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Contraceptive morbidity

Contraceptive morbidity refers to morbidity caused by use of specific contraceptives. Obviously, contraceptive morbidity does not include the protective effects that contraceptives have against a variety of adverse conditions, but the concept of "contraceptive health" does include the absence of these diseases, which include ovarian and endometrial cancer, anemia, and STDs. Contraceptive morbidities are of 2 broad types: 

  1. Local effects of contraceptives include irritation from or allergic reactions to barrier contraceptives, IUD-associated bleeding, or infection at wound sites (implants, tubal sterilisation).
  2. Systematic effects include impact on the cardiovascular and hormonal systems and carcinogenicity (Fortney, 1995).

Ram and Rangaiyan (1997) studied the prevailing contraceptive morbidity pattern among the contraceptive users by method for all India and some selected states. They analysed the NFHS-1 data and reviewed other available data for India and different states (Karnataka, Madhya Pradesh, Maharashtra, Tamil Nadu and Uttar Pradesh). The study indicate that a significant proportion of women suffering from illness relate their problems to contraceptive use. A comparatively higher proportion of sterilised women had reportedly suffered illness related to contraceptive use.

NFHS-2 provides information on the women who are using modern contraceptive methods and reported problem with their method. 64% of sterilised women and 81% of women whose husbands sterilised report having no problems with their method. The most common problems experienced by sterilised women are headache, body ache or backache (23%), abdominal pain (15%), weakness or tiredness (14%), white discharge (12%) and fever (5%). The results point to a continuing need to strengthen postoperative care and counseling for sterilisation acceptors.             

                     
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Updated by Samatha Reddy Dated: 18/08/2003

               

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