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Continuation rates, complaints and reasons for discontinuance relating to contraceptive pills. An Indian experience.

A nationwide study of the pill was initiated in India in 1967 with more than 300 experimental projects to determine whether oral contraceptives should be offered in the official family planning program. This paper is based on a follow-up study in Bombay in 1968. The total number of women was 336 of whom 2 never used the pills provided and 84 were lost to follow-up. Mean age was 27.4; average number of living children was 3. Findings do not sound a note of optimism. By the end of 1 year half the users discontinued the pill and by the end of 2 years 66% had. Side-effects were the reason for discontinuance in about half the cases. Giddiness weakness nausea loss of appetite and menstrual irregularities were the most frequent complaints. Pregnancy occurred in 3. 78 women reported no side-effects. Most side-effects were reported as occurring during the first month of therapy. Greater motivation and better medical follow-up are considered indicated. In India the IUD sterilization and the condom are the contraceptive methods most recommended. (By May 1972 4.3 million IUD insertions had been made and 10.9 million sterilizations had been performed. Over 9 million condoms are distributed monthly. Contraceptive pills are not included in general services offered although private medical practitioners in Bombay frequently prescribe them and they can be readily bought on the open markets.