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Side effects and discontinuation of oral contraceptive use in southern Brazil

Published online by Cambridge University Press:  31 July 2008

Barbara Janowitz ,
Thomas T. Kane ,
Jose Maria Arruda ,
Deborah L. Covington  and
Leo Morris
Barbara Janowitz
Affiliation:
Family Health International, Research Triangle Park, North Carolina
Thomas T. Kane
Affiliation:
Family Health International, Research Triangle Park, North Carolina
Jose Maria Arruda
Affiliation:
Sociedade Civil Bem-Estar Familiar no Brazil, Rio de Janeiro, Brazil
Deborah L. Covington
Affiliation:
Family Health International, Research Triangle Park, North Carolina
Leo Morris
Affiliation:
Centers for Disease Control, Atlanta, Georgia, USA
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Summary

The subsequent contraceptive behaviour following reported side effects in users of oral contraceptives in the southern region of Brazil is examined in relation to discontinuation of pill use, changing to other methods, termination of contraceptive use, the role of the physician in influencing a woman's decision to discontinue pill use, and discontinuation according to the type of problem experienced.

In 2904 currently married women, aged 15–44, almost 75% reported that they had used the pill at some time, and of these 45.6% were still doing so. Women who reported problems with the pill were less likely to be current users (25%) than the women who did not (65%). However, overall contraceptive prevalence was about the same in both groups. Women who stop using oral contraceptives are more likely to be using traditional methods than women in the general population, especially if they want more children. Termination of pill use varies little according to the type of problem reported. Women with problems who sought medical attention were more likely to stop using the pill and so were women advised to stop by their physician, but the major factor affecting discontinuation was the reported experience of a problem.

Type
Research Article
Information
Journal of Biosocial Science , Volume 18 , Issue 3 , July 1986 , pp. 261 - 271
Copyright
Copyright © Cambridge University Press 1986

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References

Anong, J.R. (1976) Clients of family planning clinics and patterns of side effect complaints: new findings from old data. Options for Policy and Practice, 2, 1.Google Scholar
Darity, W.A. (1965) Continuing and discontinuing users of oral contraception in a public health clinic. In: Advances in Planned Parenthood, p. 51. Proceedings of Annual Meeting of American Association of Planned Parenthood, Dallas. Edited by Sobrero, A.J. and Lewit, S.Schenkman, Mass.Google Scholar
Dawson, K. (1979) Side effects of oral contraceptives. Nurse Pract. 4, 53.CrossRefGoogle ScholarPubMed
Edelman, D.A., Kohtenbeutal, R., Levinski, M.J. & Talwar, P.P. (1976) An assessment of the side effects of switching from one oral contraceptive to another. Int. J. Gynaec. Obstet. 14, 397.CrossRefGoogle Scholar
Freeman, W.S. & Goldstein, A.I. (1973) Choosing the correct birth control pill: a scientific approach. Obstet. Gynec. Digest, 15, 37.Google Scholar
Jackson, M.C. (1966) Clinical experience with oral contraceptives in England. In: Social and Medical Aspects of Oral Contraception, p. 47. Edited by Akes, M.N.G.Excerpta Medica, Amsterdam.Google Scholar
Jones, G.W. & Mauldin, W.P. (1967) Use of oral contraceptives with special reference to developing countries. Stud. Fam. Plann. 1, 1.CrossRefGoogle Scholar
Koetsawang, S. (1970) Comparison of Certain Side Effects of Ovral and Norlestrin (mimeo). Department of Obstetrics and Gynecology, Siriraj Hospital, Bangkok, Thailand.Google Scholar
Merrick, T.W. (1983) Fertility and family planning in Brazil. Int. Fam. Plann. Perspect. 9, 110.CrossRefGoogle Scholar
Navarro, R.C. (1979) Probing discontinuance: why people stop using contraceptives. Initiat. Popul. 5, 12.Google ScholarPubMed
Phillips, J.F. & Smith, P.C. (1974) Medical Complaints of Oral Contraceptive Clients of Physicians, Paramedics and Lay Motivators. Research Note No. 27. University of the Philippines System Population Institute, Manila.Google Scholar
Rinehart, W. & Piotrow, P.T. (1979) OCs—Update on Usage, Safety and Side Effects. Population Reports, Series A, No. 5. Population Information Program, Baltimore.Google Scholar
Purandare, B.N. & Batliwala, P.R. (1969) Our experience with oral contraceptives. J. Fam. Welfare, 16, 3.Google Scholar
Ravenholt, R.T., Kessel, E., Speidel, J.J., Talwar, P.P. & Levinski, M.J. (1978) A comparison of symptoms associated with the use of three oral contraceptives: a double blind crossover study of Ovral, Norinyl and Norlestrin. Adv. Plann. Parenthood, 12, 222.Google Scholar
Rodrigues, W., Morris, L. & Janowitz, B. (1984) Pesquisa Sobre Saude Materno-infantil e Planejamento Familiar, 1981. BEMFAM, Regiao Sul, Brazil.Google Scholar
Sunyavivat, S., Chumnijarakij, T., Ontham, Y., Mehyar, A.H., Busca, B. & Christian, B. (1983) Reasons for discontinuing contraception among women in Bangkok. Bull. Wld Hlth Org. 61, 861.Google ScholarPubMed
Thiery, M. (1969) Choice of oral contraceptives. IPPF Med. Bull. 3, 3.Google ScholarPubMed
Vessey, M.P. & Doll, R. (1976) Evaluation of existing techniques: is the pill safe enough to continue using. Proc. R. Soc. B, 195, 69.Google ScholarPubMed
Wassef, S.A., Sami, G. & Hamid, E.A. (1970) Effect of switching with oral contraceptives. Egypt. Popul. Fam. Plann. Rev. 3, 77.Google Scholar
Westoff, C.F. & Ryder, N.B. (1968) Experience with oral contraception in the United States, 1960–1965. Clin. Obstet. Gynec. 11, 734.CrossRefGoogle ScholarPubMed