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Patients' need for information on permanent contraception during a cesarean section: A cross‐sectional questionnaire survey
Author(s) -
Ida Tsutomu,
Fujiwara Hiroyuki,
Taniguchi Yoshimi,
Kohyama Akira
Publication year - 2021
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.14644
Subject(s) - medicine , family planning , cross sectional study , gynecology , family medicine , obstetrics , hormonal contraception , developed country , population , research methodology , environmental health , pathology
Aim The present study aimed to explore the need for information about permanent contraception in Japanese women with repeated cesarean sections (CS). Methods The present, cross‐sectional survey used a self‐administered questionnaire mailed to women with a second or later CS at Tokyo Metropolitan Tama Medical Center between March 2010 and December 2017. Those who were pregnant, had given birth less than 1 year before the survey or had an hysterectomy were excluded. Results The present study analyzed 284 patients (60 with permanent contraception, 224 without permanent contraception). Forty‐eight (80%) of women with permanent contraception, and 135 (60%) of women without permanent contraception believed that information on permanent contraception was needed before CS. Among women without permanent contraception, significantly fewer women obtained adequate information of permanent contraception from their healthcare workers before a CS compared with women with permanent contraception (8% vs. 71%, p < 0.001). A higher rate of unreliable contraceptive use (41%) and unintended pregnancies (4%) after the latest CS were found among the women without permanent contraception. Conclusions A large portion of the study cohort wished they had received information on permanent contraception before CS; however, the patients without permanent contraception had limited access to this information. Adequate information about permanent contraception should be provided to women planning a CS to enable them to make an informed decision with respect to the treatment.