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[PMID]:28245088
[Au] Autor:Sundaram A; Vaughan B; Kost K; Bankole A; Finer L; Singh S; Trussell J
[Ad] Endereço:senior research scientist, the Guttmacher Institute.
[Ti] Título:Contraceptive Failure in the United States: Estimates from the 2006-2010 National Survey of Family Growth.
[So] Source:Perspect Sex Reprod Health;49(1):7-16, 2017 Mar.
[Is] ISSN:1931-2393
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:CONTEXT: Contraceptive failure rates measure a woman's probability of becoming pregnant while using a contraceptive. Information about these rates enables couples to make informed contraceptive choices. Failure rates were last estimated for 2002, and social and economic changes that have occurred since then necessitate a reestimation. METHODS: To estimate failure rates for the most commonly used reversible methods in the United States, data from the 2006-2010 National Survey of Family Growth were used; some 15,728 contraceptive use intervals, contributed by 6,683 women, were analyzed. Data from the Guttmacher Institute's 2008 Abortion Patient Survey were used to adjust for abortion underreporting. Kaplan-Meier methods were used to estimate the associated single-decrement probability of failure by duration of use. Failure rates were compared with those from 1995 and 2002. RESULTS: Long-acting reversible contraceptives (the IUD and the implant) had the lowest failure rates of all methods (1%), while condoms and withdrawal carried the highest probabilities of failure (13% and 20%, respectively). However, the failure rate for the condom had declined significantly since 1995 (from 18%), as had the failure rate for all hormonal methods combined (from 8% to 6%). The failure rate for all reversible methods combined declined from 12% in 2002 to 10% in 2006-2010. CONCLUSIONS: These broad-based declines in failure rates reverse a long-term pattern of minimal change. Future research should explore what lies behind these trends, as well as possibilities for further improvements.
[Mh] Termos MeSH primário: Coito Interrompido
Preservativos
Anticoncepcionais
Implantes de Medicamento
Falha de Equipamento/estatística & dados numéricos
Dispositivos Intrauterinos
Taxa de Gravidez
[Mh] Termos MeSH secundário: Aborto Induzido/estatística & dados numéricos
Feminino
Seres Humanos
Gravidez
Inquéritos e Questionários
Falha de Tratamento
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptive Agents); 0 (Drug Implants)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171107
[Lr] Data última revisão:
171107
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170301
[St] Status:MEDLINE
[do] DOI:10.1363/psrh.12017


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[PMID]:27266214
[Au] Autor:Kovavisarach E; Lorthanawanich S; Muangsamran P
[Ti] Título:Presence of Sperm in Pre-Ejaculatory Fluid of Healthy Males.
[So] Source:J Med Assoc Thai;99 Suppl 2:S38-41, 2016 Feb.
[Is] ISSN:0125-2208
[Cp] País de publicação:Thailand
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Coitus interruptus, a common contraceptive method, has a high failure rate. Two reasons have been proposed for this: delayed withdrawal after ejaculation and presence of sperm in the pre-ejaculatory fluid. OBJECTIVE: To determine whether sperm was present in the pre-ejaculatory fluid of healthy males. MATERIAL AND METHOD: A total of 42 healthy Thai men were enrolled in the study between August 1, 2009 and November 30, 2009 at the Department of Obstetrics and Gynecology, Rajavithi Hospital. They were asked to collect pre-ejaculatory fluid smears in two glass slides and then deposit a semen sample in a plastic bottle after masturbation. Microscopic examination of wet and air-dried preparations and routine semen analyses were done consecutively in the human genetics laboratory. RESULTS: Actively mobile sperm were found in 16.7% (7/42 cases) of the pre-ejaculatory penile secretions of subjects whose sperm counts were 2 in 2 cases, 3 in 3 cases and 4 per high power field in the other 2 cases of positive sperm. Semen analyses were normal in 41/42 volunteers (97.6%); there was one case of oligospermia (14 x 106/ml). CONCLUSION: Actively mobile sperm were discovered in the pre-ejaculatory fluid of 16.7% of healthy men.
[Mh] Termos MeSH primário: Coito Interrompido
Ejaculação
Sêmen/citologia
Contagem de Espermatozoides
[Mh] Termos MeSH secundário: Adulto
Anticoncepção
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1607
[Cu] Atualização por classe:160608
[Lr] Data última revisão:
160608
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160609
[St] Status:MEDLINE


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[PMID]:26515120
[Au] Autor:Arteaga S; Gomez AM
[Ad] Endereço:a Department of Maternal and Child Health , School of Public Health, University of California , Berkeley.
