Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.titleAdolescent Contraception Before And After Pregnancy-choices And Challenges For The Futureen
dc.title.alternativeContracepção Em Adolescentes Antes E Depois Do Parto: Escolhas E Desafios Para O Futuropt_BR
dc.contributor.authorAnderson; Suritapt_BR
dc.contributor.authorFernanda Garanhani; D’Annibalept_BR
dc.contributor.authorAline; Pacagnellapt_BR
dc.contributor.authorRodolfo de Carvalho; Silvapt_BR
dc.contributor.authorJoao Luiz Pinto ept_BR
unicamp.authorUniversidade Estadual de Campinas Faculdade de Ciências Médicas Department of Obstetrics and Gynecology, Campinas SP, Brazilpt_BR
dc.subjectPostpartum Perioden
dc.subjectPeríodo Pós-partoen
dc.description.abstractTo determine methods of contraception used by adolescents before and after pregnancy. Methods A cross-sectional study was performed, and data were collected from medical records of all teens in puerperal consultation at the Hospital da Mulher - José Aristodemo Pinotti (Caism), Universidade Estadual de Campinas (CAISM), São Paulo, Brazil, between July 2011 and September 2013. The inclusion criterionwas being 10 to 19 years old, and the exclusion criterion was having a first consultation 90 days after childbirth. Statistical analyseswere performed with averages, standard deviations, percentages, correlations and Fisher's exact tests using the SAS program, version 9.4. Results A total of 196 adolescents in postpartum consultation were included (44 days after childbirth on average). The majority was older than 14 years (89%), with an average age of 16.2 years, and the most were exclusively breast-feeding (70%). Before pregnancy, the use of any contraceptive methods was mentioned by 74% adolescents; the most frequent use was combined oral contraceptive followed by condom. The main reason for abandoning the use of contraception was the occurrence of an unintended pregnancy (41%), followed by reports of side effects (22%), behavior issues (18%) and desire for pregnancy (16%). A positive correlation was found between the age of the adolescent at the moment of childbirth, the age of menarche (r = 0.3), and the first sexual intercourse (r = 0.419). Vaginal delivery occurred in 76% of the cases. After birth, depot medroxyprogesterone acetate (DMPA) was the contraception method most frequently used (71%), followed by oral contraceptives (11.8%) and intrauterine devices (IUDs, 11.2%). Conclusions The most prescribed contraceptive method before pregnancy in adolescents who had childbirth was combined oral contraceptives. Many of the study participants had an unintended pregnancy. After childbirth, the most used contraceptive method was DMPA. To improve contraception and reduce the chance of unintended pregnancies among adolescents, we should promote the use of long-acting reversible contraceptives (LARCS).en
dc.relation.ispartofRevista Brasileira de Ginecologia e Obstetríciapt_BR
dc.publisherFederação Brasileira das Sociedades de Ginecologia e Obstetríciapt_BR
dc.identifier.citationRevista Brasileira De Ginecologia E Obstetrícia. Federação Brasileira Das Sociedades De Ginecologia E Obstetrícia, v. 38, n. 1, p. 545 - 551pt_BR
dc.description.provenanceMade available in DSpace on 2017-08-30T17:37:59Z (GMT). No. of bitstreams: 1 S0100-72032016001100545.pdf: 152587 bytes, checksum: 81669961ca1879c3efd512be96922933 (MD5) Previous issue date: 2016en
Appears in Collections:Unicamp - Artigos e Outros Documentos

Files in This Item:
File SizeFormat 
S0100-72032016001100545.pdf149.01 kBAdobe PDFView/Open

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.