Résumé :
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[BDSP. Notice produite par INIST-CNRS tX1IR0xR. Diffusion soumise à autorisation]. - In Tunisia, a family planning program has been launched since 1966 and contributed to the improvement of socio-demographic indicators. However, induced abortion remains frequent. - Our study aims to present socio-demographic characteristics, obstetrical profile, contraceptive use and mode of recourse to abortion among 597 women attending a family planning center. - A prospective study was carried out during the first semester 1998 in Monastir, Tunisia. Information was collected by interviewers using a questionnaire. - The mean age of the study population was 32 years Cl95% [31.5-32.5], 75% were below 36 years and have been married for a mean period of 10 years Cl95% [9.5-10.5]. 42.9% experienced one (30.0%) or more (12.9%) previous induced abortion. - Contraceptive use one month before the conception showed that 61% of women had used several traditional contraceptive methods i. e rhythm by 43.4% Cl95% [35.1 - 51.7], withdrawal method by 12.1% Cl95% [9.4-14., 9] and breast feeding by 5.1% Cl95% [3.3-6.9]. About 25% of women had used moderm contraceptive methods : 11.1% Cl95% [8.65-13.6] a contraceptive pill, intra uterine device in 5.8% of cases Cl95% [3.9-7.7], only 5.3% Cl95% [3.5-7.1] reported use of condoms and other methods including spermicide and injectable contraceptive were used in 3.0% of cases. 14% declared not using any method. The most frequent reasons cited for not using any modern contraceptive method were : fear of side effects (42. 0%), careless (19.0%), refuse (17.0%) and lack of information (12.0%) - These results showed that many efforts should be deployed on knowledge about contraceptive use, couple involvement and on health service integration to improve the quality of care in reproductive health.
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