Use of Hormonal Contraceptives by Women Registered in a Unit of Primary Health Care

Authors

  • Thaynara Ferreira Filgueiras Obstetrics Nursing Resident, School of Public Health of Ceara. Fortaleza, Ceará, Brazil.
  • Maria Mônica Paulino do Nascimento Master Student of Collective Health, Catholic University of Santos. Santos, São Paulo, Brazil.
  • Débora Amorim de Vasconcelos Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.
  • Jefferson Gomes de Abreu Nursing Specialist in Urgency and Emergency, College Santa Maria. Cajazeiras, Paraíba, Brazil.
  • Thiago Ferreira Filgueiras Nursing Specialist in Urgency and Emergency, Integrated College of Patos. Juazeiro do Norte, Ceará, Brazil.
  • Renan Alves Silva
  • Edilmar Martins de Sousa Júnior
  • Claryssa Queiroz de Oliveira Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.
  • Gabrielle de Oliveira Soares Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.
  • Lisianne Silva Lisboa Postgraduate Student in Nursing Work, International University Center. Maceió, Alagoas, Brazil.
  • Kennya Silva Formiga de Lira Master Student of Health Sciences, Faculty of Medicine of ABC Paulista. São Paulo, Brazil.
  • Michelle Cristina Araújo Vieira .
  • Hemanuela Gomes Lima
  • Hermênnia Ferreira da Silva Nursing Specialist of Work, College Santa Maria. Cajazeiras, Paraíba, Brazil.
  • Hérika Ferreira Batista Nunes
  • Milena Nunes Alves de Sousa

DOI:

https://doi.org/10.3823/2089

Keywords:

Contraceptives, Health Woman, Family Planning, Community Health Services.

Abstract

Introduction: reproductive health and family planning activities are recognized as necessary interventions of health services. Availability of contraceptive methods and access to information are essential for proper choice and these must be guaranteed to the public regardless of socioeconomic, cultural and religious conditions.

Objective: to understand the aspects related to the use of hormonal contraceptives for users registered in a Unit of Primary Health Care.

Method: this is a descriptive field study with quantitative approach conducted with 70 women enrolled in the family planning activities of a Basic Health Unit in the city of Cajazeiras, Paraíba, Brazil. Data were collected through a structured questionnaire and analyzed in the Statistical Package for the Social Sciences – SPSS. 

Results: there was a greater number of women aged between 17 and 34 years, with 12 or more years of schooling, married, with a formal partner, asserting to be non-white with respect to race and agriculture workers/housewives with respect to occupation. On personal background, there was a higher occurrence of hypertension, smoking, anemia and gastritis. Regarding health conditions, most of the women had blood pressure considered normal, were overweight/obese and with low or moderate risk of cardiovascular disease. With respect to complications during the use of hormonal contraceptives, amenorrhea was more frequent along with pain or swelling in the lower limbs and mastalgia.

Conclusion: there is a strong need for improving the monitoring of women in reproductive planning with search for new strategies aiming at greater adherence to the program, as well as carrying out a more precise analysis of the clinical background of women in order to choose the most appropriate contraceptive method. In relation to health conditions, it was evident that most of the interviewed women were found with blood pressure considered normal. 

Author Biographies

Thaynara Ferreira Filgueiras, Obstetrics Nursing Resident, School of Public Health of Ceara. Fortaleza, Ceará, Brazil.

Obstetrics Nursing Resident, School of Public Health of Ceara. Fortaleza, Ceará, Brazil.

Maria Mônica Paulino do Nascimento, Master Student of Collective Health, Catholic University of Santos. Santos, São Paulo, Brazil.

Master Student of Collective Health, Catholic University of Santos. Santos, São Paulo, Brazil.

Débora Amorim de Vasconcelos, Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.

Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.

Jefferson Gomes de Abreu, Nursing Specialist in Urgency and Emergency, College Santa Maria. Cajazeiras, Paraíba, Brazil.

Nursing Specialist in Urgency and Emergency, College Santa Maria. Cajazeiras, Paraíba, Brazil.

Thiago Ferreira Filgueiras, Nursing Specialist in Urgency and Emergency, Integrated College of Patos. Juazeiro do Norte, Ceará, Brazil.

Nursing Specialist in Urgency and Emergency, Integrated College of Patos. Juazeiro do Norte, Ceará, Brazil.

Renan Alves Silva

Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.

Edilmar Martins de Sousa Júnior

Medicine Student, Potiguar University. Natal, Rio Grande do Norte, Brazil.

