The influence of contraceptive methods on birth: a study in the central western region of Paraná

A influência dos métodos contraceptivos na natalidade: estudo no centro-oeste do Paraná

Authors

DOI:

https://doi.org/10.17765/2176-9206.2024v17n4.e12722

Keywords:

Contraception, Health Status Disparities, Family Development Planning, Public Health, Women's Health

Abstract

A quantitative, cross-sectional study, aimed at exploring the associations between the knowledge about contraceptive methods and the outcomes desired by women who attend the SUS. It was conducted with 54 women from 20 to 63 years old in a specialty outpatient clinic and Basic Health Units. Data analysis used descriptive statistics, dispersion and location measures and association tests (Odds Ratio). The Chi-Square test demonstrated that the use of contraceptives allows planning for children when compared to not using them. The Chi-Square associations showed that the use of contraceptives prevented unplanned children much more and had an impact on the number of births, favoring the prevention of pregnancy, and when two or more contraceptive methods were combined, it resulted in fewer unplanned children, up to zero. Adequate use of contraceptive methods has a strong association with the number of births and made planning for children possible.

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Author Biographies

Luiz André Barroso Garcia, Integrated University Center

Undergraduate in Medicine at the Integrated University Center, Campo Mourão, Weekly monitoring of the modules of Biological Functions, Mechanisms of Aggression and Defense, and Heredity and its Expression. - 2021; Volunteer participant in the research line of evaluation of the antimicrobiological potential of ozone (Integrated / Educere) - 2021. Medical skills monitor 4 - 2022; Volunteer participant in the scientific initiation project - use of ozonated water as a decontaminating agent for food and medical-hospital materials - 2022; Volunteer participation in the Abrace a Rua project - 2022. Class representative in 2021 and 2022.1. ARAUCARIA foundation scholarship holder in the research project: Use of different contraceptive methods and their impact on the birth rate in the municipality of Campo Mourão - PR -2023.

Sandrielle Dayane Souza, Integrated University Center

Student of the 6th period of the medical course at the Integrated University Center of Campo Mourão - PR, Brazil. Class representative since 2019. Vice-President of the Academic League of Family and Community Health of the Integrated (2020-21). Director of the journalistic department of the Willfried Baer Academic Center of Medicine of the Integrated University Center in the 2020-21 Management, current director of marketing and communications in the 2021-22 management. Also director of events for the Local Coordination of Internships and Experiences of the Integrated - CLEV Integrated management 2020-21. With experience as a monitor in tutoring and medical skills.

Gabriela Messias dos Santos, Integrated University Center

Undergraduate in Medicine at the Integrated University Center, Campo Mourão. Medical Skills Monitor 2 - 2023. Volunteer participant in the research project: Use of different contraceptive methods and their impact on the birth rate in the municipality of Campo Mourão - PR -2023 and volunteer participant in the research project: Prevalence of nasal colonization by oxacillin-resistant Staphylococcus aureus (MRSA) in students and health professionals of the Medicine course - 2024.

Anai Adario Hungaro, Integrated University Center

Nursing from the State University of Maringá (2015) and PhD in Nursing from the State University of Maringá (2020). CNPq scholarship holder in the EXP A modality (Extension in the country 2021 and 2022). Professor in higher education, in the medicine course at the Integrated Educational Center (Tutoring), teaching the following subjects: Introduction to the Study of Medicine; Conception and Formation of the Human Being; Metabolism; Biological Functions; Mechanisms of Aggression and Defense; Heredity and its Expression; Birth, Growth and Development; Perception, Consciousness and Emotion; and Aging Process, and in the subject of medical skills 2. Professor in the Medicine course at the Faculty of Technology of Vale do Ivaí Fatec, teaching the subject Defense Mechanism and Diseases. Experience in Nursing, working mainly as an on-call nurse at the Poison Control Center in the years 2008-2010, 2013-2015, 2016-2019, outpatient care in occupational health, research with vulnerable populations, homeless people, teaching in the Specialization Course in Occupational Safety Engineering at the State University of Maringá (2013-2021) with an emphasis on exogenous and occupational poisoning. Professor of the Undergraduate Nursing course at Santa Maria da Glória (2018) in the subjects of Anatomy, Pathology and Nutrition and Dietetics. Representative of the Internationalization Office of the Integrated Educational Center. Independent translator in English-Portuguese languages ​​and accredited in Brazilian nursing journals and others such as: ReBEn, ReLAE, Cogitare, Ciência Cuidado e Saúde, Rene, SMAD, Paidéia, Reme, Revista Baiana de Enfermagem and Advances in Nursing and Health. Academic of the undergraduate course of Letters (English/Portuguese) at Unicesumar.

