ESPN 50th Annual Meeting

ESPN 2017


 
Is Contraceptive Advice Being Given To Adolescent Renal Transplant Patients?
SAMANTHA JAYNE WILLIAMSON 1 LARISSA KERECUK 2 GRAHAM LIPKIN 1 TANYA PANKHURST 1

1- UNIVERSITY HOSPITAL BIRMINGHAM NHS FOUNDATION TRUST
2- BIRMINGHAM WOMENS AND CHILDRENS HOSPITAL NHS FOUNDATION TRUST
 
Introduction:

Adolescents are at risk group so contraceptive advice is paramount.  Risk taking behaviours and disengagement from the medical team is common, therefore delivering advice can be challenging.  Many of these patients will never have received contraception advice before and many find the prospect of talking about it embarrassing and daunting.  Providing appropriate advice can often be challenging due to co-existing learning difficulties.  Our objective was to assess whether adolescents within the young adult transplant service had received accurate advice on contraceptive and pregnancy transplant safety.  

Material and methods:

We designed and distributed patient experience questionnaire to all patients within the renal young adult service who had a functioning transplant.  This focused upon two main issues: advice they had been given regarding contraception and the risks of pregnancy and current use of contraceptives.  We also asked for their opinions of how to improve the information provided.  

Results:

Nine responses were received from this small patient group.  Only 55% had received contraceptive advice since transplant, with 67% wanting more information relating to contraceptive choices.  Only 22% had received contraceptive advice at their paediatric centre.  Only 55% of patients had received advice regarding pregnancy and transplant. When asked how they would like to receive further information, a leaflet format and further conversations with the young adult team were preferred.

Conclusions:

Although a small sample, this demonstrates that contraceptive advice is not regularly being given out to adolescent renal transplant patients.  The patient cohort is extremely diverse with many patients suffering from learning difficulties; however this should not stop contraception being discussed.  This has resulted in an adolescent specific leaflet being designed to provide detailed information regarding sex, contraception and STIs.  A framework to aid clinicians in providing advice is under development.