Claryssa Queiroz de Oliveira, Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.

Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.

Gabrielle de Oliveira Soares, Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.

Bachelor of Nursing, Federal University of Campina Grande. Cajazeiras, Paraiba, Brazil.

Lisianne Silva Lisboa, Postgraduate Student in Nursing Work, International University Center. Maceió, Alagoas, Brazil.

Postgraduate Student in Nursing Work, International University Center. Maceió, Alagoas, Brazil.

Kennya Silva Formiga de Lira, Master Student of Health Sciences, Faculty of Medicine of ABC Paulista. São Paulo, Brazil.

Master Student of Health Sciences, Faculty of Medicine of ABC Paulista. São Paulo, Brazil.

Michelle Cristina Araújo Vieira, .

Nursing Specialist of Work, High Education Center Arcanjo Micael de Arapiraca. Arapiraca, Alagoas, Brazil.

Hemanuela Gomes Lima

Obstetrics Nursing Specialist, College Santa Maria. Cajazeiras, Paraíba, Brazil.

Hermênnia Ferreira da Silva, Nursing Specialist of Work, College Santa Maria. Cajazeiras, Paraíba, Brazil.

Nursing Specialist of Work, College Santa Maria. Cajazeiras, Paraíba, Brazil.

References

Bezerra MS, Rodrigues DP. Representações sociais de homens sobre o planejamento familiar. Rev Rene [Internet], Fortaleza, 2010 Out/Dez; 11(4):127-34. Available from: http://www.revistarene.ufc.br/revista/index.php/revista/article/view/436

Moura ERF, Silva RM, Gomes AMA, Almeida PC, Evangelista DR. Perfil demográfico, socioeconômico e de saúde reprodutiva de mulheres atendidas em planejamento familiar no interior do Ceará. Rev Baiana Saúde Pública [Internet], 2010 Jan/Mar; 34(1):119-33. Available from: http://inseer.ibict.br/rbsp/index.php/rbsp/article/view/22

República Federativa (BR). Constituição da República Federativa do Brasil: texto constitucional promulgado em 5 de outubro de 1988, com as alterações adotadas pelas emendas Constitucionais nos 1/1992 a 68/2011, pelo Decreto legislativo nº 186/2008 e pelas emendas Constitucionais de Revisão nos 1 a 6/1994. – 35. ed. – Brasília: Câmara dos Deputados, edições Câmara, 2012.

Santos JC, Freitas PM. Planejamento familiar na perspectiva do desenvolvimento. Ciênc Saúde Coletiva [Internet], Rio de Janeiro, 2011 Mar; 16(3):1813-20. DOI: http://dx.doi.org/10.1590/S1413-81232011000300017

Tepper NK, Curtis KM, Jamieson DJ, Marchbanks PA. Update to CDC’s U.S. Medical Eligibility Criteria for Contraceptive Use, 2010: Revised recommendations for the use of hormonal contraception among women at high risk for HIV infection or infected with HIV. Morbidity and Mortality Weekly Report [Internet], 2012 Jun; 61(24):449-52. Available from: http://www.popline.org/node/551738

Andrade EC, Silva LR. Planejamento familiar: uma questão de escolha. Rev Eletr Enferm [Internet], 2009; 11(1):85-93. Available from: http://www.fen.ufg.br/revista/v11/n1/v11n1a11.htm.

Pierre LAS, Clapis MJ. Planejamento familiar em uma Unidade de Saúde da Família. Rev Latino-Am Enfermagem [Internet], 2010; 18(6):08 telas. DOI: http://www.scielo.br/pdf/rlae/v18n6/pt_17.pdf

Ministério da Saúde (BR). Pesquisa nacional de demografia e saúde da criança e mulher (PNDS), 2006 [Internet]. Available from: http://bvsms.saude.gov.br/bvs/pnds/saude_nutricional.php

World Health Organization. Reproductive Health and Research and John Hopkins Bloomberg School of Public Health. Family planning: a global handbook for providers (2008). Baltimore and Geneva: CCP and WHO; 2008.