[Ti] Título:"Is That A Method of Birth Control?" A Qualitative Exploration of Young Women's Use of Withdrawal.
[So] Source:J Sex Res;53(4-5):626-32, 2016 May-Jun.
[Is] ISSN:1559-8519
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Despite its ubiquity, withdrawal is understudied as a family planning method. We investigated the context of and decision making around withdrawal use, drawing on in-depth, qualitative interviews with 38 Black and Latina women (ages 18 to 24). We examined contraceptive use histories to understand when and why participants used withdrawal. The majority of participants (n = 29; 76%) had used withdrawal in their lifetimes, though two-thirds of users mentioned withdrawal in their contraceptive histories only after interviewer prompts. Withdrawal was primarily used during transitions between contraceptive methods and when other methods were not desired. Relationship context was also an important factor, as many used withdrawal to increase intimacy with their partners; because they felt condoms were no longer necessary due to monogamy; or to fulfill their partners' preferences to increase sexual pleasure. Our findings indicate that decision making around withdrawal is embedded in situational and relational contexts. Future research should explore how health care providers and sex educators can engage young women in discussions of withdrawal's benefits and constraints. A harm reduction framework, which recognizes that optimal use of withdrawal is preferable to not using a pregnancy prevention method at all, may inform the ways that withdrawal can be addressed in clinical and educational settings.
[Mh] Termos MeSH primário: Afroamericanos/etnologia
Coito Interrompido
Conhecimentos, Atitudes e Prática em Saúde/etnologia
Hispano-Americanos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Seres Humanos
São Francisco/etnologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170809
[Lr] Data última revisão:
170809
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151031
[St] Status:MEDLINE
[do] DOI:10.1080/00224499.2015.1079296


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[PMID]:26363434
[Au] Autor:Liddon N; O'Malley Olsen E; Carter M; Hatfield-Timajchy K
[Ad] Endereço:Centers for Disease Control and Prevention, Division of Adolescent and School Health. Electronic address: nel6@cdc.gov.
[Ti] Título:Withdrawal as pregnancy prevention and associated risk factors among US high school students: findings from the 2011 National Youth Risk Behavior Survey.
[So] Source:Contraception;93(2):126-32, 2016 Feb.
[Is] ISSN:1879-0518
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: Withdrawal is less effective for preventing pregnancy than other contraceptive methods and offers no protection against sexually transmitted infections including HIV. Little is known from a national perspective about adolescents who primarily use withdrawal. This study describes the prevalence of withdrawal as their primary method of pregnancy prevention at last sexual intercourse among sexually active US high school students and associations with sexual risk and substance use. METHODS: Data from the 2011 National Youth Risk Behavior Survey were used to estimate sexually active students' most recent contraceptive method. Logistic regressions examined sexual behaviors and substance use, comparing students who used withdrawal to those who used no method, a condom and a highly effective method. RESULTS: Among 4793 currently sexually active students, 10.2% used withdrawal only, 12.4% used no method, 53.6% used a condom and 23.8% used a more effective method as their primary form of pregnancy prevention during last sexual intercourse. Students who used withdrawal were less likely than those who used no method to have had sexual intercourse before age 13 years (Adjusted Prevalence Ratio (APR) =.56) and currently use cocaine (APR=.36). Among females, students who used withdrawal were more likely to engage in risky behaviors than those who used a condom and those who used a highly effective method of pregnancy prevention in a number of ways (e.g., having multiple sex partners during the past 3 months, current alcohol use, binge drinking, current marijuana use, drank alcohol or used drugs before last sexual intercourse). CONCLUSIONS: Approximately 1 in 10 sexually active students used withdrawal only, about the same percentage as those who used no method. Health care providers and others who serve adolescents may want to discuss its pros and cons with their clients and help ensure that they have information about and access to other contraceptive methods that are more effective at preventing pregnancy and sexually transmitted infections. Health care professionals should not consider young people who use withdrawal similar in risk to those that use no method.
