Satisfaction with the use of contraceptive methods among women from primary health care services in the city of São Paulo, Brazil

Borges, Ana Luíza Vilela; Santos, Osmara Alves dos; Araújo, Karina Simão; Gonçalves, Renata Ferreira Sena; Rosa, Patrícia Lima Ferreira Santa; Nascimento, Natália Castro de

doi:10.1590/1806-93042017000400008

Cited by 13 publications

(14 citation statements)

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“…Women’s satisfaction with the contraceptive method is determined according to the characteristics of the methods itself [43]. In this context, studies suggest that reproductive planning actions should prioritize the provision of LARCs, not only because they are associated with high satisfaction, but also because they are highly effective, avoid the need for frequent visits for resupply, they are highly cost effective, and allow a rapid return to fertility after their removal; although they offer no protection against the STIs [17, 44].…”

Section: Discussionmentioning

confidence: 99%

“…In this context, studies suggest that reproductive planning actions should prioritize the provision of LARCs, not only because they are associated with high satisfaction, but also because they are highly effective, avoid the need for frequent visits for resupply, they are highly cost effective, and allow a rapid return to fertility after their removal; although they offer no protection against the STIs [17, 44]. Additionally, the provision of LARCs in the Brazilian public health system could modify the Brazilian contraceptive mix, with positive effects in decreasing the occurrence of unintended pregnancies and induced abortions [43].…”

Section: Discussionmentioning

confidence: 99%

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Contraceptive discontinuation: frequency and associated factors among undergraduate women in Brazil

2019

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Background In Brazil, high contraceptive prevalence rates coexist with high rates of unintended pregnancies. Contraceptive discontinuation may explain this context, but few studies have focused on highly educated young women in countries with low unmet need for modern contraception. This paper explores frequency and associated factors of contraceptive discontinuation among undergraduate students in Brazil within 12-months. Methods This retrospective cohort study was conducted among a probability sample of 1679 undergraduates of São Paulo University. Data were collected online using a contraceptive calendar. We examined factors related to monthly discontinuation of oral pills and male condoms using Generalized Estimating Equation models. Results Altogether, 19% of oral pill users and 48% of male condom users discontinued their method for method-related reasons within 12-months, and 18% of oral pill users and 15% of male condom users abandoned/or switched to less effective methods. Women in casual relationships were at increased odds of oral pill (OR = 1.4 [1.1–1.8]) and male condom discontinuation (OR = 1.3 [1.0–1.7]), and at increased odds of switching from oral pill to less effective or no method (OR = 1.4 [1.1–1.7]). Other associated factors were method specific. Women from lower socioeconomic status or who had multiple lifetime partners were more likely to discontinue or abandon the oral pill, while more sexually experienced women were less likely to discontinue the male condom. Conclusion Frequent method discontinuation in Brazil calls for greater attention to the difficulties women face when using short acting methods. Discontinuation was associated with type of partner and sexual experience highlighting the changing contraceptive needs of women at the early stages of their professional careers.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Contraceptive discontinuation: frequency and associated factors among undergraduate women in Brazil

2019

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“…These findings are consistent with international studies that report greater satisfaction with the hormonal LARC methods over OCP. 16 The continuation rates at 12 months for the LNG-IUS, implant and OCP in the CHOICE study followed a similar pattern; 88% for the LNG-IUS, 83% for the implant and 55% for the OCP. 4 While reasons for discontinuation varied between methods, one-third of participants gave no reason.…”

Section: Discussionmentioning

confidence: 75%

Women’s satisfaction with and ongoing use of hormonal long‐acting methods compared to the oral contraceptive pill: Findings from an Australian general practice cluster randomised trial (ACCORd)

