Ahmet TOPUZOĞLU, M. Fatih ÖNSÜZ, SEYHAN HIDIROĞLU, Nur MUSTAFAOĞLU, M. Şakir EKŞ, Rıza ERBÖLÜKBAŞ, Hakan KAYIKÇI, Taylan KILKIÇ

Ümraniye’de bir sağlık ocağına başvuran üreme çağındaki kadınların acil kontrasepsiyon hakkındaki bilgi düzeyleri

AMAÇ: Araştırmamızın amacı, Ümraniye’de aile planlaması hizmetlerinin de verildiği bir sağlık ocağına başvuran üreme çağındaki kadınların acil kontrasepsiyon hakkındaki bilgi düzeylerinin belirlemesidir. YÖNTEM: Tanımlayıcı tipteki bu çalışma 18-20 Aralık 2006 tarihlerinde Ümraniye’de bir sağlık ocağında gerçekleştirildi. Çalışmamızda örneklem seçilmedi ve çalışmanın yürütüldüğü tarihler arasında sağlık ocağına herhangi bir nedenle başvuran üreme çağındaki görüşülen tüm kadınlar çalışmaya dahil edildi. Görüşülen 268 kadından çalışmamıza katılmayı kabul eden 241’i (%89,9) ile çalışma yürütüldü. Veriler üç bölümden oluşan 33 sorunun bulunduğu bir anket kullanılarak toplandı. Verilerin analizinde ki-kare ve Fisher’in kesin testi kullanıldı. BULGULAR: Katılımcıların yaş ortancası 28 (min. 16, max. 49) idi. Kadınların %13,7’si acil kontrasepsiyonu duymuştu. Yöntemi duymuş olmakla yüksek eğitim düzeyi ve daha önce gebe kalmama arasında istatistiksel olarak anlamlı ilişki bulundu (p

Anahtar Kelimeler:

Doğum kontrolü, Gebelik önlenmesi, Gebelik önleyici ajanlar, dişi, Acil durumlar, Gebelik, istenmeyen, Birinci basamak sağlık hizmetleri, Anketler, Bilgi

An assesment of emergency contraception knowledge of women attending the primary health care center in Umraniye

BACKGROUND: The aim of the study was to determined the knowledge of women who were in reproductive age that were attending to a primary health care center which was having family planning service in Umraniye. METHODS: This descriptive research has been performed at a primary health care center in Umraniye, between 18-20 December 2006. In our study study sample isn’t selected and we include women of reproductive age who are attending to the primary health care with any cause in the study dates. Study has been performed at 241 women (89.9%) that has been interwieved of 268. Study data has been collected by a three part questionnaire which has 33 question. The data has been evaluated by chi square and Fisher exact tests. RESULTS: The median age of the participants was 28 (25p-75p). Small part of participants have heard emergency contraception (13.7%). There was a significant relationship between hearing the method, being nullipar and high education level (p<0.05). The participants who were hearing the method just 60.6% of them also knew the aim of the method (8.3% of the all participants). In the same group of the participants only 36.4% knew correctly of taking time of the pills and 9.0% of them knew correctly of taking piece of tablet after an unprotected sexual intercourse. Only one of the women who were determining of hearing the method also ever used it. There was a statistically significant difference between young age and high education level and knowing correctly of the aim of the method. Also there was a statisticaly significant difference between high education level and knowing correctly of taking time of the method after an unprotected sexual intercourse (p<0.05). CONCLUSION: Although awareness of emergency contraception is at an apparent level the using rate of the method is at a very low level. Giving education about the aim, taking time and how taking of the method to the women who are living at the study area is providing of giving shape of options of the method user candidates.

Keywords:

Contraception, Contraception Behavior, Contraceptive Agents, Female, Emergencies, Pregnancy, Unwanted, Primary Health Care, Questionnaires, Knowledge,