[Mh] Termos MeSH primário: Coito Interrompido
Anticoncepção/estatística & dados numéricos
Assunção de Riscos
[Mh] Termos MeSH secundário: Adolescente
Comportamento do Adolescente
Consumo de Bebidas Alcoólicas
Preservativos
Anticoncepção/métodos
Feminino
Seres Humanos
Masculino
Fumar Maconha
Gravidez
Fatores de Risco
Instituições Acadêmicas
Comportamento Sexual
Parceiros Sexuais
Doenças Sexualmente Transmissíveis/transmissão
Estudantes
Inquéritos e Questionários
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1610
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150913
[St] Status:MEDLINE


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[PMID]:26028403
[Au] Autor:Zuberi SK; Salman SH; Virji RN; Sana S; Kumari S; Zehra N
[Ad] Endereço:Medical Students, Ziauddin University, Karachi.
[Ti] Título:A hospital-based comparative study of the knowledge, attitudes and practices of family planning among women belonging to different socio-economic status.
[So] Source:J Pak Med Assoc;65(5):579-84, 2015 May.
[Is] ISSN:0030-9982
[Cp] País de publicação:Pakistan
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the knowledge, attitudes and practices of family planning among women belonging to different socio-economic status. METHODS: A cross sectional study was conducted in the outpatient department of three hospitals of Ziauddin University based on the socioeconomic divide. Total 351 married females of reproductive age group with at least one child were selected after informed consent through non probability convenience sampling. Data was analyzed by using SPSS version 21. RESULTS: The preferred method of contraception in all three groups was a male condom30.9%. The upper socioeconomic group relied more on the modern methods of contraception 92% while the middle socioeconomic group relied on modern 71.7% as well as natural methods of contraception 28.3%. Use of contraceptives was comparatively lower in the low socioeconomic group 19.5%. Lower socioeconomic group also had the most children per family with mean and standard deviation of 3.6±2.3 and also had the highest number of desired children with mean and standard deviation of 4±1.4. The general reasons for avoiding contraceptives were difficulty in getting pregnant (11.1%), the want for more children (10.2%), infrequent sexual intercourse (10.0%) and fear of side effects (6.9%). CONCLUSIONS: Awareness of contraception was found lowest in the lower socioeconomic class, with the elite class using a high percentage of contraceptives.
[Mh] Termos MeSH primário: Comportamento Contraceptivo
Conhecimentos, Atitudes e Prática em Saúde
Classe Social
[Mh] Termos MeSH secundário: Adolescente
Adulto
Coito Interrompido
Preservativos/utilização
Anticoncepcionais/uso terapêutico
Anticoncepcionais Orais Hormonais/uso terapêutico
Estudos Transversais
Feminino
Seres Humanos
Dispositivos Intrauterinos/utilização
Meia-Idade
Métodos Naturais de Planejamento Familiar/utilização
Ambulatório Hospitalar
Paquistão
Gravidez
Comportamento Reprodutivo
Esterilização Reprodutiva/utilização
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptive Agents); 0 (Contraceptives, Oral, Hormonal)
[Em] Mês de entrada:1512
[Cu] Atualização por classe:150601
[Lr] Data última revisão:
150601
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150602
[St] Status:MEDLINE


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[PMID]:26000519
[Au] Autor:White K; Teal SB; Potter JE
[Ad] Endereço:Department of Health Care Organization & Policy, University of Alabama at Birmingham, Birmingham, Alabama; the Department of Obstetrics and Gynecology, University of Colorado School of Medicine, Aurora, Colorado; and the Population Research Center, University of Texas at Austin, Austin, Texas.
[Ti] Título:Contraception after delivery and short interpregnancy intervals among women in the United States.
[So] Source:Obstet Gynecol;125(6):1471-7, 2015 Jun.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To investigate women's patterns of contraceptive use after delivery and the association between method use and risk of pregnancy within 18 months. METHODS: We used the 2006-2010 National Survey of Family Growth to examine women's contraceptive use after delivery and at 3, 6, 12, and 18 months after giving birth. The sample included 3,005 births that occurred within 3 years of the survey date and for which information on contraceptive use was available. We estimated multivariable-adjusted Cox regression models to assess the association between women's method use and risk of pregnancy within 18 months after delivery. We also examined the percentage of pregnancies occurring 18 months or less after the index birth that were unintended. RESULTS: Between delivery and 3 months postpartum, contraceptive use increased from 21% to 72%. At 3 months, 13% of women used permanent contraception, 6% used long-acting reversible contraceptives, 28% used other hormonal methods, and 25% relied on less-effective methods; the distribution of method use was similar in subsequent months. Among women using hormonal methods, 12.6% became pregnant within 18 months of delivery or less compared with 0.5% using permanent and long-acting contraception (adjusted hazard ratio [HR] 21.2, 95% confidence interval [CI] 6.17-72.8). Additionally, 17.8% of women using less-effective methods (HR 34.8, 95% CI 9.26-131) and 23% using no method (HR 43.2, 95% CI 12.3-152) became pregnant 18 months or less. At least 70% of pregnancies within 1 year after delivery were unintended. CONCLUSION: Few women use long-acting reversible contraceptives after delivery, and those using less-effective methods have an increased risk of unintended pregnancy. LEVEL OF EVIDENCE: II.
