Keywords
Counseling
Long-acting reversible contraception
Unintended pregnancy
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Abstract
Objective: To analyze the influence and barriers of contraceptive counseling in the choice of long-term contraceptive methods. Methods: This is a qualitative, retrospective and cross-sectional study performed through an integrative review. The PubMed platforms and the Regional Portal of the Virtual Health Library (VHL) were used. The descriptors used were "Contraceptive", "Counseling", "Long-acting reversible contraception" and "Unintended pregnancy". The inclusion criteria were: articles published in the last 5 years (2018-2023) and studies of the clinical trial, controlled clinical study or observational study. Articles that did not fit the theme and those that were duplicated in the databases were excluded. Results: It was observed that a large part of the population eligible to use long-acting reversible contraceptive methods (LARCs) do not use them. The lack of knowledge about these contraceptives by professionals and the identification of the population that would benefit from the use of LARCs, the lack of technique in their insertion generating insecurity, the myths about such methods and ineffective contraceptive counseling consultations explain the low adherence. Final considerations: Considered that an adequate training of professionals improves the indication of these methods, generating greater adherence and safety in their choice.
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