Concordance between intention to use and current use of contraceptives among six-month postpartum women in Brazil: The role of unplanned pregnancy

Borges, Ana Luíza Vilela; Santos, Osmara Alves dos; Fujimori, Elizabeth

doi:10.1016/j.midw.2017.10.015

Cited by 6 publications

(5 citation statements)

References 49 publications

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“…In this study, the intention was a predictor for choosing safe or unsafe contraception that was similar to the results of previous studies. Also, the construct of attitude was a predictor for the intention that was similar to the results of previous studies [15,16].…”

Section: Discussionsupporting

confidence: 85%

Predictors of Using Safe or Unsafe Contraception among Women with Unplanned Pregnancy: Applying BASNEF Model

Hazavehei

Rostami-Moez

Moeini

et al. 2019

Preprint

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Background Unplanned pregnancy is an important public health problem. Most of the unplanned pregnancies occur with using unsafe contraceptive methods. The psychological determinants for choosing contraceptive methods are not properly clear. This study aimed to determine psychological predictors for using safe and unsafe contraception among women with unplanned pregnancy.Methods This cross-sectional study was conducted among 227 married women with unplanned pregnancy. The census sampling was used for data gathering. Participants were interviewed using a questionnaire. Chi-square, linear and logistic regression, and correlation tests have been used for data analysis.Results The most common contraceptive method in women with unplanned pregnancies was male condom (32.2%). Women's awareness of contraceptive methods was low. The mean of age of women with unwanted pregnancy was 30 years. The intention was significantly associated with contraceptive methods (OR = 1.44; 95% CI: 1.095-1.889). There was a significant relationship between attitude toward behavior and intention ( P <0.01). There was a significant association between the number of daughters, previous unplanned pregnancy, husband's job, and household income and contraceptive methods ( P <0.01).Conclusion The finding of this study suggest that public health strategies to reduce unplanned pregnancy, particularly among women around ages 30 years, should focus on addressing attitude and intention in contraceptive advice and healthy childbearing interval.

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Section: Discussionsupporting

confidence: 85%

Predictors of Using Safe or Unsafe Contraception among Women with Unplanned Pregnancy: Applying BASNEF Model

Hazavehei

Rostami-Moez

Moeini

et al. 2019

Preprint

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“…9 Among those who do, after delivery, only one third has access to the contraceptive method that was chosen, with contraceptive injection being the method showing higher concordance between the women's previous choice and the method used in the puerperium, and IUD showing the lowest concordance in this respect. 18 Although we believe that contraception counseling should be routinely provided in prenatal care because this is the most effective postpartum contraception strategy, 5,19 we acknowledge that not offering IUD insertion at the moment of delivery only because the method was not discussed during the pregnancy represents, indeed, a "second failure" in providing appropriate contraception counseling.…”

Section: Discussionmentioning

confidence: 99%

Intrauterine Device Insertion during Cesarean Section in Women without Prenatal Contraception Counseling: Lessons from a Country with High Cesarean Rates

Zaconeta

Oliveira

Estrela

et al. 2019

Rev Bras Ginecol Obstet

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Objective The moment of admission for delivery may be inappropriate for offering an intrauterine device (IUD) to women without prenatal contraception counseling. However, in countries with high cesarean rates and deficient prenatal contraception counseling, this strategy may reduce unexpected pregnancies and repeated cesarean sections. Methods This was a prospective cohort study involving 100 women without prenatal contraception counseling. Postplacental IUD was offered after admission for delivery and placed during cesarean. The rates of IUD continuation, uterine perforation, and endometritis were assessed at 6 weeks and 6 months, and the proportion of women continuing with IUD at 6 months was assessed with respect to the number of previous cesareans. Results Ninety-seven women completed the follow-up. The rate of IUD continuation was 91% at 6 weeks and 83.5% at 6 months. The expulsion/removal rate in the first 6 weeks was not different from that between 6 weeks and 6 months (9 vs 9.1%, respectively). There were 2 cases of endometritis (2.1%), and no case of uterine perforation. Among 81 women continuing with intrauterine device after 6-months, 31% had undergone only the cesarean section in which the IUD was inserted, 44% had undergone 2 and 25% had undergone 3 or more cesarean sections. Conclusion Two thirds of the women who continued with IUD at 6 months had undergone 2 or more cesarean sections. Since offering trial of labor is unusual after 2 or more previous cesareans, we believe that offering IUD after admission for delivery may reduce the risk of repeated cesarean sections and its inherent risks.

