TAILIEUCHUNG - Chaper 15: Contraception

Being pregnant is more dangerous than using con- traception. Therefore, the higher the typical failure rate (Table 1)1,2, the riskier a method is. This failure rate is 300 times as important in Afghanistan, Somalia, Sierra Leone or Niger(nearly 2% chance that a pregnancy will result in a maternal death and gener- ally no access to safe abortions) than in Scandinavia( chance, and induced abortions very safe). | 15 Contraception Douwe . Verkuyl INTRODUCTION The challenge The human population was projected to hit 7 billion by the second half of 2011. The newest estimates are that we might stabilize at billion - perhaps too many to have any hope of doing something for quite some time about the misery of the poorest 1-3 billion. Globally 215 million women cannot get the reproductive information and the contraceptives that they want. If we solved this problem according to the World Health Organization WHO there would be over 5 years 96 million fewer unintended pregnancies 54 million fewer abortions 110 000 fewer women dying in childbirth million fewer infant deaths and perhaps a better future for the planet. A worthy challenge http . newsID 851 . When to use which contraceptive Being pregnant is more dangerous than using contraception. Therefore the higher the typical failure rate Table 1 1 2 the riskier a method is. From the maternal mortality perspective this failure rate is 300 times as important in Afghanistan Somalia Sierra Leone or Niger nearly 2 chance that a pregnancy will result in a maternal death and generally no access to safe abortions than in Scandinavia chance and induced abortions very safe . Not that the contraceptive failures in rich countries are insignificant they have a large emotional impact. Moreover due to his production of greenhouse gases and consumption of non-renewable resources the typical Scandinavian has an ecological footprint a hundred times larger than for example an Ethiopian. The above does not mean that any contraceptive will do as long as it is reliable the client s contentment is an objective in itself. Her knowledge the costs the method selected the service her fears her culture her trust and the quality of counseling are directly related to the failure rate. Tips and points to consider Pay attention to unwanted fertility but also to infertility Consider the possible need for contraception .

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