[Activities of a family planning clinic incorporated to a public medical service over a 4-year period].
Over a period of four years, 1769 women, all of whom were married with at least 2 children, agreed to use an intra-uterine contraceptive device (IUD), 1199 women (predominantly unmarried) preferred to use an oral contraceptive (in most cases, two- or three-phase, low-estrogen pills) and 62 a local contraceptive (spermicide or diaphragm). The period of use was 89.65% for the IUDs, with a single case of acute inflammation of the genital tract. As expected, we diagnosed a large number of cases of asymptomatic Chlamydia trachomatis infections in 24% of the women using oral contraceptives and in 15% of the women fitted with an IUD. Symptomatic cases took the form of abdominal discomfort, vaginal discharge and metrorrhagia. In the opinion of the authors, the successful results obtained were due to the cooperation between the GP and the gynecologist and to a clear and firm policy towards the choice of the optimum method of contraception. In this article, the authors describe the principles behind this policy.
Blum
M
M
Clinique d'Obstétrique et Gynécologie et Planification Familiale, Mishmar Hayarden, Kupat Holim du District Dan, Gyvatayim, Israël.
Benaim
J
J
D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000009:adverse effects / Q000706:statistics & numerical data; D003276:Contraceptives, Oral / Q000009:adverse effects; D005193:Family Planning Services; D005260:Female; D006779:Hospitals, Public; D006801:Humans; D007434:Intrauterine Devices / Q000706:statistics & numerical data; D007557:Israel
D003276:Contraceptives, Oral
Rapport sur l'activité d'une clinique de planification familiale, incorporée dans un service de médecine publique, pendant quatre années.