1. Contraceptive use patterns among 9394 women attending to a metropolitan Family Planning Center in Turkey Dilbaz B, Çalışkan E, Turgal M, Yıldırım D, Taşçı Y, Haberal A Ankara Etlik Maternity and Women’s Health,Education&Research Hospital 9th Congress of the European Society of Contraception 9th Congress of the European Society of Contraception 3-6 MAY 2006 ISTANBUL/ TURKEY

2. OBJECTIVE In this study; we evaluated the contraceptive use patterns of 9394 women attending to a metropolitan In this study; we evaluated the contraceptive use patterns of 9394 women attending to a metropolitan Family Planning (FP) center between 2000 and 2005. Family Planning (FP) center between 2000 and 2005.

3. MATERIALS & METHOD Computerized hospital database (Patient registration programme) was used to evaluate the contraceptive use patterns of applicants Computerized hospital database (Patient registration programme) was used to evaluate the contraceptive use patterns of applicants The data was analyzed statistically The data was analyzed statistically Data recorded were Data recorded were -age -age -literacy -literacy -obstetric history -obstetric history -fertility goal -fertility goal -current use or nonuse of a contraceptive method -current use or nonuse of a contraceptive method -desire for sterilization -desire for sterilization -contraceptive effort -contraceptive effort

4. RESULTS-1 A total of 9394 women were recorded. A total of 9394 women were recorded. The mean age of the patients was 33.5 ± 7.4 (range 17-50). The mean age of the patients was 33.5 ± 7.4 (range 17-50). Of all the patients; Of all the patients; -1.2 %, adolescent -1.2 %, adolescent -74.2%, reproductive age -74.2%, reproductive age -24.5%, perimenopausal women. -24.5%, perimenopausal women. Parity: women were the most frequent (78.3%) group, followed by primiparous women (19.7%) and grand multiparous women (2.0%). Parity: Multiparous women were the most frequent (78.3%) group, followed by primiparous women (19.7%) and grand multiparous women (2.0%). The mean number of living children was 2.8 ± 0.9 (range 0-5). The mean number of living children was 2.8 ± 0.9 (range 0-5).

5. RESULTS-2 The most frequently used contraceptive method among the study population was IUD (54.2%). The most frequently used contraceptive method among the study population was IUD (54.2%). Other contraceptive methods; Other contraceptive methods; - withdrawal (29.9%) - withdrawal (29.9%) - no method (5.6%) - no method (5.6%) - hormonal (5.4%) - hormonal (5.4%) - female sterilization (4.1%) - female sterilization (4.1%) - vasectomy (0.3%) - vasectomy (0.3%) - condom (0.0%) - condom (0.0%) - voluntary termination of pregnancy (0.3%) - voluntary termination of pregnancy (0.3%)

6. RESULTS-3 RESULTS-3 57.5% of women have stated that they wanted to have no more pregnancy. 57.5% of women have stated that they wanted to have no more pregnancy. Tubal ligation was more frequent in the illiterate group (17.2% vs 3.0%) while vasectomy was more common in the literate group (0.5% vs 0.2%) (p<0.001). Tubal ligation was more frequent in the illiterate group (17.2% vs 3.0%) while vasectomy was more common in the literate group (0.5% vs 0.2%) (p<0.001). Most commonly used method in the illiterate group was withdrawal (37.3%) followed by IUD (33.6%) Most commonly used method in the illiterate group was withdrawal (37.3%) followed by IUD (33.6%) IUD was the most commonly used method in the literate group (55.9%) followed by withdrawal (29.3%) IUD was the most commonly used method in the literate group (55.9%) followed by withdrawal (29.3%)

7. RESULTS-4 The use of condom was very low in both groups (0.3% and 0.0% respectively). The use of condom was very low in both groups (0.3% and 0.0% respectively). Contraceptive effort was present in 95.6% of the women attending to the FP clinic, 3.5% have stated that they would like to have sterilization. Contraceptive effort was present in 95.6% of the women attending to the FP clinic, 3.5% have stated that they would like to have sterilization. Desire for sterilization was significantly higher in the illiterate group (1.6% vs 2.7%, p<0.001). Desire for sterilization was significantly higher in the illiterate group (1.6% vs 2.7%, p<0.001). Contraceptive effort was higher in the literate group (95.9% vs 91.9%). Contraceptive effort was higher in the literate group (95.9% vs 91.9%).

8. RESULTS-5 The most popular method among all age groups was IUD (48.4%, 52.4% and 58.4% respectively), followed by withdrawal (26.3%, 30.6% and 28.7% respectively). The most popular method among all age groups was IUD (48.4%, 52.4% and 58.4% respectively), followed by withdrawal (26.3%, 30.6% and 28.7% respectively). Hormonal methods were most popular among reproductive age group (6.1%), and least popular in the adolescent age group (3.2%). Hormonal methods were most popular among reproductive age group (6.1%), and least popular in the adolescent age group (3.2%). Tubal ligation was highest in the reproductive age group (4.3%). Tubal ligation was highest in the reproductive age group (4.3%).

9. Parity & Literacy Illiterate At least primaryschool graduate p Primiparous 143 (21.8%) 1717 (19.3%) <0.001 Multiparous 487 (74.4%) 7007 (78.8%) Grand multiparous 25 (3.8%) 166 (1.9%)

10. Contraceptive Method & Literacy Illiterate At least primary school graduate p IUD 203 (33.6%) 3917 (55.9%) <0.001 Withdrawal 225 (37.3%) 2058 (29.3%) No method 53 (8.8%) 368 (5.2%) Female sterilization 104 (17.2%) 207 (3.0%) Hormonal 14 (2.4%) 401 (5.7) Vasectomy 1 (0.2%) 35 (0.5%) Condom 2 (0.3%) 0 (0.0%)

11. Contraceptive Method & Age Adolescent Reproductive age Perimenopausal IUD 46 (48.4%) 2784 (52.4%) 1290 (58.4%) Withdrawal 25 (26.3%) 1625 (30.6%) 633 (28.7%) No method 17 (17.9%) 315 (5.9%) 89 (4.0%) Female sterilization 2 (2.1%) 231 (4.3%) 78 (3.5%) Hormonal 4 (3.2%) 326 (6.1%) 86 (3.9%) Vasectomy 1 (0.0%) 15 (0.3%) 20 (0.9%) Condom 0.0 (0.0%) 2 (0.0%)

12. ILLITERATE GROUP

13. LITERATE GROUP

14. The most widely used method was IUD in our patient group and traditional method use was still very high - the second most widely used method of contraception just similar to the findings of the last Turkish Demographic Health Survey (2003). The most widely used method was IUD in our patient group and traditional method use was still very high - the second most widely used method of contraception just similar to the findings of the last Turkish Demographic Health Survey (2003). Counselling should be strenghtened in order to increase the use of modern methods and women who do not have any more children should be counselled thoroughly about sterilization. Counselling should be strenghtened in order to increase the use of modern methods and women who do not have any more children should be counselled thoroughly about sterilization.

15. THANK YOU FOR YOUR ATTENTİON THANK YOU FOR YOUR ATTENTİON