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Gestação na adolescência: vulnerabilidades e rede de proteção em São Carlos (SP); Pregnancy in adolescence: vulnerabilities and protection network in São Carlos

Feliciano, Rosiane de Araujo Ferreira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 25/11/2010 PT
Relevância na Pesquisa
36.29%
A gestação na adolescência (GA) ganha visibilidade e status de problema de saúde com o aumento de sua incidência em todo mundo, desde o início da década de 1970, período que ocorre uma queda na fecundidade nas demais faixas etárias. Estudos relacionam a GA à gravidez indesejada, maiores riscos materno-infantis e sociais. Em São Carlos, no decênio de 1998 a 2008 a taxa de GA diminuiu ao longo dos anos, porém o filho da adolescente ainda apresenta maior risco de morte no primeiro ano de vida. Tendo como pressupostos a pluralidade da adolescência e a determinação social do processo saúde-doença, o objetivo do estudo foi analisar as condições sociais e os indicadores de saúde da população feminina de São Carlos na perspectiva da vulnerabilidade, com ênfase na territorialização das disparidades intra-urbanas da gestação na adolescência e no potencial de enfrentamento das ações, programas e projetos desenvolvidos pelo Estado. A vulnerabilidade aqui é entendida como indicador de iniquidade e desigualdade social. O referencial teórico adotado Fo o de vulnerabilidade proposto pro Ayres et al. (2003), que distingue três dimensões interdependentes: a individual, a social e a programática. Trata-se de estudo de caso...

A experiência da cesárea indesejada: perspectivas das mulheres sobre decisões e suas implicações no parto e nascimento; The experience of unwanted cesarean section: perspectives on women's decisions and their implications for labor and birth

Salgado, Heloisa de Oliveira
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 05/11/2012 PT
Relevância na Pesquisa
36.32%
Introdução De acordo com a literatura, 70 a 80 por cento das mulheres que sofreram uma cesárea desejavam um parto normal no início da gravidez. Entre os fatores relacionados, identificam-se decisões junto à equipe que acompanhou o pré-natal e o trabalho de parto. Infere-se que a frustração desse desejo pode ter implicações no pós-parto, em especial, na relação mãe-bebê, na amamentação e na saúde mental pós-parto. Objetivo Descrever e analisar a experiência da cesárea autorreferida como indesejada por mulheres que buscaram um parto normal e os mecanismos associados à discrepância entre o desejo original (parto normal) e o desfecho (cesárea) e suas implicações no pós-parto, a saber, no aleitamento materno, na ocorrência de depressão pós-parto/babyblues e na formação do vínculo. Métodos Pesquisa qualitativa que contou com o preenchimento de roteiro de questões semiestruturadas, via e-mail, por mulheres participantes de mídias sociais, e análise dos dados a partir de categorias pré-determinadas e novas categorias advindas da análise. Resultados Esta pesquisa evidenciou o uso rotineiro de práticas inadequadas e desrespeitosas, como o convencimento para realizar a cesárea com base em informação distorcida e ameaçadora...

Gravidez não planejada: a experiência das gestantes de um município do interior do estado de São Paulo; Unplanned pregnancy: the experience of the women in a municipality in the state of São Paulo

