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P72 Knowledge and use of contraceptive methods in portuguese women with systemic lupus erythematosus
  1. Luisa Brites1,
  2. Stefanie Silva1,
  3. Laura Andreoli2,3 and
  4. Luis Inês1,4
  1. 1Rheumatology Dept., CHUC, Coimbra, Portugal
  2. 2Dept. of Clinical and Experimental Sciences, University of Brescia, Brescia
  3. 3Unit of Rheumatology and Clinical Immunology, ASST Spedali Civili, Brescia, Italy
  4. 4Faculdade Ciências da Saúde-UBI, Covilhã, Portugal


Background Systemic lupus erythematosus (SLE) affects women of childbearing age. Therefore contraceptive/family counselling are crucial to avoid unintended pregnancies. Our aim was to identify unmet needs for contraceptive/family counselling in women with SLE.

Methods Cross-sectional study including women aged 18–45 year-old fulfilling ACR 1997/SLICC criteria. All patients signed an informed consent and fulfilled a questionnaire with 15 short answers questions evaluating 4 domains: brief obstetric history; knowledge about the relationship between pregnancy and SLE, contraceptive/family counselling, contraception use and type of medical care offered. A descriptive analysis was used to summarize demographic/clinical data; possible predictors of contraceptive use (age, previous spontaneous abortion, level of knowledge about SLE, contraceptive/family planning) were tested by multiple regression analysis using SPSS Statistics, V.21; p<0.05 was considered statistically significant.

Results We enrolled 108 women (mean age 34.4±7.1 years; mean disease duration 10.3±7.3 years). About 65% of the included patients received information about family planning (mostly from rheumatologists (62.9%)) and 81% received information about contraception (mostly from gynaecologists (56.3%)). Only 38% was considered informed about SLE and its influence in pregnancy. In this cohort, 23.1% wanted to get pregnant in the next 6 months; the rest of them already had the number of children they wanted or wanted to get pregnant later. Contraceptive use was reported by 79.6% of the patients and the most commonly used was oral contraceptive pills. Of those who had no contraception method, 60% admitted having unprotected sex. No statistically significant predictors of contraceptive use were identified.

Conclusion In this tertiary Lupus Clinic, most patients received effective contraceptive/family counselling and use contraceptive methods. Quality of the given information can still be improved.

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