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Related Experiment Videos

Contraception in general practice analyzed by a computerized medical record.

J F Nilsen, C F Bassøe

    Scandinavian Journal of Primary Health Care
    |November 1, 1987
    PubMed
    Summary

    Intrauterine contraceptive devices (IUCDs) may be more reliable than oral contraceptive pills, showing lower rates of unintended pregnancy and fewer side effects like salpingitis. Computerized records aided this general practice research.

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    Area of Science:

    • Reproductive Health
    • General Practice
    • Contraception

    Background:

    • Oral contraceptive pills and intrauterine contraceptive devices (IUCDs) are common reversible contraception methods.
    • Patient compliance and effectiveness can vary between different contraceptive methods.
    • General practice settings offer opportunities for comparative contraceptive research.

    Purpose of the Study:

    • To compare the effectiveness and side effect profiles of oral contraceptive pills versus IUCDs in a general practice setting.
    • To evaluate the reliability and patient experience associated with different contraceptive methods.
    • To assess the utility of computerized medical records for monitoring contraceptive users and research.

    Main Methods:

    • A retrospective study analyzing computerized medical records of 174 patients over 51 months.

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  • Patients were categorized by contraceptive method: oral pills (Lynestrenol/ethinyloestradiol, Levonorgestrel/ethinyloestradiol, Noretisteron) or IUCD.
  • Effectiveness was assessed using the Pearl index, and side effects were recorded.

    • Main Results:

    • Pill users experienced higher rates of unintended pregnancies compared to IUCD users, as indicated by the Pearl index.
    • Acute salpingitis, purulent vaginal discharge, and metrorrhagia were more frequent in the oral pill group.
    • Hemoglobin levels were similar between groups, but IUCDs suggested greater reliability potentially due to compliance.

    Conclusions:

    • IUCDs may offer superior reliability and a better side effect profile compared to oral contraceptive pills.
    • Improved patient compliance could contribute to the higher effectiveness of IUCDs.
    • Computerized medical records are valuable tools for monitoring patients and conducting clinical research in general practice.