A influência do aconselhamento contraceptivo na escolha da contracepção reversível de longa duração
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Resumo
Objetivo: Analisar qual a influência e quais as barreiras do aconselhamento contraceptivo na escolha dos métodos contraceptivos de longa duração. Métodos: Trata-se de um estudo de abordagem qualitativa, retrospectiva e transversal executado por meio de uma revisão integrativa. Foram utilizadas as plataformas PubMed e o Portal Regional da Biblioteca Virtual em Saúde (BVS). Os descritores utilizados foram “Contraceptive”, “Counseling”, “Long-acting reversible contraception” e “Unintended pregnancy”. Os critérios de inclusão foram: artigos publicados nos últimos 5 anos (2018-2023) e estudos do tipo ensaio clínico, estudo clínico controlado ou estudo observacional. Foram excluídos os artigos que não se enquadravam no tema e os que estavam duplicados nas bases de dados. Resultados: Foi observado que grande parte da população elegível ao uso de métodos contraceptivos reversíveis de longa duração (LARCs) não os utilizam. A falta de conhecimento a respeito desses anticoncepcionais pelos profissionais e da identificação da população que se beneficiaria com uso dos LARCs, a falta de técnica na sua inserção gerando insegurança, os mitos acerca de tais métodos e consultas de aconselhamento contraceptivo ineficazes explicam a baixa adesão. Considerações finais: Considera-se que um treinamento adequado dos profissionais melhora a indicação desses métodos, gerando maior adesão e segurança na sua escolha.
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