Ministério da Saúde (BR). Resolução Nº 466, de 12 de dezembro de 2012. Brasília, 2012 [Internet]. Available from: http://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf

Silva JSC, Sousa CR. Motivos de interrupção dos contraceptivos hormonais por usuárias do sistema único de saúde. Revista FACID: Ciência & Vida [Internet], Teresina, 2014 Maio; 10(1):17-26. Available from: http://favip.edu.br/arquivos/REVISTA%20FACID%202014.1.pdf

Gomes PD, Zimmermmann JB, Oliveira LMB, Leal KA, Gomes ND, Goulart SM et al. Contracepção hormonal: uma comparação entre pacientes das redes pública e privada de saúde. Ciênc Saúde Coletiva [Internet], Rio de Janeiro, 2011 May; 16(5):2453-60. DOI: http://dx.doi.org/10.1590/S1413-81232011000500014

Pimenta CJL, Costa IL, Leite ES, Farias MCAD, Barbosa TL, Maciel EJS et al. Understanding of the elderly attached to the Family Health Strategy about the HIVAIDS infection. International Archives of Medicine [Internet], 2015; 8(241):1-7. DOI: http://dx.doi.org/10.3823/1840

Barreto FSC. A bioética da proteção e o programa de assistência ao planejamento familiar: a percepção das usuárias e profissionais dos ambulatórios e maternidades de Teresina-PI. Dissertação [Mestrado em Bioética] – Universidade de Brasília; 2010 [Internet]. Bioética]f rom: http://repositorio.unb.br/bitstream/10482/7350/1/2010_FranciscaSandraCardosoBarreto.pdf

Moura ERF, Silva RM, Gomes AMA, Almeida PC, Evangelista DR. Perfil demográfico, socioeconômico e de saúde reprodutiva de mulheres atendidas em planejamento familiar no interior do Ceará. Rev Baiana Saúde Pública [Internet], 2010 Jan-Mar; 34(1):119-33. Available from: http://inseer.ibict.br/rbsp/index.php/rbsp/article/view/22/22

Victor JF, Ximenes LB, Almeida PC, Vasconcelos FF. Perfil sociodemográfico e clínico de idosos atendidos em Unidade Básica de Saúde da Família. Acta Paul Enferm [Internet], 2009; 22(1):49-54. DOI: http://dx.doi.org/10.1590/S0103-21002009000100008.

Instituto Brasileiro de Geografica e Estatística (IBGE). Censo Demográfico 2010 – Características da população e dos domicílios [Internet]. Available from: http://www.ibge.gov.br/home/estatistica/populacao/censo2010/caracteristicas_da_populacao/tabelas_pdf/tab3.pdf

Brito MB, Nobre F, Vieira CS. Hormonal Contraception and Cardiovascular System. Arq Bras Cardiol [Internet], 2011 Apr; 96(4):e81-9. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21359483

Lubianca NJ, Wannmacher L. Ministério da Saúde (BR). Uso Racional de Contraceptivos Hormonais Orais [Internet]. Brasília; 2011. Available from: http://www.ufrgs.br/boletimcimrs/2011%20-%20Uso%20racional%20de%20contraceptivos%20hormonais%20orais.pdf

World Health Organization (WHO). Medical eligibility criteria for contraceptive use. 4 ed .Geneva [Internet]. 2010. Available from: http://www.who.int/reproductivehealth/publications/family_planning/Ex-Summ-MEC-5/en/

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Saúde da mulher. Métodos anticoncepcionais. 2013 [Internet]. Available from: http://www.brasil.gov.br/sobre/saude/saude-da-mulher/metodos-anticoncepcionais

Ministério da Saúde (BR). Secretaria de Gestão Estratégica e Participativa, Departamento de Apoio à Gestão Participativa e ao Controle Social. Saúde da mulher: um diálogo aberto e participativo. Brasília: Editora do Ministério da Saúde; 2010 [Internet]. Available from: http://portal.saude.gov.br/portal/arquivos/pdf/saude_da_mulher_um_dialogo_aberto_part.pdf.

Skouby SO. Hormonal contraception in obesity, the metabolic syndrome, and diabetes. In: of the New York Academy of Sciences, 2010, New York. Annals… 2010 [Internet]. 2010 Sept; 12(5):240–4. DOI: 10.1111/j.1749-6632.2010.05662.x.

Abdollahi M, Cushman M, Rosendaal FR. Obesity: risk of venous thrombosis and the interaction with coagulation factor levels and oral contraceptive use. Thromb Haemost [Internet], 2003 Mar; 89(3):493-8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/12624633

Ministério da Saúde (BR). Secretaria de Atenção à Saúde. Departamento de Atenção Básica. Saúde sexual e saúde reprodutiva. Normas e Manuais Técnicos. Cadernos de Atenção Básica, n. 26. Brasília: MS, 2010 [Internet]. Available from: http://189.28.128.100/dab/docs/publicacoes/cadernos_ab/abcad26.pdf

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Published

2016-09-17

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Primary Care

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