Acceptance of post-placentary intrauterine device among postpartum women in the far south of Brazil
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2025.221918Palabras clave:
Long-acting reversible contraception, Postpartum period, Intrauterine devices, CopperResumen
Background: In the immediate postpartum period, women are motivated to use contraception. The use of the Post-placentary Intrauterine Device is safe, effective, reversible, long-acting, and does not interfere with breastfeeding, making it an excellent option. Objectives: To measure the prevalence and identify factors associated with acceptance of the postpartum intrauterine device (PP-IUD). Methods: Cross-sectional study including all postpartum women who gave birth between January 1 and December 31, 2019, at the University Hospital of the Federal University of Rio Grande, Rio Grande do Sul, Brazil. A single standardized questionnaire was applied within 48 hours after delivery in the maternity ward. Adjusted analysis was performed using Poisson regression with robust variance, following a previously defined hierarchical model. The effect measure used was the prevalence ratio (PR). Results: Among the 1,157 participants, the IUD was accepted and inserted by 648 (56%) postpartum women. Of these, 321 (49.5%) did so during the cesarean section, 311 (48%) during the vaginal postpartum, and 16 (2.5%) in the first 24 hours of postpartum. The acceptance rate was higher among women aged 25 to 29 years (RP: 1.08; 95% CI: 1.02 – 1.16) and those aged 30 or over (RP: 1.06; 95% CI: 1.00 – 1.11), three or more pregnancies (PR: 1.26; 95% CI: 1.18 – 1.35), with their first pregnancy before the age of 19 old (PR: 1.06; 95% CI: 1.01 – 1.11), who did not plan their current pregnancy (RP: 1.05; 95% CI: 1.00 – 1.10), who had a cesarean section (RP: 1.14; 95% CI: 1.09 – 1.18) and who reported having and practicing a religion (RP: 1.12; 95% CI: 1.05 – 1.20). Conclusions: The acceptance and insertion rate of the PP-IUD was high among the studied population, highlighting the importance of counseling and offering this method during prenatal care and the postpartum period. Women with previous pregnancies, those who underwent cesarean delivery, and those who practiced a religion were more likely to accept the PP-IUD, suggesting greater concern with long-term, safe, and effective contraception in these groups.
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Derechos de autor 2026 Márcia Cristina Pereira Maduell, Kharen Carlotto, Janaina Salomão Saavedra, Nathalia Campos, Julia Guedes Alves, Lucas Bonifácio de Souza, Juraci Almeida Cesar, Carla Vitola Gonçalves
Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.
