A STUDY ON CARDIOVASCULAR RISK FACTORS AMONG THE WOMEN TAKING LOW DOSE COMBINED ORAL CONTRACEPTIVE PILLS

Dr. Anwarul Kabir; Dr. Krishna Chandra Sarkar; Dr. Arabinda Ray; Dr. Anil Kumar

Volume : VII, Issue : IX, September - 2018

A STUDY ON CARDIOVASCULAR RISK FACTORS AMONG THE WOMEN TAKING LOW DOSE COMBINED ORAL CONTRACEPTIVE PILLS

Dr. Anwarul Kabir, Dr. Krishna Chandra Sarkar, Dr. Arabinda Ray, Dr. Anil Kumar

Abstract :

The present study of one year durationwas intended for assessment of cardiovascular risk factors among 50 women taking low dose combined oral contraceptive pill as birth control measure and their comparison with equal number of matched women not consuming any form of hormonal contraceptives. Their BMI, systolic and diastolic BP, Lipidprofile, Fasting blood sugar were estimated and ECG was donein the Department of Physiology and Department of Gynecology and Obstetrics of North Bengal Medical College and Hospital. Results obtained; expressed as Mean+SD of women,takingOCP,were:BMI(24.98�3.02),SBP(117.76�6.97), DBP (78.04�7.8),FBS(96.66�10.37),totalcholesterol(149.08�49.78),Triglyceride(122.72�67.42),HDLcholesterol(46.81�7.15),LDLcholesterol(77.65�34.68)VLDL cholesterol(38.74 � 28.03) and those of women not taking any hormonal contraceptive pills, were BMI(23.74� 1.54),SBP(117.64 � 7.50),DBP,( 76.88 � 9.4),FBS(97.36 � 11.04),total cholesterol(139.484 � 26.17),Triglyceride(98.16�22.84),HDL cholesterol(47.79 � 7.28),LDL cholesterol(62.53�27.49),VLDL cholesterol(40.9 � 24.14). 12 Lead ECG was done in both the groups.

On statistical analysis; no significant differences were found in any parameters among the groups ,as p–value in every cases were > 0.05;except serum LDL cholesterol where LDL cholesterol was significantly higher among OCP users group,with p value < 0.05 (p value=0.018). No significant difference of ECG findings was found between the case and control groups.

From our study, aninference may be drawn that women usinghormonal contraceptivespill for long time have a tendency of weightgain, increased BMI as well mildly deranged lipid profile and in the long run this may increase the risk of both cardiac and cereo–vascular risks; which demands regular checkup.