %12.8 olarak bulundu, 26 % 19.5 olgu ise herhangi bir yöntem kullanmayı tercih etmedi.Sonuç: Adolesanların etkili bir şekilde aile planlaması ve kontraseptif danışmanlık ihtiyacı vardır ayrıca adolesan gebelikleri ve bu grupta görülen perinatal komplikasyonları azaltmak için daha yoğun çalışmalar yapılmalıdır.

Anahtar Kelimeler:

Adolesan, kontraseptif yöntemler, aile planlaması

Evaluation Of Choice Of Contraception Methods After Voluntary Termination Of Pregnancy in Adolescents

Aim: In this study, we aimed to investigate contraceptive intentions after voluntary termination of pregnancy among adolescents.Material And Methods: The medical records of 133 adolescents who applied to Etlik Zübeyde Hanım Women’s Health Teaching and Training Hospital Family Planning Clinics between June 2014 and December 2015 for elective surgical abortion were reviewed. Demographic variables and contraceptive choices after abortion were evaluated.Results: The mean age was 17.6 years min= 16, max=19 . After voluntary termination of pregnancy, the most preferred contraception method was condom % 29.3 and oral contraceptives % 25.6 respectively. The rate of use of intrauterin device and long acting hormonal contraceptive methods were similar and found %12.8. The percentage of women who applied no contraception was %19.5.Conclusion: Adolescents need to effective contraceptive counseling protocols and intensive efforts should be spent for reducing adolescent pregnancies and perinatal complications of this group.

Keywords:

Adolescents, contraceptive methods, family planning,

PDF

___

World Health Organization. The second decade: improving adoles- cent health and development. WHO, Department of Child and Adolescent Health and Development, Programme Brochure. Geneva; 1998.
Guttmacher Institute: In Brief: Fact Sheet. Facts on American Teens’ Sexual andReproductive Health.Accessed Oct 21, 2011. Available from: http://www.guttmacher.org/pubs/FB-ATSRH.html.
Abma JC, Martinez GM, Copen CE. Teenagers in the United States: sexu- al activity, contraceptive use, and childbearing, national survey of family growth. Vital Health Stat 2010; 23:1
Truong HM, Kellogg T, McFarland W, Kang MS, Darney P, Drey EA. Contraceptive Intentions among Adolescents after Abortion. Journal of Adolescent Health 2006; 39: 283-286.
Türkiye Nüfus ve Sağlık Araştırması, 2013. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, Ankara Türkiye.
Meade CS, Ickovics JR. Systematic review of sexual risk among preg- nant and mothering teens in the USA: pregnancy as an opportunity for integrated prevention of STD and repeat pregnancy. Soc Sci Med 2005;60:661–78.
Paukku M, Quan J, Darney P, Raine T. Adolescents’ contraceptive use and pregnancy history: is there a pattern? Obstet Gynecol 2003;101:534 – 8.
Kershaw TS, Niccolai LM, Ickovics JR, et al. Short and long-termimpact of adolescent pregnancy on postpartum contraceptive use:implications for prevention of repeat pregnancy. J Adolesc Health2003;33:359 – 68.
Hoopes AJ, Gilmore K, Cady J, Akers A, Ahrens KR, A qualitative study off actors influencing contraceptive choice among adolescent scho- ol-based health center patients, Journal of Pediatric and Adolescent Gy- necology 2015,doi: 10.1016/j.jpag.2015.09.011
Jones RK, Darroch JE, Henshaw SK. Contraceptive use among U.S.wo- men having abortions in 2000 –2001. Perspect Sex Reprod Health 2002;34:294 –303.
Johannes B. Oral contraceptives in adolescent women. Best Practice & Research Clinical Endocrinology & Metabolism 2013; 27: 77-89
Molly J.R, Jeanelle S. Adolescents: Their Futures and Their Contraceptive Decisions.J Pediatr Adolesc Gynecol 2014; 27: 301-305
Whitaker AK, Johnson LM, Harwood B, Chiappetta L, Creinin MD,Gold MA. Adolescent and young adult women’s knowledge of and attitudes toward the intrauterine device. Contraception 2008;78:211–7.
Deans EI, Grimes DA. Intrauterine devices for adolescents: a systematic review .Contraception2009;79: 418–423
Kost K, Singh S, Vaughan B, Trussell J, Bankole A. Estimates of contra- ceptive failure from the 2002 National Survey of Family Growth. Contra- ception 2008;77:10–21.
ACOG Committee Opinion No. 392, December 2007. Intrauterine device and adolescents. Obstet Gynecol 2007;110:1493–5.
Mosher WD, Martinez GM, Chandra A, Abma JC, Willson SJ. Use of- contraception and use of family planning services in the United Sta- tes:1982–2002. Adv Data 2004:1–36