Choice of hormonal contraception by women assisted in primary care: limiting factors and fear
DOI:
https://doi.org/10.4025/ciencuidsaude.v22i0.65836Keywords:
Primary health care, Family development planning, Health services accessibility, Women, Contraceptive agents HormonalAbstract
Objective: To know how the choice for hormonal contraception occurs by women assisted in Primary Health Care. Method: Qualitative, descriptive and exploratory study conducted in a Family Health Strategy in the central region of Rio Grande do Sul between the months of January and March 2022. Twenty women aged 18-43 participated. The production of data occurred through interview composed of open questions, the enunciations were transcribed and submitted to thematic analysis. Results: The participants revealed the lack of option provided by the Unified Health System in the choice of hormonal contraception, as well as difficulties and fear when using hormonal contraceptives due to lack of professional guidance in Primary Health Care. Conclusion: The choice of contraceptive method must take into account the autonomy of women and health professionals who work in Primary Health Care must ensure the right to choose, minimize doubts, fears and taboos surrounding the hormonal contraception process. In addition, women’s health consultations should provide opportunities for health education, dialogue and knowledge exchange.
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References
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21.Le Guen M, Schantz C, Régnier-Loilier A, Rochecrochard E de La. Reasons for rejecting hormonal contraception in Western countries: A systematic review. Soc Sci Med. 2021; 284:114247. DOI: https://doi.org/10.1016/j.socscimed.2021.114247
22.Farão EMD, Penna CMM. A (in)visibilidade das necessidades de saúde. Cienc Cuid Saude. 2019; e45180. DOI:https://doi.org/10.4025/cienccuidsaude.v18i2.45180
23.Assunção MRS, Dias IHP, Costa ACB. Godinho MLC, Freitas OS, Calheiros CAP. Women sexuality in nursing appointments: potencialities and limits. Revista Enfermagem UFSM – REUFSM. 2020;10(68):1-18. DOI: https://doi.org/10.5902/2179769239397
2.Leal MC, Scwarcward CL, Almeida PVB, Aquino EML, Barreto ML, Barros F, et al. Reproductive, maternal, neonatal and child health in the 30 years since the creation of the Unified Health System (SUS). Ciênc. saúde colet. 2018; 23(6):1915-1928, 2018. DOI: https://doi.org/10.1590/1413-81232018236.03942018
3.Brasil. Saúde Sexual e Saúde Reprodutiva. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica: Ministério da Saúde. Brasília; 2013.
4.Pedro CB, Casacio GDM, Zilly A, Ferreira H, Ferrari RAP, Silva RMM. Factors related to family planning in border region. Esc. Anna Nery Rev. Enferm. 2021; 25(3):e20200180, 2021. DOI: http://dx.doi.org/10.1590/2177-9465-ean-2020-0180
5.Kamei A, Sato R, Thornton R. Effect of pregnancy tests on demand for family planning: evidence from a randomized controlled trial in Uganda. Reprod Health. 2021;18(1):231. DOI: http://dx.doi.org/10.1186/s12978-021-01279-5.
6.Alspaugh A, Barroso J, Reibel M, Phillips S. Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research. J Midwifery Womens Health. 2020; 65(1):64-84. DOI: http://dx.doi.org/10.1111/jmwh.12992.
7.Borges ALV, Chofakian CB do N, Viana AO, Divino E do A. Contraceptive discontinuities in the use of oral and injectable hormonal contraceptives, and male condoms. Cad. Saúde Pública. 2021; 37(2):e00014220 DOI: http://dx.doi.org/10.1590/0102-311X00014220
8.Brandão ER. Métodos contraceptivos reversíveis de longa duração no Sistema único de Saúde: o debate sobre a (in)disciplina da mulher. Ciênc. saúde colet. 24(3):875-879, 2019. DOI: https://doi.org/10.1590/1413-81232018243.10932017
9.Minayo MCS. O desafio do Conhecimento. Pesquisa qualitativa em saúde. 14. ed. São Paulo: Hucitec, 2014.
