Awareness of Long Acting Reversible Contraception in General
Awareness of Long Acting Reversible Contraception in General Practice Park Lane Medical Centre, Hampshire, United Kingdom Dr Anjali Bala Chandra MBBS BSc (Hons. ) MRCGP (2014) Dr Birbala Dixit MBBS D(Obst) RCOG FFRSH FIMSA
Park Lane Medical Centre (U. K. ) �Number of registered patients: 8609 �Number of doctors: 4 �Number of nurses: 3 �Number of health care assistants: 1 �Administrative staff: 12
LARC
CONTRACEPTION FAILURE RATES Percentage of unplanned pregnancies in the 1 st year �Withdrawl method: 22% �Condom: 18% �Combined Pill / Patch / Ring: 9% �Progesterone-only Pill: 9% �Injection: 6% �IUCD: 0. 8% �IUS : 0. 2% �Implant: 0. 05% �Female sterilisation: 0. 5% �Male sterilisation: 0. 15%
Unplanned pregnancies � 30% pregnancies are unplanned �Number of Terminations in England Wales: � 1976: 101, 912 � 1986: 147, 619 � 1996: 167, 916 � 2006: 193, 737 � 2016: 185, 596 �Switching patients from SARC to LARC fewer unplanned pregnancies �Will save millions of pounds to NHS every year
Contraception Questionnaire
Data analysis
Analysis of knowledge of LARC at PLMC (U. K) TYPE OF RESPONSE MALE FEMALE ALL 4 CORRECT PARTIALLY CORRECT 4 (13. 7%) 19 (26. 7%) 16 (55. 1%) 39 (54. 9%) NONE CORRECT TOTAL 9 (31. 0%) 13 (18. 3%) 29 71
Contraception use at PLMC (U. K. ) Type of contraception Number of Percentage women Combined oral contraception 301 31. 99% Progesterone only contraception 250 26. 57% Contraceptive patch 7 0. 74% Total SARC 558 59. 30% Injection 92 9. 78% Sub-dermal implant 60 6. 38% Copper coil 15 1. 59% Hormone coil 216 22. 95% Total LARC 383 40. 70% Total 941 100%
Recommendations 1 - Any male or female patients >16 yrs: discuss sexual health and contraception. 2 - Request sexual health clinic, pharmacies, OOH and A&E to inform us about our patients attending for contraception and emergency contraception. 3 - Display a poster in the waiting / reception area. “Are you sexually active? If so see a doctor or nurse for advice. ”
Recommendations 2 4 - Message on the back of prescription. “Are you sexually active? If so see a doctor or nurse for advice. ” 5 - Discuss at practice meeting and at meetings with local GPs to remind all members of staff. 6 - Re-audit in 6 months to see if there any improvements.
Conclusion This preliminary study suggests that there is a definite need for education and training of healthcare professionals as well as the general public to improve knowledge and awareness to increase the uptake of LARC. Consequently this could lead to fewer unplanned pregnancies and termination of pregnancies in the future. CHILDREN BY CHOICE, NOT BY CHANCE!
- Slides: 20