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User preferences for contraceptive methods in India, Korea, the Philippines, and Turkey. World Health Organization Task Force on Psychosocial Research in Family Planning and Task Force on Service Research in Family Planning.

Research was conducted to determine the patterns of contraceptive choice in four developing countries and to investigate the association between method selection and demographic/socioeconomic variables, future family planning intentions, and users' perceptions of methods and preference for personnel. After listening to a balanced presentation of information on the methods, each woman indicated her choice and was then interviewed to determine her reasons for selecting that method. The pattern of contraceptive selection differed from the previous pattern of contraceptive use in each clinic, and this suggests that the presentation of balanced information combined with the provision of a free choice of methods is a useful approach to the assessment of the demand.

Adult

[Progress of contraceptive methods--OC and IUD].

In Japan, most couples use traditional methods, with about 80% relying on the condom and a further significant proportion on the rhythm method. In fact a combination of both methods is common among married couples. The oral contraceptives have the following advantages: Reversibility, simple and easy to use, coitally independent, no skill or knowledge required for its use, high acceptability, no pain or discomfort at use, self-administration, while they have the following disadvantages: Inadequate during lactation, sustained motivation in the female side required, clinical contraindication exists, possible side-effects such as nausea, vomiting, breast tenderness, weight gain, questionable possibility of serious side effects such as hypertension, thromboembolic diseases etc., medical supervision and follow up required, expensive cost. The use of the steroidal preparations for contraceptive purpose in Japan awaits official approval. Under present regulations, it is not illegal for the physicians to prescribe the pill, and currently six preparations are available and all contain 50 microgram of estrogen. The reduction in the estrogen and progestogen content of the pill did not appreciably compromise contraceptive potential while untoward effects were considerably lowered. The development and use of the new progestogen also contributed to minimize the possible side effects. Efforts are now being directed at a pill which minimizes metabolic change, decreases the incidence of breakthrough bleeding or spotting, without compromising efficacy. It is with these goals in mind that the multi-phasic pills have been developed in the belief that many of the undesirable side-effects can be circumvented while maintaining almost 100% conception control.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult

[The obstetrical history and use of contraceptive methods by women in urban health area].

A study is made on some significant aspects of the obstetric history and contraceptive practice in an urban health area by means of a random sample that selected 352 women of reproductive potential. They were interviewed by means of a questionnaire designed for that purpose. Most women in all age groups had a male partner, except for the 15-19 age group, and it seems that often marriage duration is not low. Pregnancy average per woman was high (3.04) and high rates for induced abortion per live birth (0.99) and of induced abortion per woman (1.44) were found, which is indicative of inappropriate contraceptive practice. The contraceptives most commonly used were intrauterine devices (74%) and oral tablets (51%); much less frequent is the use of condoms (5.8%), diaphragms (2.9%), periodic abstinence (2.5%) and breast feeding (2.5%). Results indicate an abuse of abortion as a family planning method, as well as a poor contraceptive practice.

Abortion, Induced

The use-effectiveness of two contraceptive methods in a Navajo population: the problem of program dropouts.

Navajo Indian intrauterine contraceptive device (IUD) and oral contraceptive users between 1966 and 1971 were followed up to estimate life table rates of complications and continuation. Because of high rates of dropping out, 41.6 per cent of 291 oral contraceptive users and 18.2 per cent of 534 IUD users, a 26 per cent sample survey of the dropout population was used to collate the dropout population data into the life table analysis. Estimates of the IUD continuation rates for one, two, and three years are similar to rates published elsewhere; however, continuation rates for the oral contraceptive are clearly lower than those for other populations, which only 33 per cent continuing after one year, 23 per cent after two years, and 12 per cent after three years. The IUD user is two to three times more successful than the oral contraceptive user in this population.

Adolescent

Vaginal colonization of Escherichia coli and its relation to contraceptive methods.

The prevalence rate of vaginal colonization with E. coli was studied prospectively among 495 healthy premenopausal women, and factors associated with vaginal carriage of E. coli were examined. Vaginal colonization with E. coli was found in 12% of women, and was significantly correlated with phase of the menstrual cycle (p less than 0.05), prior use of antibiotics (p less than 0.05), current genital complaints (p less than 0.05), history of previous urinary tract infection (p less than 0.001), and use of diaphragm or cervical cap for contraception (p less than 0.005). The high prevalence rate among diaphragm or cervical cap users remained significant when other confounding factors were kept constant (p less than 0.05). This observation may explain the association of diaphragm use and urinary tract infection demonstrated in previous epidemiologic studies and confirmed in the present study (p less than 0.05).

Adult