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Subject Area

Clinical Pathology

Article Type

Original Study

Abstract

Objective To assess the possible causes of failure of contraceptive methods and women behavior after failure of different methods. Background Contraceptive failure contributes to a substantial proportion of unintended pregnancy, particularly in the developed world. Patients and methods This descriptive cross-sectional study was conducted on 100 participants in childbearing period aged from 19 to 45 years old with history of failure of contraception or pregnant on top of contraceptive method in the past 3 years. The studied participants were selected from Quweisna Family Health Center (urban area) and Meet Abou-Shikha Family Health Unit (rural area) during the period from the June 1 till the end of September 2017. Participants were assessed through detailed medical, obstetric, and contraceptive history. Results Of 100 studied women with history of failure of contraception, intrauterine contraceptive device (IUCD) and the progesterone-only pills had the highest failure rate among the studied groups (28 and 22%, respectively). Most of the participants with progesterone-only pills and combined oral contraceptives (84 and 70.6%, respectively) had a history of missing pills. Besides approximately half of the participants with missing pills referred it to fear of their adverse effects. Moreover, approximately half of the participants with contraceptive failure (57%) suspected that IUCD displacement was the cause of its failure and 53.3% referred the failure of condom to the irregular use owing to husband refusal. Conclusion The failure of contraceptive method may be related to misuse either missing of pills owing to fear of adverse effects, displacement of IUCD, or partner refusal of condom.

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