Sanches, Natália Canella
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 02/12/2013 PT
Relevância na Pesquisa
46.55%
A gestação, o parto e o puerpério são saberes especiais no universo da mulher, do parceiro, da família e de sua comunidade. A gestação pode gerar diversos sentimentos, tais como: o de surpresa, o de castigo, o de prêmio, o de motivação para continuar a viver, o de realização de um projeto antigo, o de competição em família, o de problema, o de estorvo, o de descuido ou de irresponsabilidade. Confirmada a gravidez, a mulher, o parceiro e os familiares podem vivenciar diferentes reações diante dessa novidade. A reação inicial depende do desejo e planejamento da gravidez (gestação), podendo ser desejada, planejada, ou acidental, não planejada e, até mesmo indesejada. Gravidez não planejada é toda a gestação que não foi programada pelo casal ou, pelo menos, pela mulher. A sua ocorrência tem impacto importante na oferta de cuidados de pré-natal, na orientação sobre aleitamento materno, no estado nutricional infantil e nas taxas de morbimortalidade materno-infantil. Embora pouco estudada, a gravidez não planejada representa risco aumentado de ansiedade e de depressão, sobretudo no período puerperal. Tendo em vista estes aspectos, o objetivo deste estudo foi compreender como as gestantes vivenciaram/experienciaram uma gravidez não planejada e suas consequências à vida familiar/conjugal. O estudo baseou-se na metodologia de análise de dados qualitativos...

Gravidez adolescente : indesejada para quem?; Adolescent pregnancy : unwanted for whhom?

Neiva Maria Borgato
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 28/02/2011 PT
Relevância na Pesquisa
36.24%
Os dados censitários mostram que, no Brasil desde 1980, as taxas específicas de fecundidade diminuíram em todos os grupos etários (considerando o período reprodutivo da mulher 15-49 anos), exceto no segmento de 15-19 anos. O tema da gravidez na adolescência ganhou espaço na pesquisa e na mídia. Contudo, seu tratamento é permeado por uma série de suposições e de preconceitos. A ideia de que essa faixa etária não é apropriada para a reprodução é o ponto de partida para muitos trabalhos. A presente pesquisa tem como objetivo principal analisar o contexto em que ocorre a gravidez entre os 15 e 19 anos. A partir dos dados da PNDS 2006, procuramos traçar um perfil das mulheres que engravidaram antes dos 20 anos. Para tanto abordamos temas como a iniciação sexual, o conhecimento dos métodos anticoncepcionais, o desejo e as percepções sobre a gravidez. Com o objetivo de investigar mais de perto as concepções de gênero e reprodução nesta faixa etária foi realizado também um trabalho de campo qualitativo entre os adolescentes do Programa de Atenção Integral a Saúde do Adolescente (PAISA), do município de Bragança Paulista (SP). Interessa avaliar os valores que estão em jogo no caso da gravidez considerada no senso comum - e até certo ponto pelas próprias adolescentes - como precoce.; Census data show that since 1980 the specific fertility rates in Brazil declined in all age groups (considering the reproductive period of women aged 15-49 years)...

Complications in adolescent pregnancy: systematic review of the literature

Azevedo,Walter Fernandes de; Diniz,Michele Baffi; Fonseca,Eduardo Sérgio Valério Borges da; Azevedo,Lícia Maria Ricarte de; Evangelista,Carla Braz
Fonte: Instituto Israelita de Ensino e Pesquisa Albert Einstein Publicador: Instituto Israelita de Ensino e Pesquisa Albert Einstein
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
36.33%
Sexual activity during adolescence can lead to unwanted pregnancy, which in turn can result in serious maternal and fetal complications. The present study aimed to evaluate the complications related to adolescent pregnancy, through a systematic review using the Medical Subject Headings: “pregnancy complication” AND “adolescent” OR “pregnancy in adolescence”. Only full original articles in English or Portuguese with a clearly described methodology, were included. No qualitative studies, reviews or meta-analyses, editorials, case series, or case reports were included. The sample consisted of 15 articles; in that 10 were cross-sectional and 5 were cohort studies. The overall prevalence of adolescent pregnancy was 10%, and among the Brazilian studies, the adolescent pregnancy rate was 26%. The cesarean delivery rate was lower than that reported in the general population. The main maternal and neonatal complications were hypertensive disorders of pregnancy, prematurity and low birth weight, respectively. Adolescent pregnancy is related to increased frequency of neonatal and maternal complications and lower prevalence of cesarean delivery.

