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The contraceptive effect and side effects of three modern contraceptive pills, a high-dose combined (Ovidon), a low-dose combined (Rigevidon) and an only postcoital gestogen pill (Postinor) was studied in a total of 167 women. All the studied preparations were found to be well tolerated and highly effective.
The present study compared 15 ectopic pregnancies occurring after female sterilization (EPs) with 30 non-pregnant control patients who had also undergone female sterilization (NPCs) for a history of induced abortion, any pelvic surgery, abdominal surgery, or pelvic infection. EP cases and controls were individually matched for clinic, surgeon, surgical approach, tubal occlusion technique, and date of operation, as well as patients age and parity. The only significant difference was the greater proportion of EP patients, reporting a history of induced abortion (matched triplet odds ratio = 9.0, 95% confidence limits = 1.39, 58.26). Women with EPs were further compared with 78 women with post-sterilization intra-uterine pregnancies (unmatched). Results again show a significantly greater risk of conceiving an EP following previous induced abortion (odds ratio 5.8, 95% confidence limits = 1.78, 18.60). Women with previous abdominal surgery also ran a significantly higher risk of post-sterilization EP (odds ratio 10.0 95% confidence limits = 2.45, 40.83). Limitations of the data and clinical implications of the results are discussed.
This study evaluated individual differences in coping style in response to an abortion procedure. The 55 subjects displayed a wide range of responses, although the average level of distress was fairly high. These women were quite similar to other stressed populations in their response to the Impact of Event Scale, providing evidence for a generalized stress response syndrome. When divided into groups based on coping style, "avoiders" were found to experience more distress that "nonavoiders," and "approachers" decreased in distress over time while "nonapproachers" did not. The implications of these findings are discussed in the context of the interaction between coping styles and counseling strategies.
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