The face to face method of interviews could have led to social desirable answers. These traditional methods were most used in first sexual relationships. Conclusion In the case of no use or inconsistent use of contraceptives, socio-cultural factors of the population under review play an important role. And only women attending three general practices in the centre of the capital were enrolled in the study. The problems experienced were an increase in menstrual fluid and pain attributed to the copper device. The current questionnaire was not validated and not tested on reliability. Almost half of the respondents risked an unplanned pregnancy because of inconsistent contraception use or by using CI or PA as the contraceptive method.
The hormonal device was generally more satisfactory for women. A special policy focus should be on programs in schools to talk about youth and sexual relationship building in order to promote safer sex, directed toward beliefs and attitudes. Our findings show that the contraceptive knowledge of half of the respondents was either limited or just wrong, and their attitude toward reliable modern contraceptive methods was negative: Some of them had problems with taking the OCP every day, especially in the case of irregular sexual contact. The disadvantages mentioned were the possibility of rupture, and the experience of less pleasure during sexual contact. Feelings of regret and guilt dominated, and additional help for emotional and physical problems and more information about the abortion procedure and effective contraceptive methods are essential. Economic elements are of less importance, although in all societies with gender inequality, governments should consider reimbursement for contraceptives as a method of reducing abortion rates. Even if the effective use of contraception increases, the need for abortion will remain [ 21 , 22 ]. Considering the high incidence of abortion among the respondents, the attitudes toward abortion gave a very contrasting result: On the other side non-response is very low in face to face interviews, which is positive in research on sensitive subjects like abortion and contraceptives. The face to face method of interviews could have led to social desirable answers. There were some limitations in our study. Doctors, friends and partners were mentioned less frequently as sources of information resp. The problems experienced were an increase in menstrual fluid and pain attributed to the copper device. These traditional methods were most used in first sexual relationships. Almost half of the respondents risked an unplanned pregnancy because of inconsistent contraception use or by using CI or PA as the contraceptive method. Together, these 58 respondents underwent 82 abortions, including 47 medically-induced abortions, 32 surgical abortions and 3 self-induced abortions using herbs, Guinness Stout or a misprostol pill. Competing interests The authors declare that they have no competing interests. In addition, there was a considerable number of women who used a traditional, less reliable method of contraception: Therefore, the abortion policy and law should be modernized, and taken out of the criminal sphere. Although the results of this study cannot be extrapolated to other Caribbean countries, it provides an insight into the problem of unplanned pregnancies caused by a lack of sexual education. Oral Contraceptive Pill; PA: Self-reported antecedents for inconsistent or no use were mostly socio-cultural in origin: Social Economic Status; CI: Authors' contributions MJvB collected and analyzed the data and wrote the manuscript, and AAB contributed to the analysis of the data and drafting of the manuscript.
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