The Frameless Copper IUD (GyneFix) and the TCu380A IUD : Results of an 8-year Multicenter Randomized Comparative Trial

Meirik, O.; Rowe, P. J.; Peregoudov, A.; Piaggio, G.; Petzold, M.
Fonte: Banco Mundial Publicador: Banco Mundial
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.26%
BACKGROUND: Clinical performance of the frameless copper IUD (GyneFix), designed to reduce side effects related to the frame of conventional IUDs, and TCu380A was compared. STUDY DESIGN: Randomized Multicenter randomized comparative trial. Parous women requesting and eligible to use IUD were admitted in 21 centers in eight countries in 1989-1993 and followed-up for up to 8 years. RESULTS: Two thousand twenty-seven women were randomized to the frameless IUD and 2036 to TCu380A; 43 insertions of the frameless IUD failed and none for TCu380A. First-year expulsion rate of the frameless IUD was 5.3 (95% CI: 4.4-6.4) per 100 and 2.5 (95% CI: 1.9-3.3) for the TCu380A; second- through eighth-year expulsion rates were not different. First-year pregnancy rates for the frameless IUD and TCu380A were 1.3 (95% CI: 0.9-2.0) and 0.5 (95% CI: 0.3-0.9), respectively; second- through eighth-year cumulative pregnancy rates were 1.2 (95% CI: 0.7-1.9) and 2.5 (95% CI: 1.8-3.4), respectively. The 8-year cumulative rates of ectopic pregnancy and IUD removal for pain were lower for the frameless IUD than for TCu380A. Removals for other reasons were not different. CONCLUSIONS: The frameless IUD had more insertion failures, expulsions and pregnancies in the first year than TCu380A...

Postpartum depression among women with unintended pregnancy

Brito,Cynthia Nunes de Oliveira; Alves,Sandra Valongueiro; Ludermir,Ana Bernarda; Araújo,Thália Velho Barreto de
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
46.3%
OBJECTIVE To analyze the association between unintended pregnancy and postpartum depression.METHODS This is a prospective cohort study conducted with 1,121 pregnant aged 18 to 49 years, who attended the prenatal program devised by the Brazilian Family Health Strategy, Recife, PE, Northeastern Brazil, between July 2005 and December 2006. We interviewed 1,121 women during pregnancy and 1,057 after childbirth. Unintended pregnancy was evaluated during the first interview and postpartum depression symptoms were assessed using the Edinburgh Postnatal Depression Screening Scale. The crude and adjusted odds ratios for the studied association were estimated using logistic regression analysis.RESULTS The frequency for unintended pregnancy was 60.2%; 25.9% presented postpartum depression symptoms. Those who had unintended pregnancies had a higher likelihood of presenting this symptoms, even after adjusting for confounding variables (OR = 1.48; 95%CI 1.09;2.01). When the Self Reporting Questionnaire (SRQ-20) variable was included, the association decreased, however, remained statistically significant (OR = 1.42; 95%CI 1.03;1.97).CONCLUSIONS Unintended pregnancy showed association with subsequent postpartum depressive symptoms. This suggests that high values in Edinburgh Postnatal Depression Screening Scale may result from unintended pregnancy.

Pregnancy in adolescents as a problem to 14 – 19 year olds in Nocaima (Cundinamarca); Problemática en torno al embarazo en adolescentes de 14 a 19 años, en Nocaima (Cundinamarca)