References

Centers for Disease Control and Prevention. Contraception. 2021. [acesso: 18/05/2024]. https://www.cdc.gov/reproductivehealth/contraception/index.htm

Federação Brasileira das Associações de Ginecologia e Obstetrícia (Febrasgo); IPEC (Inteligência em Pesquisa e Consultoria). Panorama atualizado da gravidez não planejada no Brasil. 2021. [acesso: 18/05/2024]. https://www.bayer.com.br/pt/blog/gravidez-nao-planejada-atinge-62-mulheres-brasil

Sech L, Segall-Gutierrez P, Silverstein E, Mishell D. Overview of Contraception. 2017. [acesso: 18/05/2024]. https://www.merckmanuals.com

Anderson B, Clairmont A, Lutz L. The effects of patient education on oral contraceptive adherence rates. Rates [Masterʼs thesis, Bethel University]. Spark Repository. April 9, 2019. [acesso: 18/05/2024]. https://spark.bethel.edu/etd/24

Instituto Brasileiro de Geografia e Estatística (IBGE). Brasil em síntese. [acesso: 24/04/2024]. https://brasilemsintese.ibge.gov.br/populacao/taxas-de-fecundidade-total.html

Instituto Brasileiro de Geografia e Estatística (IBGE). Brasil em síntese. [acesso: 26/10/2023]. https://brasilemsintese.ibge.gov.br/populacao/taxas-de-fecundidade-total.html

Instituto Brasileiro de Geografia e Estatística (IBGE). Sinopse do Censo Demográfico 2012. [acesso: 26/10/2023]. https://censo2010.ibge.gov.br/sinopse/index.php?dados=%204&uf=00

Lima PV, Rocha RDL, Nery IS, Silva JCPP. Use of contraceptive methods by users of a basic health unit. Rev Enferm UFPI. 2015;4(1):11-8. DOI: https://doi.org/10.26694/reufpi.v4i1.1715

UNFPA (United Nations Population Fund). Fecundidade e dinâmica da população brasileira. Brasília: UNFPA; 2018. [acesso: 26/10/2023]. https://brazil.unfpa.org/sites/default/files/pub-pdf/swop_brasil_web.pdf

Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde sexual e saúde reprodutiva. 1ª ed. Brasília: Ministério da Saúde; 2013. [acesso: 26/10/2023]. https://bvsms.saude.gov.br/bvs/publicacoes/saude_sexual_saude_reprodutiva.pdf

Souza FR, Meira AL, Mendes LM, Costa ALC. Associação de antibióticos e contraceptivos orais. Revista Ciência Médica e Biológica. 2005;4(3):221-5. DOI: https://doi.org/10.11606/issn.1679-9836.v4i3p221-225

Américo JHP, Torres NH, Américo GHP, Carvalho SL. Ocorrência, destino e potenciais impactos dos fármacos no ambiente. SaBios-Revista De Saúde E Biologia. 2013;8(2). DOI: https://doi.org/10.9771/sabios.2013.v8i2.1298

Organização Mundial da Saúde. Saúde sexual, direitos humanos e a lei. Porto Alegre: UFRGS; 2020. [acesso: 17/05/2024]. https://iris.who.int/bitstream/handle/10665/175556/9786586232363-por.pdf

Brandão ER, Cabral CS. Juventude, gênero e justiça reprodutiva: iniquidades em saúde no planejamento reprodutivo no Sistema Único de Saúde. Rev. Cien Saude Colet. 2021;26(7):2673-82. DOI: https://doi.org/10.1590/1413-81232021267.08322021.

