¿Qué factores contribuyen a la aceptación de un método anticonceptivo posterior a una Interrupción Voluntaria del embarazo en una institución privada del país?

Objective: assess the factors that influence contraceptive uptake among patients who undergo a voluntary termination of pregnancy in a private institution. Methods: Descriptive observational study, cohort type. Post-abortion contraception described as any contraception method provided during the fir...

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Detalles Bibliográficos
Autores: Hinojosa-Millán, Salomé, Foliaco-Calderón, Natalia
Tipo de recurso: tesis de maestría
Estado:Versión publicada
Fecha de publicación:2020
País:Colombia
Institución:Universidad Nacional de Colombia
Repositorio:Repositorio UN
Idioma:español
OAI Identifier:oai:repositorio.unal.edu.co:unal/75496
Acceso en línea:https://repositorio.unal.edu.co/handle/unal/75496
Access Level:acceso abierto
Palabra clave:Medicina y salud::Ginecología, obstetricia, pediatría, geriatría
Aborto inducido, Anticoncepción, Anticoncepción Reversible de Larga Duración
Abortion, Induced, Contraception, Long-Acting Reversible Contraception.
Descripción
Sumario:Objective: assess the factors that influence contraceptive uptake among patients who undergo a voluntary termination of pregnancy in a private institution. Methods: Descriptive observational study, cohort type. Post-abortion contraception described as any contraception method provided during the first four weeks of the induced abortion. Prospective gathering of information supplied by clinical records and dispensary data. Inclusion criteria: women who interrupted their pregnancy voluntarily from 1st of January 2018 through 31ST of December 2018. Exclusion criteria: Women with cognitive deficit and incomplete data. Adjusted analysis was performed. Results: The total of patients included in the study were 5424. 90% of women left the facility with a contraceptive method. The majority (47.1%) selected a short-acting method. Women between 20 to 29 years old were more likely to choose a method than women 30 years or older (adjusted odds ratio [OR], 1.24; 95% confidence interval [CI], 1.01 – 1.5). Young women were also significantly more likely to choose a long-acting, reversible contraceptive than those ages 30 years or older (19 years: OR, 1.73; 95% CI, 1.4 to 2.4; 20–29 years: OR, 1.2; 95% CI, 1.1 to 1.5). Also, women with 18 weeks of pregnancy or longer (OR, 1.69; 95% CI, 1.08 to 2.6) and those who had a surgical abortion (OR, 1.5; 95% CI, 1.3 to 1.8). Conclusion: The majority of patients accepted a post abortion contraceptive method, mainly short-acting methods. Being between 20 and 29 years old was associated with accepting any type of contraception, the use of long-term contraceptives was associated with surgical abortion.