Alvarado, Ricardo; Martínez Pachón, Óscar Andrés; Baquero Umaña, Margarita María; Valencia, Catalina María; Ruiz Sternberg, Ángela María
Fonte: Universidade do Rosário Publicador: Universidade do Rosário
Tipo: Artigo de Revista Científica Formato: application/pdf
Publicado em 18/05/2010 SPA
Relevância na Pesquisa
36.47%
Adolescent pregnancy is a current problem which raises concern due to its individual, familiar and collective consequences. Fifteen million adolescents give birth each year in the world. Abortion is the preferred option used in unwanted pregnancies. Adolescent pregnancy is frequent in Nocaima, Cundinamarca and is a community concern in this small town initiating its process of becoming a healthy municipality. As such, the community has highlighted this problem to be studied and submitted to intervention to promote a free and responsible sexuality decreasing unwanted adolescent pregnancies. Objective: To find data on contraception, pregnancy and related factors in selected adolescents therefore, improving current incomplete information. Methods: Descriptive observational study with survey application on 226 female 14 to 19 year old students from three high school facilities in Nocaima including 8th to 11th graders. Results: 88.9% of the participants were between 14 and 17 years of age. 66.8% of the adolescents claim to use correctly contraceptive methods and 28.8% have had sexual intercourse with an average initiation at age 15. 11.1% have been pregnant once in their lives and of these 57.1 % ended in induced abortion and 66.8% were school dropouts. Conclusions: After having implemented an educational campaign on healthy sex and reproductive behaviors we view adolescent pregnancy as a public health problem which is preventable and related to the deficit of social and family support as well as weakness in individual decision making.; El embarazo en adolescentes es preocupante y generador de graves consecuencias en la salud individual...

Prevalence of and Some Factors Relating with Unwanted Pregnancy, in Ahwaz City, Iran, 2010

Najafian, M.; Karami, K. B.; Cheraghi, M.; Mohammad Jafari, R.
Fonte: International Scholarly Research Network Publicador: International Scholarly Research Network
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
26.83%
We aimed to find the prevalence and some factors relating with unwanted pregnancy. Methods. It was a cross-sectional study on 400 randomly pregnant women, who were referring to different health centers in Ahwaz city during 2010. Data was conducted based on questionnaire, and all the analysis was performed using SPSS (version 17) statistical analysis software. Results. The prevalence of unwanted pregnancy was 26%. The percentage of unwanted pregnancy in ages more than 35 years was approximately three times more than the intended pregnancy. There were significant relationship between unwanted pregnancy and some variables such as age, number of pregnancy, number of childbirth, education status, economic status, husband's occupation, and the relationship with the spouse and contraceptive methods (P < 0.0001). Conclusion. The prevalence of unwanted pregnancy was high. To prevent unwanted pregnancy using consultation services before planning to be pregnancy...

Domestic Violence, Contraceptive Use, and Unwanted Pregnancy in Rural India

Stephenson, Rob; Koenig, Michael A.; Acharya, Rajib; Roy, Tarun K.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /09/2008 EN
Relevância na Pesquisa
26.8%
This study examines the relationship between male-to-female physical domestic violence and unwanted pregnancy among women in three economically and culturally diverse areas of India. A central methodological focus of the study is the examination of retrospective and prospective measures of pregnancy unwantedness, contrasting their usefulness for specifying levels of unwanted pregnancy and its relationship with domestic violence. Data from India's 1998–99 National Family Health Survey and a 2002–03 follow-up survey for which women in four states were reinterviewed are analyzed, and the factors associated with the intersurvey adoption of contraception and the experience of an unwanted pregnancy are examined. Women who experience physical violence from their husbands are significantly less likely to adopt contraception and more likely to experience an unwanted pregnancy. A prospectively measured indicator of unwanted pregnancy identifies a higher prevalence of unwanted pregnancies than do the traditionally employed retrospective measures and is more successful in establishing a relationship between unwanted pregnancies and domestic violence. The results demonstrate a clear relationship between a woman's experience of physical violence from her husband and her ability to achieve her fertility intentions. The need to improve the measurement of pregnancy intendedness is clear...

