Contraception and reproductive planning during the COVID-19 pandemic

Filho, Edson Santos Ferreira; Melo, Nilson Roberto de; Sorpreso, Isabel Cristina Espósito; Bahamondes, Luís; Simões, Ricardo; Soares-Júnior, José Maria; Baracat, Edmund Chada

doi:10.1080/17512433.2020.1782738

Cited by 92 publications

(89 citation statements)

References 52 publications

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“…10 Menopausal hormone therapy also affects the risk of cardiovascular diseases. 11 We aimed to explore the prevalence of smoking rates and comorbidities and evaluate the relationship between smoking and comorbidities with disease severity and mortality in inpatients with and without COVID-19 in this study.…”

Section: Resultsmentioning

confidence: 99%

Smoking and comorbidities are associated with COVID-19 severity and mortality in 565 patients treated in Turkey: a retrospective observational study

Çalışkan¹,

Şaylan²

2020

Rev. Assoc. Med. Bras.

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SUMMARY OBJECTIVE: We aimed to explore the prevalence of smoking rates and comorbidities and evaluate the relationship between them and disease severity and mortality in inpatients with COVID-19. METHODS: COVID-19 patients were divided into the following groups: clinic group, intensive care unit (ICU) group, survivors, and non-survivors. Non-COVID-19 patients were included as a control group. The groups were compared. RESULTS: There was no difference between patients with and without COVID-19 in terms of smoking, asthma, diabetes, dementia, coronary artery disease (CAD), hypertension, chronic renal failure and arrhythmia (p>0.05). Older age (Odds ratio (OR), 1.061; 95% confidence interval (CI): 1.041-1.082; p< 0.0001), chronic obstructive pulmonary disease (COPD) (OR, 2.775; 95% CI: 1.128-6.829; p=0.026) and CAD (OR, 2.696; 95% CI: 1.216-5.974; p=0.015) were significantly associated with ICU admission. Current smoking (OR, 5.101; 95% CI: 2.382-10.927; p<0.0001) and former smoking (OR, 3.789; 95% CI: 1.845-7.780; p<0.0001) were risk factors for ICU admission. Older age (OR; 1.082; 95% CI: 1.056-1.109; p<0.0001), COPD (OR, 3.213; 95% CI: 1.224-8.431; p=0.018), CAD (OR, 6.252; 95% CI: 2.171-18.004; p=0.001) and congestive heart failure (CHF) (OR, 5.917; 95% CI 1.069-32.258; p=0.042), were significantly associated with mortality. Current smoking (OR, 13.014; 95% CI: 5.058-33.480; p<0.0001) and former smoking (OR, 6.507; 95% CI 2.731-15.501; p<0.0001) were also risk factors for mortality. CONCLUSION: Smoking, older age, COPD, and CAD were risk factors for ICU admission and mortality in patients with COVID-19. CHF was not a risk factor for ICU admission; however, it was a risk factor for mortality.

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Section: Resultsmentioning

confidence: 99%

Smoking and comorbidities are associated with COVID-19 severity and mortality in 565 patients treated in Turkey: a retrospective observational study

Çalışkan¹,

Şaylan²

2020

Rev. Assoc. Med. Bras.

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“…The risk of unwanted pregnancies is a consequence of the COVID-19 pandemic [ 64 ], because sexual and reproductive health services have remained closed during the pandemic. Fortunately, in some countries, remote resources have allowed them to continue their preventive function by prescribing contraceptive methods, but unfortunately, in many others it has not been possible.…”

Section: Discussionmentioning

confidence: 99%

Consensus on Recommendations for Safe Sexual Activity during the COVID-19 Coronavirus Pandemic

Cabello

Sánchez²,

Farré

et al. 2020

JCM

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Sexual activity offers numerous advantages for physical and mental health but maintains inherent risks in a pandemic situation, such as the current one caused by SARS-CoV-2. A group of experts from the Spanish Association of Sexuality and Mental Health (AESexSAME) has reached a consensus on recommendations to maintain lower-risk sexual activity, depending on one’s clinical and partner situations, based on the current knowledge of SARS-CoV-2. Different situations are included in the recommendations: a sexual partner passing quarantine without any symptoms, a sexual partner that has not passed quarantine, a sexual partner with some suspicious symptoms of COVID-19, a positive sexual partner with COVID-19, a pregnant sexual partner, a health professional partner in contact with COVID-19 patients, and people without a sexual partner. The main recommendations include returning to engaging in safe sex after quarantine is over (28 days based on the duration one can carry SARS-CoV-2, or 33 days for those who are >60 years old) and all parties are asymptomatic. In all other cases (for those under quarantine, those with some clinical symptoms, health professionals in contact with COVID-19 patients, and during pregnancy), abstaining from coital/oral/anal sex, substituting it with masturbatory or virtual sexual activity to provide maximum protection from the contagion, and increasing the benefits inherent to sexual activity are recommended. For persons without a partner, not initiating sexual activity with a sporadic partner is strongly recommended.

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“…Some did, however, infringe the rules. Although we do not know whether another pandemic event will happen, we must build on our experience by adding new information and education to contraceptive counselling in the event of new future social distancing requirements [14]. Consequently, we must ask women to contact their clinician before stopping a contraceptive method.…”

Section: Clinical Implications and Future Researchmentioning

confidence: 99%

Sexual activity and contraceptive use during social distancing and self-isolation in the COVID-19 pandemic

Caruso

Rapisarda

Minona

2020

The European Journal of Contraception & Reproductive Health

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Objectives: The aims of the study were to investigate the effects of social distancing during the COVID-19 pandemic on the use of hormonal contraceptives, their discontinuation and the risk of unplanned pregnancy. Methods: The study enrolled 317 women listed in the database of the Department of General Surgery and Medical-Surgical Specialties, University of Catania, Italy, family planning clinic who were known to be using hormonal contraceptives. The women were contacted by telephone and asked whether they would like to participate in the study. If they agreed, they were then emailed a questionnaire about their social behaviour and sexual activity during the pandemic, according to their cohabiting status, i.e., whether they were continuing to use their hormonal contraception and whether they had had an unplanned pregnancy. Results: The questionnaire was completed by 175 (81.8%) women who were using short-acting reversible contraception (SARC) and by 90 (87.4%) women who were using long-acting reversible contraception (LARC). All married and cohabiting women were continuing to use their contraceptive method. None had had an unplanned pregnancy. On the other hand, 51 (50.5%) non-cohabiting or single women had discontinued their SARC method while social distancing, for nonmethod-related reasons; however, 47 (46.5%) non-cohabiting or single women had continued their sexual activity, infringing social distancing rules, and 14.9% had had an unplanned pregnancy, for which they had sought a termination. Conclusion: Several non-cohabiting women using SARC had discontinued their contraceptive method during the pandemic but had continued to engage in sexual activity and had had an unplanned pregnancy. Clinicians should counsel women about what they should do in regard to contraception in the event of new, future social distancing measures.

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Contraception and reproductive planning during the COVID-19 pandemic

Cited by 92 publications

References 52 publications

Smoking and comorbidities are associated with COVID-19 severity and mortality in 565 patients treated in Turkey: a retrospective observational study

Smoking and comorbidities are associated with COVID-19 severity and mortality in 565 patients treated in Turkey: a retrospective observational study

Consensus on Recommendations for Safe Sexual Activity during the COVID-19 Coronavirus Pandemic

Sexual activity and contraceptive use during social distancing and self-isolation in the COVID-19 pandemic

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