Razões e expectativas para troca de método contraceptivo

Razões e expectativas para troca de método contraceptivo

• Autor
• Giulia Frederico
• Co-autores
• Priscilla de Nazaré Silva dos Santos , Arlete Maria dos Santos Fernandes
• Resumo

• Reasons and expectations for changing from contraceptive method to LARC methods

  Introduction: Long-acting reversible contraceptive (LARC) methods, include intrauterine devices (IUD) and implants, are the best option to reduce unplanned pregnancies. Women who choose LARCs reported complaints concerning previous contraceptive and/or refer expectations related to the new method, which are not always feasible. The objectives of our study were to evaluate the reasons reported by women who opted for a LARC for the first time and the expected benefits in relation to the new method. Methods: We performed a retrospective study at the University of Campinas using database from previous research. We included women aged 18 to 49 years who sought the service and chose LARC for the first time between 2011 and 2018, and we distributed them in three categories: short-acting contraceptive use (SARC) or 150 mg of depot medroxyprogesterone acetate-DMPA or non-hormonal methods/condom.  Sociodemographic; length of time using (months) the non-LARC method; LARC chosen (cooper intrauterine dispositive-IUD, levonorgestrel intrauterine system-LNG-IUS or ENG implant); and reasons cited for change, and expectations with the new method were the variables analyzed. We used Chi-square test and Cramer coefficient to compare categorical variables. The level of significance adopted for this study was 5%. Results: We evaluated 1509 women, 57.8% SARC users, 27.7% non-hormonal methods users and 14.4% DMPA users. The age of women was 33.1 years (±SD 7.9 years, 95% CI), 0.9 (±SD 1.0; 95% CI) of number of children and 48.8 (±SD 55.4; 95% CI) length of time of use months. Of total, 50% reported collateral effects, 31.7% reported forgetfulness and 20.8% reported fear of pregnancy as reasons for changing the method. More than half of them chose the IUD, 38% chose the LNG-IUS and5% chose ETN-implant. Conclusions: It is necessary to know the reasons and expectations of women to adapt to the contraceptive method of choice.

   

  Keywords: Contraception; long acting reversible contraception; LARC methods; reasons for change

• Palavras-chave
• Contracepção, método reversíveis de longa duração, métodos LARC; motivos para troca.
• Área Temática
• Ginecologia e Obstetrícia

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