Interrupção eletiva da gestação em cães (Canis familiaris, Linnaeus, 1758); Elective interruption of pregnancy in dogs (Canis familiaris, Linnaeus, 1758)

Brunckhorst, Claudia Stoll; Vuono, Laudinor de; Barnabe, Renato Camparanut
Fonte: Universidade de São Paulo. Faculdade de Medicina Veterinária e Zootecnia Publicador: Universidade de São Paulo. Faculdade de Medicina Veterinária e Zootecnia
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/01/2000 POR
Relevância na Pesquisa
36.28%
Analisou-se a problemática da escolha de um método confiável e seguro para a interrupção eletiva da gestação em cadelas, prática comum em clínica de pequenos animais para a prevenção do nascimento de ninhadas indesejadas e fator importante não só na solução de problemas pessoais de proprietários, mas também no controle populacional da espécie. Foram abordados os aspectos favoráveis e contra-indicações da interrupção cirúrgica e medicamentosa da prenhez. A interrupção cirúrgica é considerada a melhor escolha para animais que não se pretenda utilizar para reprodução. A utilização de estrógenos, do citrato de tamoxifena e agentes embriotóxicos não-hormonais é restringida pelos seus graves efeitos colaterais. A epostana necessita maiores estudos para confirmar sua eficiência. Apesar de possível, o uso dos análogos de GnRH esbarra em limitações de fornecimento e custo, assim como o controle imunológico da gestação, na especificidade dos agentes utilizados e possíveis efeitos colaterais, enquanto o uso de glicocorticóides, na duração do tratamento e efeitos secundários inerentes aos corticosteróides. Mifepristona e aglepristona, indisponíveis no mercado, têm sido apontadas como drogas de futuro promissor em face de sua eficácia...

Unintended pregnancy among female sex workers in Mekelle city, northern Ethiopia: a cross-sectional study

Weldegebreal, R.; Melaku, Y.A.; Alemayehu, M.; Gebrehiwot, T.G.
Fonte: BioMed Central Publicador: BioMed Central
Tipo: Artigo de Revista Científica
Publicado em //2015 EN
Relevância na Pesquisa
46.34%
BACKGROUND: Unintended pregnancy is a significant public health concern in the world. Particularly, female sex workers are exposed to the risk of unintended pregnancy, abortion and their consequences. The aim of this study was, therefore, to assess unintended pregnancy and associated factors among female sex workers in Mekelle city, northern Ethiopia. METHODS: A community based cross-sectional study was conducted among 346 female sex workers from five Kebelles (smallest administrative units in Ethiopia) of Mekelle city from March-April, 2014. Sex workers were selected with simple random sampling technique using sampling frame obtained from urban health extension program. Epi-data version 3.1 was used to enter data and analysis was done using SPSS version 20. Bivariate and multivariate logistic regressions were performed to identify factors associated with unintended pregnancy using odds ratio and 95% confidence interval with P-value of 0.05. RESULTS: The magnitude of unintended pregnancy among female sex workers in the past two years was 28.6%. During this period, 59 women had abortion which represents three-fifths, (59.6%), of those who had unintended pregnancies, and 17.1% of all female sex workers. Female sex workers who gave birth and had history of abortion formerly had 3.1 (AOR = 3.07...

El efecto de variables psicosociales durante el embarazo, en el peso y la edad gestacional del recién nacido

Alvarado M,Rubén; Medina L,Ernesto; Aranda Ch,Waldo
Fonte: Sociedad Médica de Santiago Publicador: Sociedad Médica de Santiago
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/05/2002 ES
Relevância na Pesquisa
36.28%
Background: Psychosocial events experienced by pregnant women could have an effect on the newborn. Aim: To study the effects of psychosocial events during pregnancy on the birth weight and gestational age of the newborn. Material and methods: One hundred ninety two pregnant women, coming from urban and rural areas, were interviewed at about 35 weeks of gestation. Information from the obstetrical chart was obtained and different inquiries were applied, about personal history, socioeconomic level, emotional state, vital events, family and social support. Results: Fifty six percent of interviewed women did not plan their pregnancy, 32% considered their pregnancy as a negative event in their life, 62% had symptoms of emotional distress and 81% were unsatisfied with the social support that were receiving. When psychosocial factors were included in the multiple regression analyses, their predictive power for birth weight and gestational age improved. Including these variables, the R2 for birth weight was 0.22 and for gestational age, 0.18. Conclusions: Psychosocial factors during pregnancy are important predictors of birth weight and gestational age of the newborn. Measures should be taken to reduce the impact of these factors on the product of pregnancy (Rev Méd Chile 2002; 130: 561-68)

