32 Contraception: use and understanding in women with adult congenital heart disease

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Abstract

Purpose

Successes in care of congenital heart disease (CHD) have resulted in an increasing number of our patients considering pregnancy. For some, pregnancy could be a significant undertaking. We believe that we counsel our patients about contraception. Our aim was to assess contraception advice from a patient’s perspective.

Methods

An audit questionnaire was designed and given to women of child-bearing age attending the Scottish Adult Congenital Cardiology outpatient clinic.

Results

20 questionnaires were returned (mean age: 27 years). 17 (85%) were currently sexually active, 2 (10%) declined to comment. Contraceptive methods frequency is demonstrated in the table below:

Results

17 (85%) were either unsure or not actively planning a pregnancy. 8 (40%) were unsure if their current medications were safe to continue if they were to become pregnant.

Results

6 (30%) had previously been informed pregnancy was not advisable and all were using some form of contraception.

Results

GPs were the most common source of contraceptive information (n=10 [50%]). Only 9 (45%) recalled receiving contraceptive advice from our team.

Results

19 (95%) thought specific information on contraception for women with CHD would be useful.

Conclusion

Compared with our audit completed in 2011 there was an increased retention of contraceptive advice. For further improvement, we have developed more accessible information about safe and effective methods of contraception for adults with CHD and will repeat the audit.

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