TY - JOUR
T1 - Discontinuation of hormonal contraception in Oman
T2 - prevalence and reasons
AU - Al-Ghashri, Fatma
AU - Al-Harthi, Habiba
AU - Al Shukri, Maryam
AU - Al Shidhani, Asma
N1 - Copyright © World Health Organization (WHO) 2021. Open Access. Some rights reserved. This work is available under the CC BY-NC-SA 3.0 IGO license (https://creativecommons.org/licenses/by-nc-sa/3.0/igo).
PY - 2021/10/27
Y1 - 2021/10/27
N2 - Background: Discontinuation of hormonal contraceptives is an important contributor to unmet need of contraception.Aims: To determine the discontinuation rate and the reasons for discontinuation of hormonal contraception among Omani women.Methods: This was a 2-stage sampling, multicentre, retrospective cohort study conducted in 2018 at primary health care centres in Muscat Region, Oman. It included newly registered users of hormonal contraceptives in birth spacing clinics from January to December 2016 and the course of care over the following 12 months. A telephone interview was conducted to complement some of the missing data. The contraceptive methods available were combined oral contraceptives, progesterone only pills and injectable depot medroxyprogesterone acetate.Results: We included 404 women and 87.8% were breast-feeding. By the end of the first year, (268; 66.3%) women discontinued their contraceptive method. More than half (55.2% 148/268) of the discontinuation was attributed to adverse effects and the most prevalent was menstrual abnormality (102/268; 38.1%). Only 5.6% (15/268) discontinued contraception because they desired pregnancy. Partners and logistics of availability and access played a minimal role in discontinuation. Age and number of children did not influence the discontinuation rate.Conclusion: This study improves our knowledge about the rate of discontinuation of hormonal contraception and its related factors in Oman, which can be used for population-specific counselling. Future research should study the contraception behaviour of breast-feeding women to assess when and why they discontinue their contraceptive methods.
AB - Background: Discontinuation of hormonal contraceptives is an important contributor to unmet need of contraception.Aims: To determine the discontinuation rate and the reasons for discontinuation of hormonal contraception among Omani women.Methods: This was a 2-stage sampling, multicentre, retrospective cohort study conducted in 2018 at primary health care centres in Muscat Region, Oman. It included newly registered users of hormonal contraceptives in birth spacing clinics from January to December 2016 and the course of care over the following 12 months. A telephone interview was conducted to complement some of the missing data. The contraceptive methods available were combined oral contraceptives, progesterone only pills and injectable depot medroxyprogesterone acetate.Results: We included 404 women and 87.8% were breast-feeding. By the end of the first year, (268; 66.3%) women discontinued their contraceptive method. More than half (55.2% 148/268) of the discontinuation was attributed to adverse effects and the most prevalent was menstrual abnormality (102/268; 38.1%). Only 5.6% (15/268) discontinued contraception because they desired pregnancy. Partners and logistics of availability and access played a minimal role in discontinuation. Age and number of children did not influence the discontinuation rate.Conclusion: This study improves our knowledge about the rate of discontinuation of hormonal contraception and its related factors in Oman, which can be used for population-specific counselling. Future research should study the contraception behaviour of breast-feeding women to assess when and why they discontinue their contraceptive methods.
KW - Contraception
KW - Contraceptive Agents, Female
KW - Contraceptives, Oral, Hormonal/adverse effects
KW - Female
KW - Hormonal Contraception
KW - Humans
KW - Oman/epidemiology
KW - Pregnancy
KW - Prevalence
KW - Retrospective Studies
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U2 - 10.26719/emhj.21.031
DO - 10.26719/emhj.21.031
M3 - Article
C2 - 34766325
SN - 1020-3397
VL - 27
SP - 993
EP - 1000
JO - Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit
JF - Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit
IS - 10
ER -