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Artigo de periodico

Concordance between intention to use and current use of contraceptives among six-month postpartum women in Brazil: the role of unplanned pregnancy (2018)

  • Authors:
  • USP affiliated authors: BORGES, ANA LUIZA VILELA - EE ; FUJIMORI, ELIZABETH - EE ; SANTOS, OSMARA ALVES DOS - EE
  • Unidade: EE
  • Sigla do Departamento: ENS
  • DOI: 10.1016/j.midw.2017.10.015
  • Subjects: GRAVIDEZ NÃO PLANEJADA; ANTICONCEPÇÃO; PLANEJAMENTO FAMILIAR
  • Language: Inglês
  • Abstract: Objective:to examine the effect of pregnancy planning status in the concordance between intention to use andcurrent use of contraceptives among postpartum women.Design and setting:a prospective study was conducted in 12 primary health care facilities in São Paulo, Brazil,from November 2013 to September 2014.Participants:A total of 264 woman aged 15–44 years old completed a face-to-face interview when they werepregnant (baseline), and were interviewed by phone at 6 months postpartum.Measurements:At baseline, participants were questioned about the contraceptive method they would prefer tobe using at 6 months postpartum. At 6 months postpartum, they answered about the contraceptive method theywere currently using. Pregnancy planning status was measured using the Brazilian Portuguese London Measureof Unplanned Pregnancy. We conducted logistic regression, considering contraceptive preference-use con-cordance as the dependent variable and the main covariate as pregnancy planning status.Findings:Only 28.9% of postpartum women were using the method they preferred to use when they werepregnant. The agreement between preference and contraceptive use was higher for injectables (60.9%) andlowest for IUD, as nobody who preferred it was actually using it. Women who were not sure about what methodthey intended to use after childbirth more frequently reported no use at six months postpartum. Multivariatelogistic regression showed that postpartum women whose pregnancy was unplanned were less likely to use thecontraceptive methods that they intended to use when they were pregnant [aOR=0.36; 95%CI=0.14-0.97].Conclusions and implications for practice:Brazilian women were able to access contraceptives in thepostpartum period. However, there is a considerable discordance between their contraceptive intention touse and use at the sixth postpartum monthhigher unmet demand for IUD and sterilization should behighlighted. The pregnancy planning status is associated to postpartum contraceptive preference-useconcordance, so interventions before pregnancy may affect postpartum contraceptive use. Women withunintended pregnancies present an important opportunity to offer additional family planning counseling
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    • ABNT

      BORGES, Ana Luiza Vilela e SANTOS, Osmara Alves dos e FUJIMORI, Elizabeth. Concordance between intention to use and current use of contraceptives among six-month postpartum women in Brazil: the role of unplanned pregnancy. Midwifery, v. 56, p. 94-101, 2018Tradução . . Disponível em: https://doi.org/10.1016/j.midw.2017.10.015. Acesso em: 02 abr. 2026.

    • APA

      Borges, A. L. V., Santos, O. A. dos, & Fujimori, E. (2018). Concordance between intention to use and current use of contraceptives among six-month postpartum women in Brazil: the role of unplanned pregnancy. Midwifery, 56, 94-101. doi:10.1016/j.midw.2017.10.015

    • NLM

      Borges ALV, Santos OA dos, Fujimori E. Concordance between intention to use and current use of contraceptives among six-month postpartum women in Brazil: the role of unplanned pregnancy [Internet]. Midwifery. 2018 ; 56 94-101.[citado 2026 abr. 02 ] Available from: https://doi.org/10.1016/j.midw.2017.10.015

    • Vancouver

      Borges ALV, Santos OA dos, Fujimori E. Concordance between intention to use and current use of contraceptives among six-month postpartum women in Brazil: the role of unplanned pregnancy [Internet]. Midwifery. 2018 ; 56 94-101.[citado 2026 abr. 02 ] Available from: https://doi.org/10.1016/j.midw.2017.10.015

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