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Contraception in women with IDDM. An epidemiological study
1Department of Internal Medicine and Endocrinology, Odense University Hospital, Denmark.
Diabetes Care
|November 1, 1992
Summary
Women with diabetes mellitus (IDDM) do not receive adequate counseling on appropriate contraception. This study found that diabetic women were less likely to use oral contraceptive pills (OCP) or partner sterilization, but more likely to undergo sterilization.
Area of Science:
- Reproductive Health
- Endocrinology
- Public Health
Background:
- Contraceptive method selection is crucial for women with diabetes mellitus (IDDM) to manage family planning and health outcomes.
- Previous research has not fully elucidated whether women with IDDM utilize appropriate contraceptive strategies.
Purpose of the Study:
- To investigate the application of suitable contraceptive methods among women with IDDM.
- To compare contraceptive choices between women with IDDM and a control group.
Main Methods:
- A questionnaire survey was conducted among women aged 18-49 with IDDM and an age-comparable control group in Funen County, Denmark.
- Data were collected between 1987 and 1990, with high response rates from both diabetic (94%) and control (88%) participants.
Main Results:
- Overall contraceptive use was similar between diabetic (77.1%) and control (73.6%) groups.
- Diabetic women were significantly less likely to use oral contraceptive pills (OCP) or partner sterilization but more likely to undergo female sterilization.
- Among diabetic users, Intrauterine Device (IUD), female sterilization, condoms, and OCPs were each used by approximately 20%. Notably, 18% of diabetic women used methods with high failure rates, and some used high-dose OCPs or IUDs despite being nulligravid.
Conclusions:
- Diabetic women are not sufficiently advised on appropriate contraceptive method selection.
- There is a need for improved reproductive health counseling for women with IDDM to ensure they utilize safe and effective contraception.