Laqueadura tubária: caracterização de usuárias laqueadas de um serviço público

Nicolau, Ana Izabel Oliveira; Moraes, Maria Leonor Costa de; Lima, Diego Jorge Maia; Aquino, Priscila de Souza; Pinheiro, Ana Karina Bezerra

doi:10.1590/s0080-62342011000100008

Cited by 10 publications

(11 citation statements)

References 13 publications

(31 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On the other hand, among the individual barriers, the low level of knowledge of the women and the couples about the method stand out; myths and taboos about the IUD, such as belief in the possibility of causing cancer, cause abortions and being ineffective; fear of side effects, such as increased menstrual flow, both in number of days and in volume; and belief that it is not appropriate for nulliparous women, young or single women (2,(13)(14)(15)(16)(17)(18) . Both barriers are experienced in Brazilian Primary Health Care (PHC) (12) and prevent full access to the IUD, contributing to the low frequency of its use and constituting a barrier to the full exercise of sexual and reproductive rights (12) .…”

Section: Introductionmentioning

confidence: 99%

Barreiras organizacionais para disponibilização e inserção do dispositivo intrauterino nos serviços de atenção básica à saúde

Gonzaga

Borges

Santos

et al. 2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: To identify organizational barriers to IUD availability in Primary HealthCare services from the perspective of women's health coordinators. Method: This is a quantitative study carried out with women's health officials from the municipalities of the southern macro region of Minas Gerais, Brazil, with an on-line completion of a structured instrument and a descriptive data analysis. Results: 79 technicians participated in the study. Among the municipalities, 15.2% do not provide IUDs and 8.3% do not refer women to other services, 53.7% do not provide IUDs at basic health units. Among those who provide the IUD, 68.7% do not have a specific protocol and 10.5% do not adopt pregnancy as a condition that makes it impossible to insert the IUD, and 80.6% adopt unnecessary conditions, such as vaginal infection. As a criterion for IUD access, 86.5% referred to a medical prescription, 71.6% required exams, 44.6% were over 18 years of age and 24.4% participation in groups, none based on scientific evidence. Only the doctor inserted the IUD. Conclusion: Problems in the access to the IUD were identified due to organizational barriers to its availability and insertion, such as the lack of availability of the method or the excess of unnecessary criteria to make it available.

show abstract

Section: Introductionmentioning

confidence: 99%

Barreiras organizacionais para disponibilização e inserção do dispositivo intrauterino nos serviços de atenção básica à saúde

Gonzaga

Borges

Santos

et al. 2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…This early beginning of sexual activity demonstrates that family planning and sexual and reproductive health promotion must occur intensively in the adolescent period, since it can be a determining factor in the gynecologic health of these young women. 15 Moreover, early education also provides an opportunity to educate young women (and young men) about STD prevention. STDs have been increasing among the young population, mainly among those who experiment with sexual intercourse at a young age.…”

Section: Resultsmentioning

confidence: 99%

Gynecologic and obstetric profile of state imprisoned females

Ribeiro¹,

Lessa²,

Monte³

et al. 2013

Texto contexto - enferm.

Self Cite

View full text Add to dashboard Cite

The objective of this study was to identify the gynecologic and obstetric profile of imprisoned females in the State of Ceará. This is a documental retrospective study with a quantitative approach, performed in the Female Prison Institute of the State of Ceará with 672 medical files. Regarding age, 62.3% of the women were 31 years old. The most prevalent age bracket for menarche was 10 to 13 years, (57.2%) and age of first sexual experience was 11 to 15 years (55.8%). The most common contraceptive method used was tubal ligation (29.5%). Homosexual behavior was found in 17.9% of inmates. Data also demonstrate an elevated number of pregnancies and abortions. In conclusion, these women require more care from health professionals and more specific health interventions in the prison context since they present high gynecologic and obstetrical risks.

show abstract

“…2º, o planejamento familiar é entendido como conjunto de ações de regulação da fecundidade, que garanta direitos iguais de constituição, limitação ou aumento da prole pela mulher, pelo homem ou pelo casal (Brasil, 1996). (Brasil, 2002;Dias, Spindola, 2007;Heilborn et al, 2009;Andrade, Silva, 2009;Wartcow, 2010;Nicolau et al, 2011;Figueiredo, Castro Filho, Kalckmann, 2014).…”

