Contraceptive situation and influencing factors of women in childbearing age with chronic kidney disease

Objective To investigate the contraceptive status and influencing factors of women at reproductive age of chronic kidney disease (CKD), so as to provide evidence for improving reproductive health of women with CKD. Methods A total of 256 female patients of reproductive age of CKD from November 2017 to February 2019 at National Clinical Research Center of Kidney Diseases, Jinling Hospital were selected to investigate the contraceptive status. And the investigation results were analyzed. Results A total of 256 patients were investigated, and 246 valid question-naires were collected. Eighty-nine (36.18%) patients did not use contraceptive methods, 131 (53.25%) patients used one contraceptive method, and 26 (10.57%) patients used two or more contraceptive methods. The proportion of contraceptive users in order were condoms 51.59%, intrauterine devices 45.86%, oral drugs 7.01%, safe period 7.01%, external ejaculation 5.10%, and contraceptive injection 0.64%. Univariate analysis showed that age, marital status, one-child status, birth status, partner's attitude towards contraception, whether to accept contraceptive guidance, whether to have edema, and the number of children they intended to have were all related to the use of contraceptive measures, with statistically significant differences (P<0.05). Multivariate regression analysis showed that those who were married, had 2 or more children, received contraceptive guidance, and had a positive attitude towards contraception were more likely to take contraceptive measures (P<0.05). Conclusion Child-bearing age women with CKD have a lower rate of contracep-tive use, especially long-duration contraception, and a higher risk of unintended pregnancy. Nurses should strengthen the propaganda and education of contraceptive knowledge of CKD patients, and take targeted intervention measures to improve the utilization rate of contraceptive tools. Key words: Chronic kidney disease; Females; Contraception