ADOLESCENTS' CONTRACEPTIVE CHOICE IN THE IMMEDIATE POSTPARTUM PERIOD: A COHORT STUDY.

IF 1.7 4区医学 Q3 OBSTETRICS & GYNECOLOGY

Journal of pediatric and adolescent gynecology Pub Date : 2025-07-04 DOI:10.1016/j.jpag.2025.06.011

Elaine Meireles Castro Maia, Raquel Autran Coelho Peixoto, Francisco Herlânio Costa Carvalho, Cristina Aparecida Falbo Guazzelli

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Abstract

Objectives: To assess contraceptive preferences, acceptance, continuity, and satisfaction with contraceptive use among postpartum adolescents who desired contraception in Fortaleza, Brazil.

Method: This prospective observational study included 166 postpartum adolescents (≤48 hours after delivery) at a public hospital in Brazil between November 2019 and March 2022. Participants were interviewed twice: before discharge (in person) and six months after delivery (via telephone). Pearson's chi-squared and Fisher's exact tests assessed associations between categorical variables and satisfaction with long-acting contraceptives (LARCs). Logistic regression identified factors influencing early contraception initiation.

Results: The most preferred methods in the immediate postpartum period were implants (45.8%), intrauterine devices (IUDs) (34.3%), injectables (16.3%), and pills (3.0%). Nearly half (47.6%) initiated LARCs before discharge. Six months post-delivery, 81.3% were using a contraceptive method. Among implant users, continuity was 100%, and for IUDs initiated before discharge, 70%. A higher satisfaction level was observed in LARC users compared to non-LARC users.

Conclusion: The postpartum period is an ideal time to offer safe contraceptive options. LARC methods, particularly implants and IUDs, are highly valued by adolescents, showing high satisfaction and continuity rates.

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产后初期青少年避孕选择：一项队列研究。

目的：评估巴西福塔莱萨产后青少年的避孕偏好、接受度、连续性和避孕使用满意度。方法：本前瞻性观察研究纳入了2019年11月至2022年3月期间巴西一家公立医院166名产后青少年（分娩后≤48小时）。参与者接受了两次采访：出院前（亲自）和分娩后6个月（通过电话）。皮尔逊卡方检验和费舍尔精确检验评估了分类变量与长效避孕药（LARCs）满意度之间的关系。Logistic回归确定了影响早期避孕的因素。结果：产后初期首选避孕方法依次为植入物（45.8%）、宫内节育器（34.3%）、注射剂（16.3%）、药物（3.0%）。近一半（47.6%）患者在出院前开始LARCs治疗。产后6个月，81.3%的人使用避孕方法。在植入物使用者中，连续性为100%，在出院前启动宫内节育器的连续性为70%。与非LARC使用者相比，LARC使用者的满意度更高。结论：产后是提供安全避孕措施的理想时期。LARC方法，特别是植入物和宫内节育器，受到青少年的高度重视，显示出很高的满意度和连续性。

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来源期刊

Journal of pediatric and adolescent gynecology 医学-妇产科学

CiteScore

3.90

自引率

11.10%

发文量

251

审稿时长

57 days

期刊介绍： Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology. The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.