Lasong J, Zhang Y, Gebremedhin AS, Opoku S, Abaidoo CS, Mkandawire T, et al. Determinantes of modern contraceptive use among married women of reproductive age: a cross-sectional study in rural Zambia. BMJ Open. 2020;10(3). DOI: https://doi.org/10.1136/bmjopen-2019-035351

Rezel-Potts E, Palmer MJ, Free C, Baraitser PA. A cohort study of the service users of online contraception. BMJ Sex Reprod Health. 2020;46(4):287-93. DOI: https://doi.org/10.1136/bmjsrh-2019-200539

IPEA. Carta de Conjuntura: Rendimentos. Instituto de Pesquisa Econômica Aplicada. 2023. [acesso: 18/05/2024]. https://www.ipea.gov.br/cartadeconjuntura/wp-content/uploads/2023/06/230605_cc_59_ota_21_rendimentos.pdf

IBGE Educa. Mulheres brasileiras na educação e no trabalho. 2019. [acesso: 18/05/2024]. https://educa.ibge.gov.br/criancas/brasil/atualidades/20459-mulheres-brasileiras-na-educacao-e-no-trabalho.html

Alhusen JL, Bloom T, Laughon K, Behan L, Hughes RB. Perceptions of barriers to effective family planning services among women with disabilities. Disabil Health J. 2021;14(3). DOI: https://doi.org/10.1016/j.dhjo.2020.101055

Bearak J et al. Country-specific estimates of unintended pregnancy and abortion incidence: a global comparative analysis of levels in 2015–2019. BMJ Global Health. 2022. DOI: https://doi.org/10.1136/bmjgh-2021-006372

Santos RM dos, Gouveia NC. Tendências de natalidade no estado do Paraná (2011-2021): explorando taxas de fecundidade, idade materna e influência do grau de escolaridade no tipo de parto. Res., Soc. Dev. 2023;12(6). file:///C:/Users/Anai%20Hungaro/Downloads/42028-Article-445853-1-10-20230609%20(3).pdf

Bearak J et al. Unintended pregnancy and abortion by income, region, and the legal status of abortion: estimates from a comprehensive model for 1990–2019. Lancet Global Health. 2020;8(9). DOI: https://doi.org/10.1016/S2214-109X(20)30315-6

UNFPA Brazil. O Estado das Populações Mundiais 2022: Potencial Demográfico para a Prosperidade. Brasília: UNFPA Brazil; 2022. [acesso: 18/05/2024]. https://brazil.unfpa.org/sites/default/files/pub-pdf/swop2022-ptbr-web.pdf

Liddelow C, Mullan B, Boyes M. Adherence to the oral contraceptive pill: the roles of health literacy and knowledge. Health psychol. behav. med. 2020;8(1):587-600. DOI: https://doi.org/10.1080/21642850.2020.1850288

Glover EM, Mercer KB, Norrholm SD, Davis M, Duncan E, Bradley B, et al. Inhibition of fear is differentially associated with cycling estrogen levels in women. J Psychiatry Neurosci. 2013;38(5):341-8. DOI: https://doi.org/10.1503/jpn.120129

Gilbert AL, Hoffman BL. Contraceptive Technology: Present and Future. Obstet Gynecol Clin North Am 2021;48(4):723-35. DOI: https://doi.org/10.1016/j.ogc.2021.07.001

Almeida FPA, Assis MM. Efeitos colaterais e alterações fisiológicas relacionadas ao uso contínuo de anticoncepcionais hormonais orais. Rev. Eletr. Atualiza. Saúde. 2017;5(5):85-93. https://periodicos.ufrn.br/casoseconsultoria/article/view/24112

Mendes ES, Oliveira JS, Moreira BM, Fontoura GMG, Oliveira GCS. Saúde biopsicossocial: cuidado, acolhimento e valorização da vida / Patrício Francisco da Silva (Organizador). – Guarujá-SP: Científica Digital, 2022. DOI: https://doi.org/10.37885/978-65-5360-156-72

