Bucharest's first family planning clinic since the revolution

Entre Nous Cph Den. 1990 Jun:(14-15):7.

Abstract

PIP: In Romania, as a result of the 1966 law forbidding abortion, the use of all contraceptive methods was considered a serious crime and punished by imprisonment. In this situation, the only solution for women was self- induced abortion, which has been the cause of thousands of tragedies for the Romanian population in the years since the law was enacted. The repeal of the law on Dec. 25, 1989, which became effective on January, 1990 facilitated the legal basis for establishment of family planning activities and the introduction of various methods of contraception in Romania. After the visit of a team of specialists from the UN, World Health Organization, and International Planned Parenthood Federation, the Obstetric-gynecological clinic of Bucharest set up a consultancy in family planning. We began this work on February 27, 1990 and up to this time (March 17) we have registered 107 women who have agreed to family planning and contraception, with each individual woman. Afterwards we made out medical cards containing social data, previous hereditary, personal psychological, physiological, and pathological history, and previous obstetric and gynecological history. The women were clinically examined. We found numerous examples of cervical lesions for which we recommended further investigations. We noticed that of the total 107 women, the number asking for sterilization was only 6. These were women aged between 38-40, mothers of 4 to 5 children, whose previous history included numerous abortions. In the case of the remaining women the choice of contraceptive method coincided, in most cases, with their own choice, so that we recommended the IUD to 47 women and the contraceptive pill to 35. 19 women, on request, were given diaphragms as well as 2 tubes of spermicidal cream per person. From March 12 we began the application of the 1st IUDs of the Multiload Cu250 and we noticed that the IUDs were easily fitted, and well tolerated without loss of blood or pain. To confirm the tolerance we recommended that the women returned to have a check-up a month later. To the women who preferred the poll as a contraceptive method and who presented the necessary medical indication, we recommended the administration of 3 cycles of pills. We recommended that the women returned for a check-up after 3 months. As for the group of 19 women to whom we had recommended the use of a vaginal diaphragm with spermicidal cream, we noted the ease with which these women learned to use the diaphragm and we asked them to return at the end of the month.

MeSH terms

  • Contraception
  • Contraception Behavior*
  • Developed Countries
  • Europe
  • Europe, Eastern
  • Family Planning Services
  • Health Planning*
  • Organization and Administration
  • Philosophy*
  • Program Development*
  • Romania