الفهرس 
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Abstract
SUMMARY
C
hronic diseases are a major problem and public health burden in developing countries, which are responsible for 73.0% of mortality and 60.0% of global morbidity burden. Women with chronic diseases are more likely to report that their pregnancies are unintended compared to women without chronic diseases.
For women with chronic disease, unintended pregnancies are associated with serious adverse maternal and perinatal outcomes, including congenital abnormalities, pre-term labor, spontaneous abortion, premature birth and fetal death. Optimized preconception care and reproductive life planning are therefore critical to the prevention of unintended pregnancies and reduction in pregnancy-related complications for these women.
Aim of the study:
The aim of this study was to investigate perception and practices of contraceptive methods among women with chronic diseases.
Research questions:
1. What is the level of knowledge regarding contraceptive methods among women with chronic diseases?
2. What is the level of self-reported practices regarding contraceptive methods among women with chronic diseases?
3. What is the attitude of women with chronic diseases regarding contraceptive methods?
Study design:
Descriptive analytical study was utilized to conduct this study.
Sample type and size:
A purposive sample of 210 women with the following inclusion criteria: Age of women ranging from 15-49 years old, Women suffered from chronic disease, married and fertile.
Study Setting:
The study was conducted at the family planning and gynecology clinics at Ain Shams University Maternity Hospital.
Tools and data collection:
Tool I: Structured interviewing questionnaire: (Appendix I)
It was developed by the researcher after reviewing the current related literature. It was written in simple Arabic language to suite all women’s level of education. It included six parts: Socio demographic characteristics, Medical/surgical history, Menstrual history, Obstetrical history, Family planning history and Items for assessing level of knowledge regarding contraceptive methods among women with chronic diseases.
Tool (II)- Self reported practices regarding utilization of contraceptive methods among women with chronic diseases.
Tool III- Likert attitude scale to assess attitude toward utilization of contraceptive methods among women with chronic disease.
Results of this study showed that:
The studied women age ranged between 15 - 49 years, (57.1%) of them have secondary educations. Moreover, (54.8%) of them were housewife.
(46.7% and 21.9%) of the studied women had cardiovascular system diseases and endocrine glands diseases, respectively.
(36.4% and 37.0%) of them take contraceptive pill and use IUD, respectively. Also, (47.3%) of the studied women whose use a method of contraception had problems associated with the method.
(67.6%) of the studied women has unsatisfactory level of total knowledge about contraceptive methods during chronic diseases. While, (32.4%) of them have satisfactory level of total knowledge.
(78.1%) of the studied women have in adequate level of total practice regarding contraceptive methods during chronic diseases. While, (21.9%) of them have adequate level of total practice.
(57.1%) of the studied women have negative attitude regarding contraceptive methods during chronic diseases. While, (42.9%) of them have positive attitude.
There is highly significant positive correlation between total knowledge of the studied women and their total practice regarding contraceptive methods during chronic diseases at (P= < 0.001). Also, there is significant positive correlation between total attitude of the studied women and their total knowledge and practice regarding contraceptive methods during chronic diseases at (P= < 0.05).
Based on the findings of the present study, it can be concluded that:
More than two thirds of the studied women had unsatisfactory level of total knowledge about contraceptive methods during chronic diseases. While, less than one third of them had satisfactory level of total knowledge. Also, more than three quarters of the studied women had inadequate level of total practice regarding contraceptive methods during chronic diseases. While, less than one fourth of them had adequate level of total practice. Moreover, more than half of the studied women had negative attitude regarding contraceptive methods during chronic diseases. While, less than half of them had positive attitude.
Based on the findings of the present study, the following recommendations are suggested:
• Design an educational program about the suitable contraceptive methods for women with chronic diseases to avoid the risk of unintended pregnancy during their chronic diseases.
• Conduct an awareness campaign about the importance of contraceptive methods for women with chronic diseases through mass media and in public places.
• Assigned private room for counseling for women with chronic diseases in the family planning units.
• Conduct many researches in the field of family planning for women suffering from chronic diseases to identify barriers that affect utilization of contraceptive methods among women with chronic diseases.