Introduction: The use of contraceptives is less common among patients with addictions than in the general population. Substance use often persists into pregnancy and can lead to foetal exposure to drugs. The Drug Treatment Centre has guidelines for contraceptive planning (CP). This study aimed to assess the compliance of staff with providing contraceptive planning.

Methodology: This study involved all active female patients of a Drug Treatment Centre in Dublin, Ireland. We reviewed the history of the patients, investigating if they had CP. We collected data on having unprotected sex and a history of STDs. We checked for correlations between age, unprotected sex, having a history of STD and the presence of CP.

Results: One hundred thirty-nine females were included in the study. Sixty-four per cent were offered CP. Contraception was discussed with 30% of patients within the last year. Fourteen per cent of them are known to be on contraception or in menopause currently. Age was significantly negatively correlated with the presence of CP last year. Having unprotected sex significantly increases the chance of CP. History of STD was significantly correlated with the presence of CP at any time.

Discussion: CP should be a routine part of the care, but only 64% of the female clients attending our service were ever offered contraception. Given the enormous burden of substance use in pregnancy and the ratio of unplanned pregnancies among females with SUD, all healthcare practitioners working with these patients should be aware of the necessity of promoting safe sex practices.

To be updated shortly..