Improvement in contraceptive coverage and gynecological care of adult women with cystic fibrosis following the implementation of an on-site gynecological consultation.
Adolescent
Adult
Cohort Studies
Contraception
/ statistics & numerical data
Cystic Fibrosis
Early Detection of Cancer
Female
France
Gynecology
Humans
Long-Acting Reversible Contraception
/ statistics & numerical data
Middle Aged
Papanicolaou Test
/ statistics & numerical data
Referral and Consultation
/ statistics & numerical data
Uterine Cervical Neoplasms
/ diagnosis
Young Adult
Cervical cancer screening
Contraception
Contraceptive coverage
Cystic fibrosis
Sexual and reproductive health
Journal
Contraception
ISSN: 1879-0518
Titre abrégé: Contraception
Pays: United States
ID NLM: 0234361
Informations de publication
Date de publication:
03 2020
03 2020
Historique:
received:
10
07
2019
revised:
27
10
2019
accepted:
30
10
2019
pubmed:
2
12
2019
medline:
24
4
2021
entrez:
2
12
2019
Statut:
ppublish
Résumé
Our study aimed to evaluate the impact of the introduction of a new gynecologic referral service in our adult Cystic Fibrosis (CF) center on contraceptive coverage, gynecological follow-up regularity, and cervical cancer screening coverage. We implemented an on-site gynecological consultation in our adult CF center in 2015. We compared the results of two surveys conducted successively in 2014 and in 2017 in a cohort of women with CF attending the Lyon CF center. Women completed the same self-report written questionnaire as in 2014. Main outcome measures were the comparisons of contraceptive coverage, gynecological follow-up regularity, and cervical cancer screening coverage between 2014 and 2017. All the 136 women (100%) who attended the clinic in 2017 participated. Contraceptive prevalence rate increased from 69%(CI95%:60.3-78.1) to 86%(CI95%:79.6-92.9) between 2014 and 2017 (p = 0.005). Among transplanted patients, the contraceptive prevalence rate was 92.3%(CI95%:82.0-100) in 2017. Long acting reversible contraceptive use markedly increased from 10% to 21.6% (p = 0.005). The proportion of women that reported an access to gynecological care increased between 2014 and 2017 (74%(CI95%:66.3-82.0) vs 91%(CI95%:86.9-95.4), p < 0.005) and reached 100% among transplanted patients. Cervical cancer screening improved (55%(CI95%:51.2-68.8) vs 85%(CI95%:78.6-90.6) women ever screened) (p < 0.0005) and reached 100% among transplanted patients. We observed an improvement in contraceptive coverage and gynecological care of adult women with CF following the implementation of a dedicated gynecological consultation in the CF center. Service linkages and formal links between CF centers and gynecologists can facilitate access to disease-specific contraceptive counseling, adequate gynecological management and cervical cancer screening.
Identifiants
pubmed: 31786201
pii: S0010-7824(19)30448-2
doi: 10.1016/j.contraception.2019.10.014
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
183-188Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.