Características associadas com aceitação do DIU de cobre no pós parto

Abstract

Objective: A sociodemographic profile of the women approached about the acceptance of the use of IUD in the immediate postpartum period at a university hospital was drawn, with search for relevant associated factors that would interfere in the acceptance or refusal of the method for improving the public policy of encouraging the use of IUDs in family planning. Methods: 120 women were interviewed at the time of postpartum with collection of sociodemographic data and other data on women's reproductive life. These data were analyzed in the SPSS 24.0 program with frequency analysis, chi square test and quantification of the odds ratio. In addition, was made logistic regression to assess the strength of the association of the variables and acceptance of the use of the IUD. Results: Of the total of women interviewed, 59 (49.2%) agreed to have the IUD in the postpartum period and 61 (50.8%) did not accept the method. The analysis of logistic regression showed that dyspareunia decreased the user's chance of accepting the IUD in the postpartum period by 71.4%. While parity greater than or equal to 2 increased by 161.3% the chance of women accepting the device in the immediate postpartum period. Conclusion: The postpartum family planning policy has important repercussions on the health of women and children, so there is a need for further education on choice of IUDs as a contraceptive method. Further studies are needed to test the effect of prior advice on acceptance of the method and to assess follow-up regarding the continued use of the device.