October 28th, 2020

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Title:
Long-Term Contraceptive Methods Offered Immediately After Delivery for Women in Vulnerable Situations: Acceptability to Patients
Authors:  Mariliza Henrique da Silva, M.D., Livia Akemi Ramos Takahashi, M.D., Nicolas Augusto Cabral Ribeiro, M.D., André Akira Ramos Takahashi, M.S., Sandra dos Santos Oliveira, M.A., Adna Thaysa Marcial da Silva, M.A., Monica Carneiro, M.D., Silvana Giovaneli, M.D., and Luiz Vinicius de Alcantara Sousa, Ph.D.
  OBJECTIVE: To evaluate the acceptability of a multifaceted pregnancy prevention strategy in vulnerable postpartum women based on the use of contraceptive methods and associated factors. It is known that unwanted pregnancies are more common in women classified as vulnerable. While contraception is prescribed in the puerperium outpatient clinic, vulnerable women have high rates of lack of consultation. In this context, the immediate postpartum period provides a window of opportunity for advice and initiation of contraception.

STUDY DESIGN: Analytical cross-sectional study that analyzed high-vulnerability pregnant women admitted to the University Hospital of São Bernardo do Campo from January to June 2018. The analysis was performed using Stata Software 11.0.

RESULTS: The profile of patients who declined the offer of contraceptive methods in the immediate postpartum period, according to this study, is that of non-smokers, who do not use drugs or alcohol, who decided on normal birth, and who had individual vulnerability.

CONCLUSION: The immediate postpartum period is a window of opportunity that emerges as an interesting strategy in reproductive health care. It is therefore necessary to know the reasons for patients not accepting contraceptive methods.
Keywords:  contraception/methods, contraceptives, drug implants, health surveys, intrauterine devices, long-acting reversible contraceptives, maternal behavior, postnatal care, reproductive planning, risk assessment, sexually transmitted infections, time factors, unplanned pregnancy, vulnerable populations
   
   
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