Contraindicated use of modern contraceptives among mothers from a Pelotas Birth Cohort

Bibliographic Data

ID16780109
AuthorsGbènankpon Mathias Houvèssou (0000-0003-3401-2547, Universidade Federal de Pelotas), Simone Farías-Antúnez (0000-0002-1546-4217), Andréa Dâmaso Bertoldi (0000-0002-4680-3197, Universidade Federal de Pelotas), Mariela Felisbino Da Silveira (0000-0002-2861-7139, Universidade Federal de Pelotas)
Year2024
Volume58
Issue1
Pages2
Publication date2024-02-21
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueRevista de Saúde Pública (JOURNAL)
Journal identifiersISSN: 0034-8910 • E-ISSN: 0034-8910
PublisherUniversidade de São Paulo. Agência de Bibliotecas e Coleções Digitais (PUBLISHER)
DOI10.11606/s1518-8787.2024058005585
PMID38381892
OpenAlexW4393312483
LanguageEN
References cited8

OBJECTIVE: To describe the prevalence of contraindicated use of combined hormonal contraceptives, progesterone-only contraceptives, and intrauterine devices in mothers participating in the 2015 Pelotas Birth Cohort according to the WHO medical eligibility criteria. METHODS: The biological mothers of children belonging to the 2015 Pelotas birth cohort who attended the 48-month follow-up were studied. The 48-month follow-up data were collected from January 1, 2019, to December 31, 2019. Contraindicated use of modern contraceptives was considered to occur when these women presented at least one of the contraindications for the use of modern contraceptives and were using these methods. The prevalence of contraindicated use was calculated according to each independent variable and their respective 95% confidence intervals (95%CI). RESULTS: The analyzed sample consisted of 3,053 women who used any modern contraceptive method. The prevalence of contraindicated use of modern contraceptives totaled 25.9% (95%CI: 24.4-27.5). Combined hormonal contraceptives showed the highest prevalence of contraindicated use (52.1%; 95%CI: 49.3-54.8). The prevalence of contraindicated use of modern contraceptives methods was greater in women with family income between one and three minimum wages, a 25-30 kg/m2 body mass index, indication by a gynecologist for the used method, and purchasing the contraceptive method at a pharmacy. The higher the women's education, the lower the prevalence of inappropriate use of modern contraceptives. CONCLUSION: In total, one in four women used modern contraceptives despite showing at least one contraindication. Policies regarding women's reproductive health should be strengthened

Cohort · Cohort study · Developed country · Environmental health · Family planning · Gynecology · Obstetrics · Population · Research methodology · COVID-19 Impact on Reproduction · Demography · Male Reproductive Health Studies · Medicine · Reproductive Health and Contraception

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