Background Of the 70 000 people experiencing homelessness in Scotland, at least 40% are women. Little is known about their contraceptive usage. Most pregnancies in homelessness are unintended and children are usually looked after in the care system. Methods A case note review of women’s current contraceptive usage in a primary care service serving women experiencing homelessness in Edinburgh, Scotland. The service electronic database was searched for keywords relating to contraception to determine current usage, but also reproductive health, wider demographics and previous pregnancies. Results Of 174 women (16–55 years), 75 (43%) were recorded as using a contraceptive method. 49 (28%) were using long-acting reversible contraception (LARC), most of which was the contraceptive implant. However, 6/41 (15%) of the most effective LARC (intrauterine contraception and implant) was being used beyond its’ expiry date. 34 (20%) had no mention of contraceptive use in their medical record and 32 (19%) were not using contraception despite being sexually active. 6 (3%) had been hysterectomised/female sterilisation. 26 (15%) were not sexually active. 179 of the 233 (77%) children mentioned in women’s electronic records were recorded as being looked after out with their care. 138/174 (79%) had current/previous drug or alcohol misuse. 100/174 (57%) had a history of domestic violence or abuse. 22/174 (13%) were involved/had been involved in sex work. Conclusions Primary care services need to give greater attention to the contraceptive needs of homeless women to empower them to become pregnant when the time is right for them and prevent the consequences of unintended pregnancy and homelessness.

中文翻译：

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英国苏格兰无家可归妇女获得专门初级保健服务的避孕药具使用：病例注释评论。

背景信息在苏格兰7万无家可归的人中，至少有40％是妇女。他们的避孕用法知之甚少。大多数无家可归者怀孕是意外的，照料系统中通常会照顾孩子。方法对苏格兰爱丁堡无家可归妇女的初级保健服务中妇女目前的避孕用法进行病例回顾。在服务电子数据库中搜索了与避孕相关的关键字，以确定当前的使用情况，以及生殖健康，更广泛的人口统计信息和以前的怀孕情况。结果174名妇女（16-55岁）中，有75名（43％）使用避孕方法记录下来。49（28％）人使用长效可逆避孕（LARC），其中大部分是避孕药。然而，最有效的LARC（宫内节育和植入术）中有6/41（15％）的使用期已超过其有效期。34名（20％）的病历中没有提到避孕药具的使用，而32名（19％）的性行为活跃但并未使用避孕药具。6（3％）位接受了子宫切除/女性绝育手术。26（15％）人不活跃。妇女电子记录中提到的233名儿童中有179名（占77％）被记录为正在照料中。138/174（79％）当前/以前滥用药物或酒精。100/174（57％）有家庭暴力或虐待史。22/174（13％）已参与/曾经从事过性工作。