Black

McGeechan

Watson

et al. 2021

Aust NZ J Obst Gynaeco

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Background:The Australian Contraceptive ChOice pRoject (ACCORd) aimed to assess the impact of a complex general practice intervention on the uptake of long-acting reversible contraceptives (LARC).Aims: Using survey data from enrolled women, we aimed to compare the ongoing use and satisfaction of women who chose one of the hormonal LARC methods including the levonorgestrel intrauterine system (LNG-IUS) or levonorgestrel implant compared to the oral contraceptive pill (OCP). Materials and Methods:We used the data from participants' baseline, six and 12-month surveys to identify new users of implants, LNG-IUS or OCP. We included demographic information, ongoing use of the contraceptive method, reasons for dissatisfaction and discontinuation and experience of side-effects. Proportions were compared using χ 2 tests.Results: Of the 740 women enrolled in ACCORd, 176 started using a hormonal LARC or OCP in the study's first six months with 76 using the IUS (43%), 60 the implant (34%) and 40 (23%) the OCP.Twelve-month continuation rates for the LNG-IUS, implant and OCP were 93, 83 and 65% respectively (P < 0.001). Satisfaction was highest among the LNG-IUS users; 86% were very/somewhat satisfied compared to 75% of implant users and 61% of OCP users (P < 0.001). Main reasons for method dissatisfaction were irregular bleeding and mood changes which were similar for all methods. Conclusions:This study provides further evidence that hormonal LARC methods have higher continuation and satisfaction rates compared to the OCP with similar side-effects. Since hormonal LARC methods have the highest contraceptive efficacy, these should be offered first-line to women.

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“…Research, Society andDevelopment, v. 9, n. 12, e1891210409, 2020 (CC BY 4.0) | ISSN 2525-3409 | DOI: http://dx.doi.org/10.33448/rsd-v9i12.10409 As mulheres procuram métodos definitivos porque já tiveram os filhos desejados, porque possuíam muitos filhos, por motivos econômicos, por recomendação médica, por efeito colateral do método anticoncepcional e também por outros motivos. Porém, é uma escolha complexa envolvendo ideias e valores individuais e da sociedade, como também é influenciada por constrangimento de ordem econômica ou mesmo dificuldade de acesso aos serviços de saúde reprodutiva de qualidade e medidas de proteção social (Borges et al, 2017).…”

Section: Resultsunclassified

Percepções de usuárias sobre as ações de enfermagem para saúde sexual e reprodutiva

Teodoro

Torres

Filho

et al. 2020

RSD

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Objetivo: Descrever a percepção de usuárias sobre as ações de enfermagem na atenção à saúde sexual e reprodutiva. Método: estudo descritivo de abordagem qualitativa, realizado em um serviço especializado de referência regional na Atenção à Saúde Reprodutiva e Sexual do Estado do Ceará. Participaram do estudo 20 pessoas, sendo usuárias, enfermeiras e informantes. Utilizaram-se para coleta dos dados a entrevista semiestruturada e a observação sistemática, com análise de conteúdo temática. Resultados: evidencia-se que a relação dos participantes com as enfermeiras no atendimento relacionado ao planejamento reprodutivo apresenta vinculações devido às informações e cuidado mais integral. Observa-se que a disponibilidade dos métodos contraceptivos ofertados é insuficiente frente à demanda das usuárias. As atitudes e comportamentos para a saúde reprodutiva apresentam fragilidades na assistência. A satisfação com o atendimento tem relação com as informações repassadas no atendimento de enfermagem. Considerações finais: O cuidado em saúde tem configuração fragmentada pela oferta de serviços e processos educativos limitados. Em seus limites assistenciais, a enfermagem oferece um cuidado ampliado em suas práticas cotidianas.

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Satisfaction with the use of contraceptive methods among women from primary health care services in the city of São Paulo, Brazil

Abstract: Objectives

Cited by 13 publications

References 20 publications

Contraceptive discontinuation: frequency and associated factors among undergraduate women in Brazil

Contraceptive discontinuation: frequency and associated factors among undergraduate women in Brazil

Women’s satisfaction with and ongoing use of hormonal long‐acting methods compared to the oral contraceptive pill: Findings from an Australian general practice cluster randomised trial (ACCORd)

Percepções de usuárias sobre as ações de enfermagem para saúde sexual e reprodutiva

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