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1. Chiou VM, Shrier LA, Emans SJ. Emergency postcoital contraception, J Pediatr Adolesc Gynecol. 1998; 11: 61.
2. WHO, Emergency Contraception: A Guide for Service Delivery. Family Planning and Population. Reproductive Health Technical Support. Family and Reproductive Health. Geneva. 1998.
3. Tokuç B, Eskiocak M, Saltık A. Acil kontrasepsiyon. STED. 2002; 11(3): 94-97.
4. Lakha F, Glasier A. Unintended pregnancy and use of emergency contraception among a large cohort of women attending for antenatal care or abortion in Scotland. Lancet. 2006; 368: 1782–87,
5. Trussell J, Koenig J, Ellertson C, Stewart F. Preventing unintended pregnancy: the costeffectiveness of three methods of emergency contraception. Am J Public Health. 1997; 87: 932-37.
6. Pınar G, Öktem M, Algier L, Doğan N, Zeyneloğlu H. Sağlık personelinin acil kontrasepsiyona ilişkin bilgi, görüş ve uygulamaları. Türk Jinekoloji ve Obstetrik Derneği Dergisi. 2005; 2(3): 204-09.
7. Weismiller DG, Emergency Contraception. Am Fam Physician. 2004; 70(4): 707-14.
8. Korucuoğlu Ü, Biri A, Bozkurt N, Özcan P, Yılmaz E, Tıraş B. Kadınların acil kontrasepsiyon konusunda bilgi ve tutumları. Türk Jinekoloji ve Obstetrik Derneği Dergisi. 2007; 4(3): 195-98.
9. Goulard H, Moreau C, Gilbert F, Job-Spira N, Bajos N. the Cocon Group. Contraceptive failures and determinants of emergency contraception use. Contraception. 2006; 74: 208-13.
10. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. Ankara: Türkiye Nüfus ve Sağlık Araştırması 2003. Ankara. 2005.
11. Chuang CH, Freund KH. Emergency contraception: an intervention on primary care providers. Contraception. 2005; 72: 182-86.
12. Uzuner A, Ünalan P, Ekşi MŞ, Erbölükbaş R, Onaran H, Save D. Üreme Çağındaki Kadınların Acil Kontrasepsiyon Hakkındaki Bilgi Düzeyi. Türk Aile Hek Derg. 2005; 9(3): 105-12.
13. Günay O, Yavuz CI. Aslanbey Sağlık Ocağı Bölgesi’nde 15-49 yaş evli kadınların sosyodemografik özellikleri ve aile planlaması hizmetlerinden yararlanma durumları: bir kesitsel çalışma. STED. 2007; 16(8): 119-23.
14. Vural B, Vural F, Erk A, Karabacak O. Knowledge on lactational amenorrhoea and contraception in Kocaeli. Turkey. East Afr Med J. 1999; 76: 483-89.
15. Giray H, Keskinoğlu P, Işıkkent Sağlık Ocağı’na başvuran 15-49 yaş evli kadınların etkili aile planlaması yöntemi kullanımı ve etkileyen etmenler. STED. 2006; 15(2): 23-26.
16. Mayda AS, Arslan T, Bozkurt HB, Dedeli İ, Özkan MÖ. Düzce ili kalıcı konutlar bölgesinde 15-49
yaş arası kadınlarda yöntem kullanma oranları ve tercih nedenleri. Kor Hek. 2005; 4(5): 265-79.
17. Tokuç B, Eskiocak M, Ekuklu G, Saltık A. Edirne merkezinde 15-49 yaş evli kadınların aile planlaması yöntemleri konusundaki bilgi düzeyleri ve yöntem kullanım oranları. STED. 2005; 14(1):8-14.
18. İlhan MN, Yıldırım A, Maral I. Ankara'da yarı kentsel ve kentsel bölgede yaşayan 15-49 yaş grubundaki kadınların kullandıkları aile planlaması yöntemleri ve yöntem kullanmama nedenleri. Türkiye Klinikleri Jinekoloji-Obstetrik. 2002; 12(1): 66-72.
19. WHO. Abortion: A Tabulation of Available Data on the Frequency and Mortality of Unsafe Abortion. 3nd edition. Geneva. 1997.
20. Petersen R, Albright JB, Garrett JM, Curti KM. Acceptance and use of emergency contraception with standardized counseling intervention: results of a randomized controlled trial. Contraception. 2007; 75: 119-25.
21. Karaman D, Köken G, Çoşar E, Şahin FK, Arıöz DT, Yılmazer M. Çalışan ve çalışmayan fertil çağındaki kadınlarda istemsiz gebelik sıklığı ve gebe kalmak istememe nedenlerinin araştırılması. Türk Jinekoloji ve Obstetrik Derneği Dergisi. 2007;4(3): 190- 94.
22. Trussell J, Ellertson C, Stewart F. The effectiveness of the Yuzpe regimen of emergency contraception. Fam Plan Perspect. 1996; 28: 58.
23. Jackson R, Schwarz EB, Freedman L, Darney P. Knowledge and willingness to use emergency contraception among low-income post-partum women. Contraception. 2000; 61: 351-57.
24. Motlagh MS, Moradi A, Nougjah S. Emergency contraception knowledge among women in Andimeshk City. Iran. 2004. The European Journal of Contraception and Reproductive Health Care. 2006; 11(1): 119-20.
25. Korucuoglu U, Bozkurt N, Biri A, Yildiz N, Maral I, Yildirim M. Turkish women’s knowledge on and attitude toward emergency contraception. The European Journal of Contraception and Reproductive Health Care. 2006; 11(1): 115-16.
26. Chung CH, Freund KM. Emergency contraception knowledge among women in a Boston community. Contraception. 2005; 71: 157-60.
27. Foster DG, Ralph LJ, Arons A, Brindis CD, Harper CC. Trends in knowledge of emergency contraception among women in California. 1999- 2004. Womens Health Issues. 2007; 17: 22–28.
