Prevalence of contraceptive failure among women at the Western Region of Saudi Arabia in 2018

Ahmad B. Alwazzan; Ahmed A. Mousa; Samera F. AlBasri; Abdullah Mohammed Kafy; Morouj A. Kandil; Abdulrahman M. Alkudsi; Esraa A. Roblah; Fayda A. Alkudsi; Abdulrahman E. Alsaggaf

Volume : VIII, Issue : XII, December - 2019

Prevalence of contraceptive failure among women at the Western Region of Saudi Arabia in 2018

Ahmad B. Alwazzan, Ahmed A. Mousa, Samera F. Albasri, Abdullah Mohammed Kafy, Morouj A. Kandil, Abdulrahman M. Alkudsi, Esraa A. Roblah, Fayda A. Alkudsi, Abdulrahman E. Alsaggaf

Abstract :

Background: A unique feature of Saudi Arabian society is the desire for huge families. Objectives: This study aimed to identify the contraceptive methods used with a higher risk of unplanned pregnancy, and the correlations between parity status and types of contraceptive methods used and contraceptive failure in women visiting the primary health care clinic of King Abdulaziz University, Jeddah, Saudi Arabia. Subjects and methods: This cross-sectional study was performed using a self-administrated electronic questionnaire that was distributed to women visiting a primary health care clinic in the western region of Saudi Arabia. The questionnaire was divided into 4 parts: patient characteristics, use and knowledge of contraceptive methods, relative risk of pregnancy with the use of different contraceptive methods, and the risk of pregnancy in relation to parity. Statistical analysis was performed using the SPSS v.21 software package. Results: A total of 959 women visiting the primary health care clinic were enrolled. Most of the participants were in the age group 20-35 years (57.00%). A large proportion of women reported using contraception (n= 649, 67.70%). The most common type of contraceptive used in this study was contraceptive pills (31.70%) followed by IUD (21.20%).The overall contraceptive failure rate was high in participants used withdrawal (OR: 1.822; 95%CI: 0.564-5.884), male condom (OR: 1.561; 95%CI: 0.484-5.031), lactation (OR: 1.202; 95%CI: 0.171-8.464), and contraceptive pills (OR: 1.025; 95%CI: 0.500-2.102), while, the overall contraceptive failure rate was low in participants using IUD (OR: 0.964; 95%CI: 0.440-2.113). Primigravida cases had the highest risk of contraceptive failure (8.50%) followed by nullipara (4.80%) then multipara (4.30%). Conclusion: Usage of withdrawal, male condom, lactation, and contraceptive pills as contraceptive methods had highest risk of failure in women in the Western Region of Saudi Arabia. Hence, women using these methods of contraception should be so carefully.