[Mh] Termos MeSH primário: Intervalo entre Nascimentos
Comportamento Contraceptivo
Anticoncepção/estatística & dados numéricos
Taxa de Gravidez
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Coito Interrompido
Preservativos/estatística & dados numéricos
Anticoncepção/métodos
Anticoncepcionais Femininos/administração & dosagem
Dispositivos Anticoncepcionais Femininos/estatística & dados numéricos
Escolaridade
Feminino
Inquéritos Epidemiológicos
Seres Humanos
Masculino
Período Pós-Parto
Gravidez
Gravidez não Planejada
Gravidez não Desejada
Esterilização Tubária/estatística & dados numéricos
Fatores de Tempo
Estados Unidos
Vasectomia/estatística & dados numéricos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Nm] Nome de substância:
0 (Contraceptive Agents, Female)
[Em] Mês de entrada:1507
[Cu] Atualização por classe:161019
[Lr] Data última revisão:
161019
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:150523
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000000841


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[PMID]:25545334
[Au] Autor:Rodriguez MI; Darney BG; Elman E; Linz R; Caughey AB; McConnell KJ
[Ad] Endereço:Oregon Health & Science University, Portland, OR, USA. Electronic address: rodrigma@ohsu.edu.
[Ti] Título:Examining quality of contraceptive services for adolescents in Oregon's family planning program.
[So] Source:Contraception;91(4):328-35, 2015 Apr.
[Is] ISSN:1879-0518
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the quality of care provided to adolescents (10-19 years old) compared to women (aged 20-25 years) who accessed services in Oregon's Contraceptive Care (CCare) program. STUDY DESIGN: We analyzed data routinely collected using the Clinic Visit Record form from women aged 25 years and younger who visited CCare clinics between January 1, 2004, and October 31, 2010. Modern methods were characterized into three tiers: Tier 1 is the intrauterine device, implant and sterilization; Tier 2, hormonal methods; and Tier 3, all barrier methods. Nonmodern methods included no method, withdrawal and natural family planning. We used multivariable logistic regression models to examine the effect of age on three indicators of quality of contraceptive care: transitioning from a nonmodern to a modern method, transitioning from Tier 3 methods to Tier 1 or Tier 2 methods, and initiation of long-acting reversible contraception (LARC). We then produced predicted probabilities to facilitate data interpretation. RESULTS: Adolescents accounted for 344,856 (41%) of the 848,221 clinic visits occurring in CCare among women under age 25. Compared with women (ages 20-25 years), young and older adolescents had decreased odds of LARC initiation [odds ratio (OR) 0.24 (95% confidence interval [CI] 0.16-0.35) and OR 0.44 (95% CI 0.38-0.52), respectively]. However, compared with women, both young and older adolescents had increased odds of leaving with any contraceptive method [OR 1.8 95% (CI 1.26-2.59) and OR 1.42 (95% CI 1.21-1.66)]. Among clients presenting with no method of contraception at the beginning of the visit, 78.7% of young adolescents (95% CI 73.84-83.03) compared with 81.44% (95% CI 77.02-85.52) of older adolescents, and 76.63% (95% CI 69.90-80.75) of young women left with a modern method, controlling for other covariates. CONCLUSION: Although adolescents served by CCare are more likely to initiate contraception, they are less likely to receive LARC than women aged 20-25 years. IMPLICATION: Efforts are needed to ensure that adolescents have access to highly effective reversible contraception.
