Evaluation of contraceptive methods in women with congenital heart disease in Germany, Hungary and Japan

International Journal of Cardiology
M-A KoertenHarald Kaemmerer

Abstract

For women with congenital heart defects (CHD), pregnancy may pose a health risk. Sexually active women with CHD without the desire for own children or for whom pregnancy would imply considerable health risks require adequate counselling regarding appropriate contraception. This study gathers data on the contraceptive behaviour of women with CHD from three different cultural regions. 634 women with CHD from Germany, Hungary and Japan were surveyed regarding contraception and contraceptive methods (CM) used. The patients were divided into groups according to different criteria such as pregnancy associated cardiovascular risk or "safety" of the contraceptive methods used. 59% of the study participants had already gained experience with CM. The average age at the first time of use was 18.4 years; the German patients were significantly younger at the first time of using a CM than those from Hungary and Japan. Overall the condom was the method used the most (38%), followed by oral contraceptives (30%) and coitus interruptus (11%). The range of CM used in Japan was much smaller than that in Germany or Hungary. Unsafe contraceptives were currently, or had previously been used, by 29% of the surveyed patients (Germany: 25%, Hungary: 37%...Continue Reading

References

Apr 13, 2001·Journal of the American College of Cardiology·C A WarnesG D Webb
Sep 16, 2006·Heart·Sara ThorneCatherine Nelson-Piercy
Aug 11, 2007·The Journal of Obstetrics and Gynaecology Research·Yasuyo MatsumotoMasato Kawabata
Feb 2, 2008·The American Journal of Cardiology·Tam TruongJonathan M Tobis
Jan 28, 2009·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·David Cibula
Jul 27, 2011·Culture, Health & Sexuality·Huiyan Fu

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Citations

Apr 7, 2018·Korean Circulation Journal·Koichiro Niwa

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