Abstract
Objective(s)
Interest has increased regarding the issue of contraception in transplant recipients.
The purpose of this study was to assess birth control selection and the role of contraceptive
counseling sessions in female kidney transplant (KT) and liver transplant (LT) recipients.
Study Design
A cross-sectional single-center survey study of 217 female organ recipients (KT, 137
and LT, 80), aged 18–45 years, met the study criteria. Patients were asked 43 questions
regarding their pre- and posttransplantation use of contraceptive methods, birth control
awareness, contraception counseling and the factors determining the selection of effective
contraception (hormonal contraception, intrauterine devices and female sterilization).
Results
Thirty-three percent (5/15) of patients who had undergone the transplantation within
1 year prior to study inclusion were unaware of the necessity to use contraception.
Both of the groups studied did not differ significantly in terms of the rates of pre-
and posttransplantation consultations on effective contraception (KT: 26% vs. 34%;
p=0.153 and LT 38% vs. 35%; p=0.729). Effective posttransplantation contraception
was used by one in three patients, as indicated by posttransplantation consultations
(KT: 30% vs. LT: 29%; p=0.910). The following factors affected the posttransplantation
use of effective contraception: the presence of posttransplantation counseling on
effective contraception [odds ratio (OR): 6.67; 95% confidence interval (CI): 2.12–20.1]
and infrequent sexual activity prior to transplantation (OR: 0.56; 95% CI: 0.35–0.89).
Conclusion(s)
The selection of effective contraception in KT and LT recipients remain suboptimal.
Despite the low numbers of women who received contraceptive counseling in this study,
consultation was nonetheless associated with choosing an effective method of contraception.
Implication
Current literature and data regarding contraception among female organ transplant
recipients remain limited and are predominantly limited to a single population. The
purpose of the study was to assess the level of satisfaction and the reasons underlying
birth control selection in female kidney and LT recipients.
Keywords
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Article info
Publication history
Published online: May 03, 2014
Accepted:
April 29,
2014
Received in revised form:
March 21,
2014
Received:
December 31,
2013
Footnotes
☆Acknowledgment of funding: not applicable, this is a survey study.
☆☆No potential financial and other interests for all of the authors.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