[Mh] Termos MeSH primário: Anticoncepção/métodos
Serviços de Planejamento Familiar/normas
Qualidade da Assistência à Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Criança
Estudos de Coortes
Coito Interrompido
Preservativos/utilização
Anticoncepcionais Orais Hormonais/uso terapêutico
Implantes de Medicamento/uso terapêutico
Feminino
Seres Humanos
Dispositivos Intrauterinos/utilização
Modelos Logísticos
Medicaid
Análise Multivariada
Métodos Naturais de Planejamento Familiar/utilização
Razão de Chances
Oregon
Estudos Retrospectivos
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Contraceptives, Oral, Hormonal); 0 (Drug Implants)
[Em] Mês de entrada:1512
[Cu] Atualização por classe:150324
[Lr] Data última revisão:
150324
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141230
[St] Status:MEDLINE


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[PMID]:25530102
[Au] Autor:Higgins JA; Wang Y
[Ad] Endereço:Department of Gender and Women's Studies, University of Wisconsin-Madison, 3414 Sterling Hall, 475 North Charter St, Madison WI 53706, USA. Electronic address: jenny.a.higgins@gmail.com.
[Ti] Título:Which young adults are most likely to use withdrawal? The importance of pregnancy attitudes and sexual pleasure.
[So] Source:Contraception;91(4):320-7, 2015 Apr.
[Is] ISSN:1879-0518
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Use of withdrawal (coitus interruptus) has consequences for reproductive health, but few nationally representative studies exist. We (1) examined patterns of withdrawal among 15- to 24-year-old women and men, and (2) explored withdrawal's associations with sociodemographic, psychological, and sexual factors. STUDY DESIGN: Using data from the 2006-2010 National Survey of Family Growth, we assessed reports of any and only withdrawal use at last sexual episode in the last month from 3517 sexually active 15 to 24 year-old women and men at risk of unintended pregnancy. Logistic regression documented associations with withdrawal. RESULTS: Fourteen percent of young women and 17% of young men reported any use of withdrawal at last sex; 7% and 6%, respectively, reported only use of withdrawal. Though associated with few sociodemographic factors, withdrawal was significantly linked with pregnancy- and condom attitudes. In regression models, compared to those who said they would be upset if they discovered they were pregnant, young women who said they would be pleased about a pregnancy were 2.2-2.6 times as likely to have used any/only withdrawal (p<.01). For both women and men, those who felt that condoms were likely to diminish sexual pleasure were more likely to have used any/only withdrawal (odds ratio=1.8-2.6, p<.05). CONCLUSIONS: At their last sexual episode, a greater proportion of young adults used withdrawal in conjunction with other methods than by itself. The psychological and sexual variables of orientation toward pregnancy and attitudes about condoms and pleasure were more strongly linked with withdrawal practices than most sociodemographic variables. IMPLICATIONS STATEMENT: Since a substantial minority of young adults use withdrawal, providers may wish to speak directly to contraceptive clients about this method, though they should distinguish between only versus any withdrawal use. Practitioners may also be well served by assessing and responding to pregnancy orientation and pleasure attitudes in contraceptive counseling.
[Mh] Termos MeSH primário: Atitude Frente à Saúde
Coito Interrompido/psicologia
Prazer
Gravidez não Planejada/psicologia
Gravidez não Desejada/psicologia
[Mh] Termos MeSH secundário: Adolescente
Preservativos
Feminino
Seres Humanos
Modelos Logísticos
Masculino
Gravidez
Comportamento Sexual/psicologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1512
[Cu] Atualização por classe:161019
[Lr] Data última revisão:
161019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141223
[St] Status:MEDLINE


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[PMID]:25372022
[Au] Autor:Adanikin AI; Awoleke JO; Adeyiolu A; Alao O; Adanikin PO
[Ad] Endereço:* Department of Obstetrics and Gynaecology, Ekiti State University , Ado-Ekiti , Nigeria.
[Ti] Título:Resumption of intercourse after childbirth in southwest Nigeria.
[So] Source:Eur J Contracept Reprod Health Care;20(4):241-8, 2015.
[Is] ISSN:1473-0782
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To determine the history of resumption of intercourse after childbirth and associated contraceptive practices among women in the southwest region of Nigeria. METHODS: A cohort of 181 women with live births was followed up for 6 months after delivery. Enquiry about the time of first intercourse after childbirth, associated dyspareunia, use of contraception, etc was made during the postnatal clinic visits and/or by telephone contact. RESULTS: Fifty (27.6%) had coitus within six weeks of childbirth, it increased to 115 (63.3%) at three months and 127 (70.2%) by six months post-delivery. Prevalence of dyspareunia was 36.2%. Eighty three (65.4%) of sexually active women practiced contraception which was predominantly use of male condom and withdrawal method. Co-habitation with husband (adjusted OR: 6.30; 95% CI: 2.56-17.01; p = 0.001) and mode of delivery (adjusted OR: 2.45; 95% CI: 1.30-4.73; p = 0.006) were strong predictors of commencement of sexual intercourse within six months postpartum. Significantly fewer women who had Caesarean section resumed coitus within six months when compared with those who had vaginal deliveries (59.2% versus 78.4%). Perineal injury did not predict resumption of coitus or experience of dyspareunia. CONCLUSION: In contrast to the norm, more women in southwest Nigeria are resuming coitus soon after childbirth. It is imperative to scale up counselling on postpartum sexuality and contraception within the maternal health services in this region.