Akanbi MA, Ope BW, Adeloye DO, Amoo EO, Iruonagbe TC, Omojola O. Influence of socio-economic factors on prevalence of teenage pregnancy in Nigeria. Afr J Reprod Health. 2021;25(5s):138–46. DOI: https://doi.org/10.29063/ajrh2021/v25i5s.13

Alukagberie ME, Elmusharaf K, Ibrahim N, Poix S. Factors associated with adolescent pregnancy and public health interventions to address in Nigeria: a scoping review. Reprod Health. 2023;20(1):95. DOI: https://doi.org/10.1186/s12978-023-01629-5

Centers for Disease Control and Prevention. U.S. pregnancy rates drop during last decade [Press release]. 2023, April 12. [acesso: 18/05/2024]. https://www.cdc.gov/nchs/data/series/sr_02/sr02-201.pdf

Fundação Oswaldo Cruz. Planejamento Familiar e Contracepção. [acesso: 18/05/2024]. https://www.rets.epsjv.fiocruz.br/planejamento-familiarcontracepcao

Telo SV, Witt RR. Saúde Sexual e Reprodutiva: competências da equipe na Atenção Primária à Saúde. Rev Cien Saude Colet. 2018;11. [acesso: 18/05/2024]. DOI: https://doi.org/10.1590/1413-812320182311.20962016

Araújo AKL, Nery IS. Conhecimento sobre contracepção e fatores associados ao planejamento de gravidez na adolescência. Cogitare Enferm. 2018;23(2): DOI: http://dx.doi.org/10.5380/ce.v23i2.55841

Coll, CVN, Ewerling F, Hellwig F, de Barros AJD. Contraception in adolescence: the influence of parity and marital status on contraceptive use in 73 low-and middle-income countries. Reprod Health. 2019;16(1):21. DOI: https://doi.org/10.1186/s12978-019-0686-9

Borges ALV, Santos OA, Nascimento NC, Chofakian CBN, Gomes-Sponholz FA. Preconception health behaviors associated with pregnancy planning status among Brazilian women. Rev esc enferm USP. 2016;50(2):208-16. DOI: https://doi.org/10.1590/S0080-623420160000200005

IBGE. Cidades: Campo Mourão - PR. [acesso: 18/05/2024] https://cidades.ibge.gov.br/brasil/pr/campo-mourao/panorama

Bellizzi S, Mannava P, Nagai M, Sobel HL. Reasons for discontinuation of contraception among women with a current unintended pregnancy in 36 low and middle-income countries. Contraception. 2019. DOI: https://doi.org/10.1016/j.contraception.2019.09.004

Oliveira KAR, Sato MDO, Sato RMS. Uso e conhecimento a respeito de anticoncepcionais por acadêmicas de Farmácia. Revista Uniandrade. 2019;20(3):115-20. https://revista.uniandrade.br/index.php/revistauniandrade/article/view/1333

Trindade LNM et al. Panorama epidemiológico do HIV em gestantes indígenas e não indígenas no estado do Pará. Rev. Ele Enferm. 2021. DOI: https://doi.org/10.5216/ree.v23.67563

Moreira LR et al. Reasons for Nonuse of Contraceptive Methods by Women with Demand for Contraception Not Satisfied: An Assessment of Low and Middle-Income Countries using Demographic and Health Surveys. Reprod Health. 2019;16:148. DOI: https://doi.org/10.1186/s12978-019-0817-3

Gil CZV, Camargo J. Ensino de História e temas sensíveis: abordagens teórico-metodológicas. Rev História Hoje. 2018;7(13):139-59. DOI: https://doi.org//10.20949/rhhj.v7i13.430

Published

2024-06-20

How to Cite

Barroso Garcia, L. A. ., Dayane Souza, S., Messias dos Santos, G., & Adario Hungaro, A. (2024). The influence of contraceptive methods on birth: a study in the central western region of Paraná : A influência dos métodos contraceptivos na natalidade: estudo no centro-oeste do Paraná. Saúde E Pesquisa, 17(4), e12722. https://doi.org/10.17765/2176-9206.2024v17n4.e12722

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Artigos Originais