Keywords
Anticoncepción
Dispositivo intrauterino
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Abstract
Objective: To analyze current trends in the use of long-acting reversible contraception (LARC) by women of reproductive age, highlighting the benefits, challenges and factors that influence adherence. Methods: This study was developed through an integrative literature review. The search took place in the PubMed database, using the indexed descriptors “Long-Acting Reversible Contraceptives”, “Contraception”, “Intrauterine Device”, combined with the Boolean operator AND. Articles published in the last six years, in English or Portuguese, with free access were selected, excluding reviews and those without available translations. After screening, 22 articles were included for analysis and discussion. Results: LARCs have stood out for their high effectiveness, practicality and promotion of female autonomy. Their applicability is notable in adolescents, postpartum women and women with comorbidities. However, challenges remain, including the lack of public policies for professional training and the dissemination of information based on scientific evidence. Educational reports strengthen use, while unfounded fears generate resistance. Final Considerations: LARCs offer effective and sustainable contraception, reinforcing female autonomy. However, expanding access depends on structured initiatives that combat misinformation and promote professional training and information accessible to women.
References
ALI M, et al. Expanding choice and access in contraception: an assessment of intrauterine contraception policies in low and middle-income countries. BMC Public Health, 2019; 19(1): 1707.
ANANT M, et al. Are myths surrounding long-acting reversible contraception the reason for a huge unmet need for spacing pregnancies? Journal of Family Medicine and Primary Care, 2021; 10(12): 4431-4437.
BOROVAC-PINHEIRO A, et al. Empowering Adolescent Mothers in the Choice of Contraceptive Methods at the Postpartum Period: Avoiding a Subsequent Pregnancy. Revista Brasileira de Ginecologia e Obstetrícia, 2019; 41(10): 607-612.
CHOO B, et al. Trends in different contraception methods among women attending the Melbourne Sexual Health Centre from 2011 to 2020. Public Health, 2024; 233: 130-136.
DARNEY B, et al. US "Safety Net" Clinics Provide Access to Effective Contraception for Adolescents and Young Women, 2017-2019. American Journal of Public Health, 2022; 112: S555-S562.
FERRO B, et al. Contracepção Reversível de Longa Duração na Adolescência: A Realidade de um Hospital Pediátrico Terciário em Portugal. Acta Médica Portuguesa, 2023; 36(6): 394-400.
GEMZELL-DANIELSSON K, et al. More than just contraception: the impact of the levonorgestrel-releasing intrauterine system on public health over 30 years. BMJ Sexual & Reproductive Health, 2021; 47(3): 228-230.
HOGMARK S, et al. Placement of an intrauterine device within 48 hours after early medical abortion-a randomized controlled trial. American Journal of Obstetrics & Gynecology, 2023; 228(1): 53.e1-53.e9.
JIN F, et al. Factors that influence the choice of long-acting reversible contraceptive use among adolescents post-abortion in Chongqing, China: a cross-sectional study. Journal of Obstetrics and Gynecology, 2024; 44(1): 2316625.
JUDGE-GOLDEN C, et al. Adherence to Recommended Practices for Provision of Long-Acting Reversible Contraception Among Providers in a Large U.S. Health Care System. Journal of Womens Health (Larchmont), 2020; 29(12): 1586-1595.
LOTRIDGE J, et al. Long-acting reversible contraceptive use, active component service women, U.S. Armed Forces, 2016-2020. Medical Surveillance Monthly Report, 2021; 28(7): 2-10.
MAZZA D, et al. Increasing long-acting reversible contraceptives: the Australian Contraceptive ChOice pRoject (ACCORd) cluster randomized trial. American Journal of Obstetrics & Gynecology, 2020; 222(4S): S921.e1-S921.e13.
MELAMED M, et al. Contraceptive Preference, Continuation Rates, and Unintended Pregnancies in Patients with Comorbidities: A Prospective Cohort Study. Journal of Womens Health (Larchmont), 2021; 30(10): 1469-1475.
MUKAMUYANGO J, et al. Motivational interviewing to promote long-acting reversible contraception among Rwandan couples wishing to prevent or delay pregnancy. American Journal of Obstetrics & Gynecology, 2020; 222(4S): S919.e1-S919.e12.
PAUL R, et al. Familiarity and acceptability of long-acting reversible contraception and contraceptive choice. American Journal of Obstetrics & Gynecology, 2020; 222(4): S884.e1–S884.e9.
REY C, et al. Perceptions of long-acting reversible contraception among women receiving medication for opioid use disorder in Vermont. Contraception, 2020; 101(5): 333-337.
RODRIGUEZ M, et al. Medicaid Policy Change and Immediate Postpartum Long-Acting Reversible Contraception. JAMA Health Forum, 2024; 5(6): e241359.
ROLAND N, et al. Profiles of copper intrauterine devices and levonorgestrel intrauterine systems users in France in 2019: A national observational population-based study. International Journal of Gynaecology and Obstetrics, 2023; 160(2): 594-603.
SATHITLOETSAKUM S, et al. The prevalence of contraceptive use among postpartum women and its associated factors during the early phase of COVID-19 outbreak: a time series study. Reproductive Health, 2024; 21(1): 80.
UJAH OI, KIRBY RS. Long-Acting Reversible Contraceptive Use by Rural-Urban Residence among Women in Nigeria, 2016-2018. International Journal of Environmental Research and Public Health, 2022; 19(20): 13027.
VAYNGORTIN T, et al. Adolescents' Acceptance of Long-Acting Reversible Contraception After an Educational Intervention in the Emergency Department: A Randomized Controlled Trial. Western Journal of Emergency Medicine, 2020; 21(3): 640-646.
YI K, et al. Perceptions and Knowledge of Women Regarding Contraception and Current Trends in Contraceptive Use in Korea. Yonsei Medical Journal, 2022; 63(11): 999-1006.