[Mh] Termos MeSH primário: Coito
Comportamento Contraceptivo/estatística & dados numéricos
Dispareunia/epidemiologia
Período Pós-Parto
[Mh] Termos MeSH secundário: Adolescente
Adulto
Coito Interrompido
Preservativos/utilização
Parto Obstétrico/métodos
Parto Obstétrico/estatística & dados numéricos
Dispareunia/etiologia
Feminino
Seres Humanos
Masculino
Serviços de Saúde Materna
Nigéria
Gravidez
Distribuição Espacial da População
Fatores de Tempo
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:150703
[Lr] Data última revisão:
150703
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:141106
[St] Status:MEDLINE
[do] DOI:10.3109/13625187.2014.971742


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[PMID]:25104039
[Au] Autor:Eliason S; Baiden F; Yankey BA; Awusabo-Asare K
[Ad] Endereço:Department of Community Medicine, University of Cape Coast, Cape Coast, Ghana. sakeliason@yahoo.co.uk.
[Ti] Título:Determinants of unintended pregnancies in rural Ghana.
[So] Source:BMC Pregnancy Childbirth;14:261, 2014 Aug 08.
[Is] ISSN:1471-2393
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Unintended pregnancies may carry serious consequences for women and their families, including the possibility of unsafe abortion, delayed prenatal care, poor maternal mental health and poor child health outcomes. Although between 1993 and 2008, unintended births decreased from 42% to 37% in Ghana, the rate of decline is low, whilst levels are still very high. This raises the need to understand factors associated with unintended pregnancies, especially among women in rural settings where the rates and risks are highest to help improve maternal health. METHOD: We collected data from 1,914 pregnant women attending antenatal clinic between January 2012 and April 2012 in four health facilities in the Mfantseman Municipal of the Central Region of Ghana. We used bivariate and multivariate logistic regression analyses to explore how socio-demographic characteristics, past reproductive health experiences, partner characteristics and relations, awareness and past experience with contraceptives, influenced the status of women's current pregnancy (whether intended or unintended). RESULTS: The mean age of the 1,914 respondents in this study was 25.6 ± 6.5 years. Seventy percent (70%) said the pregnancies they were carrying were unintended. The odds of carrying unintended pregnancy among women with five or more children were higher than those with one to two children [AOR 6.06, 95% CI (3.24-11.38) versus AOR 1.48, 95% CI (1.14-1.93)]. Women with other marital arrangements showed significantly higher odds of carrying unintended pregnancy compared to those married by ordinance (Muslim or Christian wedding). Women not living with their partners exhibited increased odds of having unintended pregnancies compared to women who lived with their partners (AOR 1.72, 95% CI: 1.28 - 2.30). Awareness of traditional methods of family planning (withdrawal and rhythm) was associated with lower odds of having unintended pregnancy compared to non-awareness (AOR 0.66, 95% CI (0.49-0.89). CONCLUSIONS: In this study, important risk factors associated with unintended pregnancies were: parity, living arrangements with partner, marriage by ordinance and awareness of traditional, non-pharmacological contraceptive methods. Family planning interventions targeting different groups of women, especially during the postpartum period, would be essential to reduce rates of unintended pregnancies and promote positive health outcomes.
[Mh] Termos MeSH primário: Características da Família
Conhecimentos, Atitudes e Prática em Saúde
Gravidez não Planejada
População Rural
[Mh] Termos MeSH secundário: Adolescente
Adulto
Coito Interrompido
Feminino
Gana
Seres Humanos
Estado Civil
Métodos Naturais de Planejamento Familiar
Paridade
Gravidez
Distribuição Espacial da População
Fatores de Risco
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:140809
[St] Status:MEDLINE
[do] DOI:10.1186/1471-2393-14-261



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