Teratogenic Risk Awareness and Practice of Contraceptive use among Reproductive Age Women with Bipolar Disorder Attending Amanuel Specialized Mental Hospital, Facility based Cross Sectional Study
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Date
2021-11
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Addis Ababa University
Abstract
Background
Treatment of bipolar disorder in female patients pauses great difficulty because medications that
are being used have risk of causing congenital malformations and neurodevelopmental problems
in babies born to mothers who took the drugs during their pregnancy and also women with
bipolar disorder have higher risk of untended pregnancies and birth related complications than
the general population. So female patients who are in the reproductive age group should be
aware of these risks and should be able to take necessary precautions which include pregnancy
planning, effective contraceptive use and folate supplementation.
Objective
To assess awareness of teratogenic risk and practice of contraceptive use among reproductive
age women with bipolar disorder
Methods A hospital-based cross-sectional quantitative study was conducted at Amanuel
Specialized mental Hospital. Samples of 384 consecutive outpatients with bipolar disorder
diagnosis were enrolled. Data was collected using structured questionnaire which was
administered by psychiatry nurses. Data was analyzed using the Statistical Package for the Social
Sciences (SPSS), Version - 21.
Results – 384 participants who had follow up at Amanuel specialized mental hospital outpatient
clinic participated in the study. About 40% of participants reported that they have awareness
about teratogenic risk of mood stabilizer treatment.
38.28% reported current use of contraceptive methods. Among the participants who were taking
mood stabilizers 223(60.6) did not use contraceptive11111111111111111
Conclusions -In this study, the majority of women with bipolar disorder did not have awareness
about teratogenic risk and majority of them reported that they were not using contraceptive
methods. Psychoeducation about teratogenic risk and the need for contraceptive use for women
with bipolar disorder attending psychiatric outpatient clinic should be strengthened.
Key words: bipolar disorder, women, contraceptive, teratogen, Amanuel specialized mental
hospital, Ethiopia
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Keywords
bipolar disorder, women, contraceptive, teratogen, Amanuel specialized mental hospital, Ethiopia