28. George J, Turner J, Cooke E, Hennessy E, Savage W, Julian P, et al. Women's knowledge of emergency contraception. British Journal of General Practice. 1994; 44: 451-54.
29. Aziken ME, Okonta PI, Anda ABA. Knowledge and perception of emergency contraception among female Nigerian undergraduates. Int Fam Plan Perspect. 2003; 29: 84-87.
30. Arora N, Mittal S. Emergency contraception and prevention of induced abortion in India. J Fam Plann Reprod Health Care. 2005; 31: 294–96.
31. Öztürk A, Aygen E, Naçar M, Gün İ, Yirmibeş Ü. Kadınların acil kontrasepsiyonla ilgili bilgi ve deneyimleri. Klinik Bilimler ve Doktor. 2002; 8:387-91.
32. Güngör S, Başer İ, Göktolga Ü, Özkömür E, Keskin U. Knowledge and experience of emergency contraception in the gynecologic population of Gulhane Military Medical Academy. Gülhane Tıp Dergisi. 2006; 48(1): 4-7.
33. Zeteroglu S, Sahin G, Sahin HA, Bolluk G. Knowledge and attitudes towards emergency contraception of health-care providers in a region with a high birth rate. Eur J Contracept Reprod Health Care. 2004; 9: 102-06.
34. Sogukpinar N, Turkistanli EC, Saydam BK. Postcoital contraception in Turkey. Int J Gynaecol Obstet. 2003; 80: 159-64.
35. Kolusari A, Sahin HG, Erdemoglu E, Zeteroglu S, Bolluk G, Sahin HA, Kamaci M. Knowledge and attitudes towards emergency contraception among university personnel with high educational levels that are non-related to health sector. The European Journal of Contraception and Reproductive Health Care. 2006; 11(Supplement 1): 118.
36. Kolusari A, Erdemoglu E, Sahin HG, Zeteroglu S, Bolluk G, Kamaci M. Knowledge and attitudes towards emergency contraception among patients with low educational level. The European Journal of Contraception and Reproductive Health Care. 2006; 11(1): 120.
37. Glasier A. Emergency contraception. Best Practice & Research Clinical, Obstetrics and Gynecology. 2002; 16: 181-91.
38. Beckman LJ, Harvey SM, Sherman CA, Petitti DB. Changes in providers’ views and practices about emergency contraception with education. Obstet Gynecol. 2001; 97: 942-46.
39. Muia E, Blanchard K, Lukhando M, Olenja J, Liambila W. Evaluation of an emergency contraception introduction project in Kenya. Contraception. 2002; 66(4): 255-60.
40. Sorenson MB, Pedersen BL, Nymberg LE. Differences between users and non-users of emergency contraception after a recognized unprotected intercourse. Contraception. 2000; 62:1-3.
41. Roberts C, Moodley J, Esterhuızen T. Emergency contraception: knowledge and practices of tertiary students in Durban. South Africa. J Obstetr Gynaecol. 2004; 24: 441-45.
42. Moreau C, Bajos N, Trusell J. Impact of pharmacy access to emergency contraceptive pills in France. The European Journal of Contraception and Reproductive Health Care. 2006; 11(1): 42-43.
43. Black K, Mercer CH, Kubba A, Wellings K. Access to EHC through pharmacy and community clinics women’s experiences and outcomes. The European Journal of Contraception and Reproductive Health Care. 2006; 11(1): 114.
44. Marciante KD, Gardner JS, Veenstra DL, Sullivan SD. Modeling the cost and outcomes of pharmacist-prescribed emergency contraception. Am J Pub Health. 2001; 91: 1443-45.
45. Güneş G, Sevindik F, Omaç M. Açık Y. Elazığ ve Malatya illerinde eczacıların acil kontrasepsiyonla ilgili bilgi düzeyleri. 11. Ulusal Halk Sağlığı Kongresi Bildiri Kitabı. 23-26 Ekim. Denizli. 2007.p. 332-33.
46. Özdener N, Tanir F, Yoldaşcan E, Akbaba M. Eczane tabanlı acil kontrasepsiyon senaryosu yoluyla. 4. Uluslararası Üreme Sağlığı ve Aile Planlaması Kongresi Bildiri Kitabı. 20-23 Nisan. Ankara. 2005. p. 206.
47. Raymond E, Taylor D. Timing of emergency contraception. Am J Obstet Gynecol. 2002; 186:167-68.
48. Glasier A, Baird D. The effects of selfadministering emergency contraception. New Eng J Med 1998; 339: 1-4.
49. Mc Donald G, Amir L. Women's knowledge and attitudes about emergency contraception: a survey in a Melbourne women's health clinic. Aust NZJ Obstet Gynaecol. 1999; 39: 460-64.
50. Virjo I, Kirkkola AL, Isokoski M, Mattila K. Use and knowledge of hormonal emergency contraception. Adv Contracept. 1999; 15: 85-94.
51. Moreau C, Bouyer J, Goulard H, Bajos N. The remaining barriers to the use of emergency contraception: perception of pregnancy risk by women undergoing induced abortions. Contraception. 2005; 71: 202-07.
52. Schwarz EB, Gerbert B, Gonzales R. Need for emergency contraception in urgent care settings. Contraception. 2007; 75: 285-88.
53. Aneblom G, Larsson M, Odlind V, Tyden T. Knowledge, use and attitudes towards emergency contraceptive pills among Swedish women presenting for induced abortion. Br J Obstet Gynaecol. 2002; 109: 155–60.