Study of Contraception Status of Female Diabetic Patients in Childbearing Years

摘要

The incidence of type 2 diabetes in women in childbearing ages was increased dramatically in the last decade. To minimize the risks of maternal and fetal complications attributed to unintended conceptions, standard care for all women with diabetes in this age group should include education about the risks and use of effective contraception. This study was planed to illuminate the status of contraception in our region in diabetic population. This cross sectional study was performed in a group of 200 married sexually active premenopausal diabetic women who have been referred for periodic visit to Endocrine and Diabetes clinic of Tabriz University of Medical Sciences. Face to face interviews were performed by female interviewer. Questions were asked about their awareness and practice of their contraceptive methods and risks of pregnancy in diabetes. Forty two percent of previous conceptions were unwanted. Fifteen percent of diabetic females in childbearing years did not use contraceptive methods. Contraceptive methods commonly used, in the order of frequency, were Tubal Ligation (TL), coitus interrupts, condom, Low Dose (LD) contraceptive pills, Intrauterine Devices (IUD), vasectomy, Depot Medroxy Progesterone Acetate (DMPA) injection and the use of calendar. The knowledge of these patients about the risks of pregnancy during diabetes, contraceptive methods, management of diabetes during pregnancy and suitable blood glucose for pregnancy were generally low. There isn’t enough knowledge and proper practical behavior about birth control in diabetic women of childbearing ages. The education of patients in this field is felt to be mandatory.