10.Souza VRS, Marziale MHP, Silva GTR, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021; 34:eAPE02631. DOI: https://doi.org/10.37689/acta-ape/2021AO02631
11.Doricci GC, Guanaes-Lorenzi C. Co-management in the context of Brazil’s National Humanization Policy: an integrative review. Ciênc. saúde colet. 2021; 26(8):2949-2959. DOI: https://doi.org/10.1590/1413-81232021268.11742019
12.Franze AMAK, Benedet DCF, Wall ML, Trigueiro TH, Souza SRRK. Reproductive planning in health guidelines: an integrative review. Revista Família, Ciclos da Vida e Saúde ao Contexto Social. 2019; 7(3): 366-377. DOI: https://doi.org/10.18554/refacs.v7i3.3759
13.Gutmann VLR, Santos D, Kerber NPC, Fonseca TMMV, Carlotto K. Planejamento reprodutivo: um relato de experiência multidisciplinar. Revista Conexão UEPG. 2020;16:e.2013676. DOI: https://doi.org/10.5212/Rev.Conexao.v.16.13676.011
14.Gonçalves TR, Leite HM, Bairoos FS, Olinto MTA, Barcellos NT, Costa JSD. Social inequalities in the use of contraceptives in adult women from Southern Brazil. Rev Saude Publica. 2019;53:28. DOI: https://doi.org/10.11606/S1518-8787.2019053000861
15.Barbosa FKM, Araújo ACC, Nogueira LMV, Rodrigues ILA, Trindade L de NM, Corrêa PKV. Adolescents health literacy on contraceptive methods. Cogitare enferm. 2020; 25: e72416. DOI: http://dx.doi.org/10.5380/ce.v25i0.72416.
16.Freitas FS, Giotto AC. Conhecimento sobre as consequências do uso de anticoncepcional hormonal. Revista de Iniciação Científica e Extensão. 2018;1(2):91-95. Disponível em: https://revistasfacesa.senaaires.com.br/index.php/iniciacao-cientifica/article/view/56
17.Olsen JM, Lago TDG, Kalckmann S, Alves MCGP, Escuder MML. Young women’s contraceptive practices: a household survey in the city of São Paulo, Brazil. Cad. Saúde Pública. [Internet]. 2018 [acesso em 17 abr 2022] ;34(2):e00019617. Disponível em: https://doi.org/10.1590/0102-311X00019617
18.Rodrigues LGL, Silva LKL, Costa MCR, Damascena VC, Medeiros RRP, Albuquerque LSS. A importância do enfermeiro no cuidado à saúde da mulher: reflexões teóricas. Estudos avançados sobre Saúde e Natureza. 2021;1. Disponível em: https://www.periodicojs.com.br/index.php/easn/article/view/251
19.Rios AR, Sena AD, Krug BR, Dantas EKO, Ferronato ECB, Bomfim JQ, et al. Fatores relacionados à escolha de métodos contraceptivos na adolescência: uma revisão de literatura. Revista Eletrônica Acervo Saúde. 2021;13(5):e6942. DOI: https://doi.org/10.25248/reas.e6942.2021
20.Ramos LAS, Pereira ES, Lopes KFAL, Filho ACAA, Lopes NC. Use of contraceptive methods by adolescent women of a public school. Cogitare enferm. 2018;23(3):e55230. DOI: /dx.doi.org/10.5380/ce.v23i3.55230
21.Le Guen M, Schantz C, Régnier-Loilier A, Rochecrochard E de La. Reasons for rejecting hormonal contraception in Western countries: A systematic review. Soc Sci Med. 2021; 284:114247. DOI: https://doi.org/10.1016/j.socscimed.2021.114247
22.Farão EMD, Penna CMM. A (in)visibilidade das necessidades de saúde. Cienc Cuid Saude. 2019; e45180. DOI:https://doi.org/10.4025/cienccuidsaude.v18i2.45180
23.Assunção MRS, Dias IHP, Costa ACB. Godinho MLC, Freitas OS, Calheiros CAP. Women sexuality in nursing appointments: potencialities and limits. Revista Enfermagem UFSM – REUFSM. 2020;10(68):1-18. DOI: https://doi.org/10.5902/2179769239397
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Published
2023-04-25
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Choice of hormonal contraception by women assisted in primary care: limiting factors and fear. (2023). Ciência, Cuidado E Saúde, 22. https://doi.org/10.4025/ciencuidsaude.v22i0.65836