Section: Planejamento Familiarunclassified

“…Embora seu uso seja pouco frequente no Brasil, o DIU é o método contraceptivo reversível mais usado no mundo (Kaneshiro, Aeby, 2010;Cleland et al, 2012), porém ainda permanece subutilizado na América do Norte, Sul da Ásia, Oceania e África subsaariana (Muller, 2004;Holanda et al, 2013;Wu, Pickle, 2013).Trata-se de um método seguro, altamente eficaz e com resultados positivos na saúde das populações, pois atua na redução da morbidade e da mortalidade materna, da mortalidade infantil e dos abortos inseguros (Bergin et al, 2012;Bahamondes et al, 2014 (Hayashi, Nogueira, 2007;Heilborn et al, 2009;Secura et. al., 2010;Nicolau et al, 2011;Bergin, 2012).…”

Section: Planejamento Familiarunclassified

“…os mitos e os tabus que cercam o método, como a crença na possibilidade de provocar câncer, de ser abortivo e de ser pouco eficaz; o receio dos efeitos colaterais, como o aumento do fluxo menstrual, tanto em número de dias como em volume; e a crença de que não é apropriado para as mulheres nulíparas, jovens ou solteiras (Brasil, 2002;Moura, Silva, 2004;Carvalho, Schor, 2005;Dias, Spindola, 2007;Andrade, Silva, 2009;Casarin, Siqueira, 2010;Secura et. al., 2010;Nicolau et al, 2011;Kittur et al, 2011;Bergin, 2012).…”

Section: Planejamento Familiarunclassified

See 1 more Smart Citation

Barreiras organizacionais para disponibilização do dispositivo intrauterino nos serviços de Atenção Básica à Saúde (macrorregião Sul de Minas Gerais)

Gonzaga¹

View full text Add to dashboard Cite

Introduction: Although the intrauterine device (IUD) is little used in Brazil, it is the most used reversible contraceptive method in the world. It is about a safe method, highly effective and with positive results in the health of populations. By means of preventing unplanned pregnancies, it works to reduce maternal morbidity and mortality, infant mortality and unsafe abortions. Recent research, however, show that access to IUD in Primary Health Attention services is not always facilitated, being permeated by organizational barriers that contribute to their underutilization. Such barriers may restrict the full exercise of sexual and reproductive rights of Brazilian women. Objective: To identify organizational barriers for providing IUD in the Primary Health Attention services and elaborate, as a product of this dissertation, a summary of these barriers, which is intended for health managers, with their implications and recommendations. Method: Qualitative, descriptive study. Data collection was performed by completing, online, a structured instrument, by 79 professionals responsible for the technical field of Women's Health. The study setting was the macroregion in the southern of Minas Gerais. Data analysis was performed using Stata software, version 14.0, and described by absolute number and proportions. Results: Most municipalities have attention protocol to women's health (55.7%). Of these, 77.3% developed its own protocol, but 29.6% did not train health staff to use it. Among all participating municipalities, 15.2% do not offer IUD, and some did not refer women to other services (8.3%). Among those, which provide the IUD, the vast majority do not have specific protocol (68.7%); a portion does not adopt pregnancy as an impeditive condition of insertion of the IUD (10.5%) and, on the other hand, adopt less relevant conditions such as vaginal infection (80.6%). As a criterion for accessing the IUD, 86.5% reported prescription, 71.6% exams, 44.6% aged over 18 years old and 24.4% participation in groups. As required exams, it was quoted the Pap smear (94.7%), pregnancy test (63,2%) and blood tests (29,8%). As a place of availability, 83.7% do not provide in the Basic Health Units. As a professional to insert the IUD, 97.0% reported the doctor and none cited the nurse. Municipalities do not realize reproductive planning group at 43.0%. Finally, 86.1% of workers reported not having difficulties in obtaining the IUD. Conclusion: Organizational barriers were identified concerning the use of protocols, also barriers related to the availability and IUD insertion, and barriers related to the reproductive planning groups.

show abstract

Laqueadura tubária: caracterização de usuárias laqueadas de um serviço público

Cited by 10 publications

References 13 publications

Barreiras organizacionais para disponibilização e inserção do dispositivo intrauterino nos serviços de atenção básica à saúde

Barreiras organizacionais para disponibilização e inserção do dispositivo intrauterino nos serviços de atenção básica à saúde

Gynecologic and obstetric profile of state imprisoned females

Barreiras organizacionais para disponibilização do dispositivo intrauterino nos serviços de Atenção Básica à Saúde (macrorregião Sul de Minas Gerais)

Contact Info

Product

Resources

About