بررسي ميزان كارايي روش هاي پيشگيري از بارداري زنان واجد شرايط مراجعه كننده به خانه هاي بهداشت شهرستان تبريز 77-1376

EVALUATION OF THE EFFECTIVENESS OF CONTRACEPTIVE METHODS IN WOMEN

Background and Objectives: Evaluation of the effectiveness of contraceptive methods and also the knowledge of users about the efficacy of them are very important in the management of program family planning .The purpose of this study was to evaluate the effectiveness of contraceptive methods in women, aged 15-49 years, living in one of the villages of Tabriz. Materials and Methods: This longitudinal study was carried out in 20 Health centers of Tabriz, in year 1997-98. The age of women studied ranged from 15-49 years. Statistical analysis was performed using X^ test and SPSS software package. Results: The results obtained in this study indicated that injectable Depo-Provera, Norplant and vasectomy had high effectiveness (l00%) as compared to condom usage (88.51%). These findings did not reveal any significant statistical difference among chemical, mechanical and sterilization as preventive methods (p>0.05). No statistical meaningfull differences were found regarding education, occupation, age and number of children. However, the relationship between effectiveness to contraception and sex of the next child was statistically significant (p<0.05). Thirty-three, per cent of mothers with prior child as female became pregnant during contraceptive use, while only 0.8% of mothers having prior male child could get pregnant. Conclusions: Our finding indicat the necessity of evaluating contraceptive methods and to educate couples about their proper usage according to the best method that suites them.