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“…As demais variáveis foram as relacionadas aos aspectos sociodemográficos e planejamento da última gravidez, pois a literatura tem mostrado que interferem na intenção reprodutiva e/ou no uso de MAC. (13,18,19) São elas: faixa etária (18 a 24, 25 a 34, 35 ou mais); cor da pele (branca e não branca); religião (nenhuma, católica, evangélica e outras); escolaridade (concluído ou não concluído: ensino fundamental/ensino médio/ensino superior); renda própria (não e sim); classificação econômica do Critério de Classificação Econômica Brasil da Associação Brasileira de Empresas de Pesquisa (ABEP) (A e B, C, D e E); (20) convênio de saúde (não e sim); união estável (não e sim); número de filhos (nenhum, um, dois ou mais); e planejamento da última gravidez (planejada, ambivalente, não planejada e nunca engravidou).…”

Section: Métodosunclassified

“…(8)(9)(10)(11) Estudos conduzidos em diversos contextos mostraram que mulheres residentes em regiões mais empobrecidas e aquelas de baixa escolaridade são as que têm mais dificuldades em prevenir uma gravidez. (12) Contudo, chama nossa atenção que mulheres brasileiras que já vivenciaram uma gravidez não planejada mostraram menor propensão a usar os métodos contraceptivos de sua preferência no período de puerpério, quando comparadas às mulheres que tiveram uma gravidez planejada, (13) ou seja, as situações que levaram algumas mulheres a vivenciar uma gestação não planejada podem persistir após a gestação, levando-as a estar vulneráveis a vivenciar uma gravidez não intencional novamente. (14) Medidas retrospectivas sobre o planejamento da gravidez estão disponíveis e já validadas em vários contextos.…”

Section: Introductionunclassified

Vulnerabilidade a vivenciar uma gravidez não intencional entre mulheres usuárias do Sistema Único de Saúde

Melo¹,

Nascimento²,

Duarte³

et al. 2022

Acta Paulista De Enfermagem

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Conflitos de interesse: nada declarar. ResumoObjetivo: Analisar a vulnerabilidade a vivenciar uma gravidez não intencional entre mulheres usuárias de Unidades Básicas de Saúde e os aspectos associados.Métodos: Estudo transversal com 470 mulheres usuárias de Unidades Básicas de Saúde da Coordenadoria Regional de Saúde Leste do município de São Paulo. Os dados foram coletados por meio de entrevistas e utilizou-se regressão logística múltipla para analisar os aspectos associados.Resultados: Aproximadamente metade das mulheres mostrou estar vulnerável a vivenciar uma gravidez não intencional (48,3%). Mulheres na faixa etária de 25 a 34 anos tiveram mais chance de estar vulneráveis à gravidez não intencional comparadas às mulheres na faixa etária de 18 a 24 anos (OR=2,0; IC95% 1,2-3,4), tendo sido o mesmo observado em relação às mulheres com 35 anos de idade ou mais (OR=9,7; IC95% 5,3-17,6). As mulheres em união estável tiveram menos chance de estar vulneráveis a uma gravidez não intencional comparadas às mulheres solteiras (OR=0,4; IC95% 0,3-0,7). As mulheres que não planejaram a gravidez anterior tinham mais chance de estar vulnerável a uma gravidez não intencional comparadas às mulheres que planejaram a gravidez anterior (OR=2,5; IC95% 1,2-5,1), diferentemente das mulheres que nunca engravidaram (OR=0,4; IC95% 0,2-0,7).Conclusão: Uma parcela significativa de mulheres estava vulnerável a vivenciar uma gravidez não intencional. Os aspectos associados a vivenciar uma gravidez não intencional foram a idade, não estar em união estável e não ter planejado a última gravidez.

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Concordance between intention to use and current use of contraceptives among six-month postpartum women in Brazil: The role of unplanned pregnancy

Cited by 6 publications

References 49 publications

Predictors of Using Safe or Unsafe Contraception among Women with Unplanned Pregnancy: Applying BASNEF Model

Predictors of Using Safe or Unsafe Contraception among Women with Unplanned Pregnancy: Applying BASNEF Model

Intrauterine Device Insertion during Cesarean Section in Women without Prenatal Contraception Counseling: Lessons from a Country with High Cesarean Rates

Vulnerabilidade a vivenciar uma gravidez não intencional entre mulheres usuárias do Sistema Único de Saúde

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