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Ginecología y Obstetricia de México

Federación Mexicana de Ginecología y Obstetricia, A.C.
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2005, Number 02

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Ginecol Obstet Mex 2005; 73 (02)

Causes of non-use of postpartum contraceptive method among adolescent mothers

Navarro NC, Álvarez GG, Tene PCE, Millán GRO, Trujillo HB
Full text How to cite this article

Language: Spanish
References: 10
Page: 63-68
PDF size: 57.04 Kb.


Key words:

adolescent mothers, contraception, non use, postpartum.

ABSTRACT

Objective: To determine the causes of non postpartum contraceptive use among adolescent mothers.
Patients and methods: We conducted a cross-section descriptive study. We included women who asked for attention of an obstetric event in 2002, we identified those were in immediate postpartum period, and we selected those that did not began a birth-control method. Data were collected directly with an interview and revision of the file, later on they were coded and processed manually; the causes of non contraceptive use were classified in: attributable causes to patient: personal, religious, moral, familiar, cultural, etc. Reasons, when they received information and advice or when they did not assist to educational actions; attributable causes to hospital: technique administrative factors, insufficient educational communication activities by service provider; and attributable causes to medical indication: presence of risk factors for health women. The statistical analysis was carried out using frequencies and percentages.
Results: We found 261 women, we identified 160 (61%) in immediate postpartum period, 52 (32%) they did not began contraceptive use.
Conclusion: The causes of non postpartum contraceptive use among adolescent mothers were attributable to themselves in 75%, in 21% to the medical unit, and 4% to medical indication.


REFERENCES

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  2. Núñez URM, Hernández PB, García BC, González D, Walker D. Embarazo no deseado en adolescentes, y utilización de métodos anticonceptivos posparto. Salud Publica Mex 2003;45:S92-S102.

  3. Romero GG, García VGM, Huerta VLF, Ponce PLAL. Factores que influyen en la aceptación o rechazo de métodos anticonceptivos en el puerperio. Ginec Obstet Méx 2001;69:406-12.

  4. Edelman DA, Goldsmith A, Shelton JD. Pospartum contraception. Int J Gynaecol Obstet 1981;19:305-11.

  5. Tatum HJ, Beltran RS, Ramos R, Van Kets H, Sivin I, Schmidt FH. Immediate postplacental insertion of GYNE-T 380 and GYNE-T 380 postpartum intrauterine contraceptive devices: randomized study. Am J Obstet Gynecol 1996;175:1231-5.

  6. Phemister DA, Laurent S, Harrison FN Jr. Use of norplant contraceptive implants in the immediate postpartum period: safety and tolerance. Am J Obstet Gynecol 1995;172(1 Pt 1):175-9.

  7. Berenson AB, Wiemann CM. Contraceptive use among adolescent mothers at 6 months postpartum. Obstet Gynecol 1997;89:999-1005.

  8. Smith KB, van der Spuy ZM, Cheng L, Elton R, Glasier AF. Is postpartum contraceptive advice given antenatally of value? Small star, filled. Contraception 2002;65:237-43.

  9. Salway S, Nurani S. Postpartum contraceptive use in Bangladesh: understanding users’ perspectives. Stud Fam Plann 1998;29:41-57.

  10. Navarro NC, Gutiérrez SD, Álvarez GG, Aguayo GA. Causas de no uso de anticonceptivo durante el período posparto inmediato. Ginec Obstet Méx 2002;70:566-71.




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Ginecol Obstet Mex. 2005;73