Determinants of emergency contraception non-use among women in                     unplanned or ambivalent pregnancies

Santos, Osmara Alves dos; Borges, Ana Luíza Vilela; Chofakian, Christiane Borges do Nascimento; Pirotta, Kátia Cibelle Machado

doi:10.1590/s0080-623420140000600003

Cited by 10 publications

(11 citation statements)

References 23 publications

(27 reference statements)

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“…The first study was also quantitative and cross-sectional, whose population consisted of 511 pregnant women, irrespective of pregnancy trimester, attending 12 Basic Health Care Facilities in 2013 (14) . The second study was longitudinal and quantitative, whose population consisted of 170 women hospitalized for abortion in a public maternity hospital between May and December 2011 (15) , and the data used here were collected during hospitalization.…”

Section: Methodsmentioning

confidence: 99%

Preconception health behaviors associated with pregnancy planning status among Brazilian women

Borges

Santos

Nascimento

et al. 2016

Rev. esc. enferm. USP

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Objective: The objective of this study is to assess preconception health behaviors among Brazilian women, and analyze the effect of pregnancy planning status in carrying out preconception measures. Method: This is a cross-sectional quantitative study conducted with 807 women, of whom 649 had a planned or ambivalent pregnancy. Preconception health behaviors were assessed by the Brazilian version of the London Measure of Unplanned Pregnancy. Results: Preconception health behaviors were performed by only 15.9% of women. Among those who planned their pregnancy, less than half completed a health measure (47.0%); the most common was seeking medical assistance and improving the diet. Multiple logistic regression analysis showed a strong association between the preconception health behaviors and a planned pregnancy (adjusted OR = 16.77; 95% CI: 9.47-29.81). Age over 30 years, paid work, and the time interval between menarche and first sexual intercourse were also associated with completing preconception measures. Conclusion: The low frequency of preconception health measures, even among women who planned their pregnancy, indicates the urgency of including preconception care on the agenda of public health policies in Brazil. descriPtOrs Preconception Care; Pregnancy; Sexual and Reproductive Health; Maternal-Child Nursing. Preconception health behaviors associated with pregnancy planning status among Brazilian womenPreparo pré-concepcional entre mulheres brasileiras e a relação com o planejamento da gravidez Preparación pre concepcional entre mujeres brasileñas y la relación con la planificación del embarazo

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Section: Methodsmentioning

confidence: 99%

Preconception health behaviors associated with pregnancy planning status among Brazilian women

Borges

Santos

Nascimento

et al. 2016

Rev. esc. enferm. USP

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“…Every pregnant woman, also irrespective of pregnancy trimester, waiting for prenatal care, vaccination, or educational group meetings on specific weekdays from April to July 2013 was invited to participate in the study ( n = 513). The purpose was to understand the reasons women with unplanned pregnancy had not used emergency contraception to prevent the pregnancy [27]. …”

Section: Methodsmentioning

confidence: 99%

Evaluation of the psychometric properties of the London Measure of Unplanned Pregnancy in Brazilian Portuguese

Borges

Barrett

Santos

et al. 2016

BMC Pregnancy Childbirth

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BackgroundEstimates of unplanned pregnancy worldwide are of concern, especially in low and middle-income countries, including Brazil. Although the contraceptive prevalence rate is high in Brazil, almost half of all pregnancies are reported as unintended. The only source of nationally representative data about pregnancy intention is the Demographic and Health Survey, as with many other countries. In more recent years, however, it has been realized that concept of unintended pregnancy is potentially more complex and requires more sophisticated measurement strategies, such as the London Measure of Unplanned Pregnancy (LMUP). The LMUP has been translated and validated in other languages, but not Portuguese yet. In this study, we evaluate the psychometric properties of the LMUP in the Portuguese language, Brazilian version.MethodsA Brazilian Portuguese version of the LMUP was produced via translation and back-translation. After piloting, the mode of administration was changed from self-completion to interviewer-administration. The measure was field tested with pregnant, postpartum, and postabortion women recruited at maternity and primary health care services in Sao Paulo city. Reliability (internal consistency) was assessed using Cronbach’s alpha and item-total correlations. Construct validity was assessed using principal components analysis and hypothesis testing. Scaling was assessed with Mokken analysis.Results759 women aged 15–44 completed the Brazilian Portuguese LMUP. There were no missing data. The measure was acceptable and well targeted. Reliability testing demonstrated good internal consistency (alpha = 0.81, all item-rest correlations >0.2). Validity testing confirmed that the measure was unidimensional and that all hypotheses were met: there were lower LMUP median scores among women in the extreme age groups (p < 0.001), among non-married women (p < 0.001) and those with lower educational attainment (p < 0.001). The Loevinger H coefficient was 0.60, indicating a strong scale.ConclusionThe Brazilian Portuguese LMUP is a valid and reliable measure of pregnancy planning/intention that is now available for use in Brazil. It represents a useful addition to the public health research and surveillance toolkit in Brazil.

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“…Some forwarded reasons are low knowledge of EC, extreme age groups, low educational level, having had children and having experienced a previous abortion are all associated with EC non-use. 18 From the study conducted in Jimma University Specialized Hospital from 89 women interviewed only nine women had awareness about emergency contraceptive. All of them have positive attitude towards EC but none of them have ever used emergency contraceptives.…”

Section: Introductionmentioning

confidence: 99%

Assessment of the knowledge, attitude and practice of EC and barriers to its use among the antenatal care seekers of Sululta Health Centers, Oromia region, Ethiopia

et al. 2016

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Background: With global expansion of contraceptive information and services, contraceptive technologies have continually improved and contraceptive prevalence has risen throughout most of the world. Emergency contraceptive pills have become more available in many developing countries. However, limited provider knowledge and negative attitudes, as well as poor user awareness and access, have hindered clients in learning about and using it. The aim of the present study is to assess the knowledge, attitude and practice of EC and also barriers to its use among the antenatal care attendees of Sululta health centers.Methods: A cross sectional study was conducted in Sululta health centres from January to February 2013/2014. Eighty seven Antenatal care attendees were interviewed. Pretested and structured questionnaire was used to collect data.Results: Of the 87 women included in the study 23 (26.4%) reported that the current pregnancy was unplanned and 5 (5.7%) reported that they had induced abortion in the previous years. Of the study participants 25 (28.7%) had ever heard about EC. Whereas only 6 (6.9%) of the women had actually used EC. The preferred places for the provision of EC were public hospitals 2 (8%), health centers 17(68%), private clinics 3 (12%) & pharmacies 11 (44%).Conclusions: This study showed that the major barrier to the use of EC is lack of awareness & also there is demand for education.

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Determinants of emergency contraception non-use among women in unplanned or ambivalent pregnancies

Cited by 10 publications

References 23 publications

Preconception health behaviors associated with pregnancy planning status among Brazilian women

Preconception health behaviors associated with pregnancy planning status among Brazilian women

Evaluation of the psychometric properties of the London Measure of Unplanned Pregnancy in Brazilian Portuguese

Assessment of the knowledge, attitude and practice of EC and barriers to its use among the antenatal care seekers of Sululta Health Centers, Oromia region, Ethiopia

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