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Choice and factors associated to the use of contraceptive methods among postpartum women: A prospective cohort study.
Meireles Castro Maia, Elaine; Autran Coelho Peixoto, Raquel; Aparecida Falbo Guazzelli, Cristina.
Afiliação
  • Meireles Castro Maia E; Department of Obstetrics, Federal University of São Paulo, São Paulo, Brazil. Electronic address: elaine.maia@unifesp.br.
  • Autran Coelho Peixoto R; Department of Women's, Child and Adolescent Health at the Faculty of Medicine of the Federal University of Ceará, Rua Professor Costa Mendes, 1608, ZIP code 60430-140, Fortaleza, Brazil.
  • Aparecida Falbo Guazzelli C; Department of Obstetrics, Federal University of São Paulo, São Paulo, Brazil. Electronic address: c.guazzelli@uol.com.br.
Eur J Obstet Gynecol Reprod Biol ; 298: 1-5, 2024 Jul.
Article em En | MEDLINE | ID: mdl-38705006
ABSTRACT

OBJECTIVES:

To assess women's contraceptive preferences in the immediate postpartum period and identify factors associated with use of their desired contraceptive method six months later. MATERIAL AND

METHODS:

This prospective cohort study included women ≤48 h after delivery at a single public Brazilian hospital. The women's interview took place in two different momentsbefore hospital discharge (in-person interview) and six months after delivery (by telephone contact). For data collection and management, we used the REDCap electronic tool. Univariate and multivariate analyses (unadjusted and adjusted Odds Ratio and 95 % confidence intervals) were used to identify factors associated with higher use of their desired contraceptive method six months after delivery.

RESULTS:

A total of 294 women (166 adolescents) were included. Initial contraceptive preferences were especially intrauterine devices (IUDs) (39.1 %), implants (33.0 %) and injectable hormonal contraceptives (17.0 %). Six months later, 42.5 % (n = 125) were using their desired contraceptive method. Younger age, white race and contraceptive initiation prior to hospital discharge were associated with use of their desired contraceptive at six months.

CONCLUSION:

Long-acting reversible contraception (LARC) methods were the most desired contraceptives among women after delivery. Providing and initiating free contraception prior to discharge from a birthing unit is important with regard to use of their desired method.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Comportamento Contraceptivo / Período Pós-Parto Limite: Adolescent / Adult / Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Eur J Obstet Gynecol Reprod Biol Ano de publicação: 2024 Tipo de documento: Article País de publicação: Irlanda
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Comportamento Contraceptivo / Período Pós-Parto Limite: Adolescent / Adult / Female / Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Eur J Obstet Gynecol Reprod Biol Ano de publicação: 2024 Tipo de documento: Article País de publicação: Irlanda