Contraceptive use and the intention to become pregnant among women attending the Brazilian Unified Health System

Abstract

Objective: to analyze the use of contraceptive methods and the intention to become pregnant among women attending the Brazilian Unified Health System. Method: a cross-sectional study conducted with 688 women aged 18-49 years old, attending the Family Health Strategy Facilities in the eastern part of the city of São Paulo, Brazil, who were awaiting medical or nursing consultation. Data were obtained through interviews with a structured instrument, allocated in tablets. The analysis was conducted with “strong desire to avoid pregnancy” as the dependent variable. Chi-square and multiple logistic regression were used, calculated in Stata 14.2. Results: 56.5% used some contraceptive method, covariates of the strong desire to avoid pregnancy were marital status (OR=0.49; CI95%=0.33-0.74), parity – two and more children (OR=15.9; IC95%=4.29-59.1); and pregnancy planning – planned (OR=0.69; IC95%=0.73-0.94) and ambivalent (OR=2.94; IC95%=1.30-3.83). There was no statistical difference between the strong desire to avoid pregnancy and the type of contraceptive used. Conclusion: women with a strong desire to avoid pregnancy used basically the same types of contraceptive methods as women in general, which shows that they have not been supported to achieve their reproductive preferences.

A heteronormatividade e a saúde de mulheres bissexuais e lésbicas universitárias

“…O cenário de atenção inadequada em planejamento reprodutivo pode ocasionar divergências entre as práticas sexuais das mulheres e suas condutas contraceptivas, uma vez que, muitas vezes, a contracepção das mulheres não está amparada em uma escolha individual e informada, levando-as, consequentemente, a utilizar de métodos contraceptivos pouco ou nada correspondentes com as suas práticas reprodutivas e o seu desejo de engravidar 25 , tendo em vista que o desejo de estender a família não difere das famílias heteroparentais 9 .…”

La contraception dans d’autres pays

“…Malgré tous ces éléments, une forte baisse du taux de fécondité a été observée au cours des dernières décennies, passant de 6,3 enfants par femme en 1960 à 1,7 enfants en 2018. En parallèle, l'utilisation des méthodes contraceptives chez les femmes âgées de 15 à 49 ans est passée de 66,2 % en 1986, à 80,6 % en 2006 [1]. Les données obtenues dans le cadre de la recherche « Pesquisa Nascer » au Brésil, réali-sée en 2014, qui a inclus 23 894 femmes suivies dans les maternités publiques, révèlent que 55,4 % des grossesses n'étaient cependant pas désirées [2].…”