SARC e LARC: grau de conhecimento e frequência de uso em complexo hospitalar de referência no Paraná / SARC and LARC: degree of knowledge and frequency of use in a reference hospital complex in Paraná

Abstract

Introducao: Contraceptivos representam um elemento essencial para a vida reprodutiva e para o planejamento familiar. O grau de conhecimento das mulheres sobre esse tema exerce influencia sobre suas escolhas por determinados metodos anticoncepcionais. Objetivos : os objetivos deste estudo foram tracar o perfil etario e socioeconomico das pacientes do Ambulatorio de Reproducao Humana do CHC-UFPR e avaliar seu conhecimento e uso de contraceptivos de curta e de longa acao (SARC e LARC), de forma a identificar lacunas de informacao que pudessem ocasionargestacoes nao planejadas e direcionar futuras estrategias educativas sobre contraceptivos. Metodos: Conduzimos entrevistas por meio de questionarios objetivos aplicados a pacientes do sexo feminino entre 18 e 50 anos na ocasiao de suas consultas, indagando-as sobre sua ciencia da existencia de diversos anticoncepcionais, tipo de metodo utilizado e tempo de uso, presenca, frequencia e motivos para gestacoes nao planejadas. Resultados: Os principais resultados indicaram um grupo de pacientes jovens e com alta escolaridade, cuja utilizacao de metodos anticoncepcionais era semelhante entre SARC e LARC. O conhecimento dos anticoncepcionais foi satisfatorio, principalmente entre os mais populares como anticoncepcional hormonal oral e DIU de cobre. Gestacoes nao planejadas estiveram presentes na vida reprodutiva de 60% das pacientes, sendo o principal motivo o nao uso de contraceptivos. Nao houve associacao entre uso de SARC ou LARC e maior numero de gestacoes indesejadas. O numero de contraceptivos conhecidos por mulheres sem gestacoes indesejadas foi uma mediana maior do que aquele das mulheres com esses eventos. Conclusao : A abordagem das pacientes do ambulatorio da Reproducao Humana do CHC-UFPR deve ser direcionada para pacientes jovens, com alto grau de instrucao e amplo conhecimento sobre contraceptivos. E importante que os profissionais de saude do local busquem orienta-las de forma a reduzir a taxa de gestacoes nao planejadas. Palavras chave: Anticoncepcionais, gravidez nao planejada, Conhecimento ABSTRACT Introduction : Contraceptive agents represent an essential element in reproductive life and family planning. The knowledge extension for women about that subject influences choices for certain contraceptive methods. Objective: The aims of this study were to determine the age and socioeconomic profile of the patients of the Human Reproduction Clinic in the Hospital Complex of Federal University of Parana and to evaluate their knowledge and use of short-acting reversible contraceptives (SARC) and long-acting reversible contraceptives (LARC), in order to idenfity information gaps that could cause unplanned pregnancies and direct future educational strategies on contraceptives. Methodology : We conducted interviews using objective questionnaires applied to female patients aged from 18 to 50 years old before or after their medical appointment, asking about their knowledge of the existence of diverse contraceptive agents, type of contraceptive utilized and duration of use, presence, number and reasons for unplanned pregnancies. Results : The main results indicated that the group was mostly young and highly educated, utilizing SARC and LARC in similar frequencies. The knowledge of the existence of the contraceptive agents was satisfactory and the most popular methods were the contraceptive pill and the Coopper IUD. Unplanned pregnancies were present in the reproductive life of 60% of the patients and the most common reasons for these events was the non use of contraceptives. There\xa0was no association between the use of SARC or LARC and a higher number of unplanned pregnancies. The number of contraceptives known by women without previous history of unintended pregnancy was a median higher than those of women with those events. Conclusion : Hereafter, the approach to patients in the Human Reproduction Clinic in the Hospital Complex of Federal University of Parana should be directed to young and highly educated women, with broad knowledge about contraceptive agents. It is important that health professionals of the clinic guide patients aiming to reduce the local unplanned pregnancy rates. Keywords: Contraceptive agents, Unplanned pregnancy, Knowledge