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Patterns of contraception in UK women with Type 1 diabetes mellitus: A GP database study

Patterns of contraception in UK women with Type 1 diabetes mellitus: A GP database study
Patterns of contraception in UK women with Type 1 diabetes mellitus: A GP database study
Aim: To establish the patterns of contraceptive prescribing for women aged 15–49 with Type 1 diabetes mellitus (DM) and compare them with the patterns in women without diabetes.

Methods: This was a cross-sectional study using a UK primary care database.

Results: Nine hundred and thirty-eight women with a diagnosis of Type 1 DM were identified. A comparison group of women aged 15–49 without diabetes (n = 10 000) were randomly selected from the database. Twenty-five per cent of the women with diabetes and 32% without diabetes were prescribed a hormonal contraceptive in 1994. Women with Type 1 DM were more likely to be prescribed a combined oral contraceptive than a progestogen only pill (POP) but were 2.12 (95% CI 1.65–2.72) times more likely to be prescribed a POP than women without diabetes and were less likely to be prescribed a combined pill – odds ratio 0.53 (95% CI 0.44–0.64). The pregnancy rate in women with Type 1 DM over the age of 25 years was lower than for women without diabetes. Women under 25 years with Type 1 DM seemed more likely to record a pregnancy.

Conclusions: Differences between women with Type 1 DM and those without diabetes highlight the variation in the way that GPs and patients evaluate the risks and benefits when deciding on contraception.

contraception, diabetes mellitus (type 1), preganancy, oral contraceptive
0742-3071
395-399
Lawrenson, R.A.
06832636-2d0e-44e9-98b5-b27c63b721f1
Leydon, G.M.
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Williams, T.J.
99d7e758-9705-4f86-a68b-ace614309bf4
Newson, R.B.
9c74a68e-2716-49cc-88bb-5f64312d6c13
Feher, M.D.
31f3acce-5d8b-4e10-a256-de2b3f0e42ff
Lawrenson, R.A.
06832636-2d0e-44e9-98b5-b27c63b721f1
Leydon, G.M.
c5cdaff5-0fa1-4d38-b575-b97c2892ec40
Williams, T.J.
99d7e758-9705-4f86-a68b-ace614309bf4
Newson, R.B.
9c74a68e-2716-49cc-88bb-5f64312d6c13
Feher, M.D.
31f3acce-5d8b-4e10-a256-de2b3f0e42ff

Lawrenson, R.A., Leydon, G.M., Williams, T.J., Newson, R.B. and Feher, M.D. (1999) Patterns of contraception in UK women with Type 1 diabetes mellitus: A GP database study. Diabetic Medicine, 16 (5), 395-399. (doi:10.1046/j.1464-5491.1999.00074.x). (PMID:10342339)

Record type: Article

Abstract

Aim: To establish the patterns of contraceptive prescribing for women aged 15–49 with Type 1 diabetes mellitus (DM) and compare them with the patterns in women without diabetes.

Methods: This was a cross-sectional study using a UK primary care database.

Results: Nine hundred and thirty-eight women with a diagnosis of Type 1 DM were identified. A comparison group of women aged 15–49 without diabetes (n = 10 000) were randomly selected from the database. Twenty-five per cent of the women with diabetes and 32% without diabetes were prescribed a hormonal contraceptive in 1994. Women with Type 1 DM were more likely to be prescribed a combined oral contraceptive than a progestogen only pill (POP) but were 2.12 (95% CI 1.65–2.72) times more likely to be prescribed a POP than women without diabetes and were less likely to be prescribed a combined pill – odds ratio 0.53 (95% CI 0.44–0.64). The pregnancy rate in women with Type 1 DM over the age of 25 years was lower than for women without diabetes. Women under 25 years with Type 1 DM seemed more likely to record a pregnancy.

Conclusions: Differences between women with Type 1 DM and those without diabetes highlight the variation in the way that GPs and patients evaluate the risks and benefits when deciding on contraception.

Full text not available from this repository.

More information

Published date: May 1999
Keywords: contraception, diabetes mellitus (type 1), preganancy, oral contraceptive

Identifiers

Local EPrints ID: 184369
URI: http://eprints.soton.ac.uk/id/eprint/184369
ISSN: 0742-3071
PURE UUID: da7e9187-d244-43fd-a42d-2d0bf3ef3816
ORCID for G.M. Leydon: ORCID iD orcid.org/0000-0001-5986-3300

Catalogue record

Date deposited: 05 May 2011 14:42
Last modified: 20 Jul 2019 00:56

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