Embarazo no deseado y fuentes de información impresas y audiovisuales, en mujeres peruanas (2004-2005)

Huamán-Calderón,Diana; Quiliano-Terreros,Rocío; Vílchez-Román,Carlos
Fonte: Sociedad Médica de Santiago Publicador: Sociedad Médica de Santiago
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2009 ES
Relevância na Pesquisa
36.62%
Background: It is possible that there is a relationship between reading newspapers and magazines, watching televisión and ¡istening to the radio and unwanted pregnancies. Aim: To assess the relationship between the access to printed and audiovisual information resources and unwanted pregnancy in Peruvian women. Material and methods: A sample of 5,071 women, aged between 18 and 30 years was selected from a datábase of a Demographics and Health survey performed between 2004 and 2005. Using the information obtained in the survey, the association between unwanted pregnancies and reading newspapers and magazines, was analyzed. Results: Twenty six percent of women had at least an unwanted child (n =1,327). Radio and televisión were the media mostly used by these women. Seventy five percent of women almost never read newspapers and magazines. The lack of reading and the reliance in televisión and radio as sources of information were all associated with unwanted pregnancy (p & lt;0.001). Conclusions: In this sample of women, there is a negligible interest for reading and a high preference for radio and televisión. This explains the poor knowledge on sexual and reproductive health and the lack of impact of printed materials used in educational campaigns.

Abortion, contraceptive use, and adolescent pregnancy among first-year medical students at a major public university in Mexico City

Ortiz-Ortega,Adriana; García de la Torre,Guadalupe; Galván,Fernando; Cravioto,Patricia; Paz,Francisco; Díaz-Olavarrieta,Claudia; Ellertson,Charlotte; Cravioto,Alejandro
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2003 EN
Relevância na Pesquisa
36.37%
OBJECTIVE: If properly trained, medical students could become future opinion leaders in health policy and could help the public to understand the consequences of unwanted pregnancies and of abortions. The objective of this study was to analyze the frequency of unwanted pregnancies and induced abortions that had occurred among women who were first-year medical students at a major public university in Mexico City and to compare the experiences of those women with the experiences of the general population of Mexican females aged 15 to 24. METHODS: In 1998 we administered a cross-sectional survey to all the first-year medical students at the National Autonomous University of Mexico, which is the largest university in Latin America. For this study we analyzed 549 surveys completed by female students. RESULTS: Out of the 549 women, 120 of them (22%) had been sexually active at some point. Among those 120 sexually active students, 100 of them (83%) had used a contraceptive method at some time, and 19 of the 120 (16%) had been pregnant. Of those 19 women who had been pregnant, 10 of them had had an illegal induced abortion (in Mexico, abortions are illegal except under a small number of extenuating circumstances). The reported abortion rate among the female medical students...

El embarazo no deseado: impacto sobre la salud y la sociedad en América Latina y el Caribe

Langer,Ana
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2002 ES
Relevância na Pesquisa
26.8%
Engaging in sexuality and reproduction should always be something that is wanted and planned. Unfortunately, when that is not the case, one result can be unwanted pregnancy. Unwanted pregnancies have consequences for women, their families, and their countries. This document reviews the causes and results of unwanted pregnancy, emphasizing the impact that this problem has on Latin America and the Caribbean (LAC). Four reasons why unwanted pregnancy is a continuing problem in LAC are: 1) people's growing desire to have smaller families, 2) the unmet need for family planning, 3) the fact that contraceptive methods are not 100% effective, and 4) unwanted sexual relations. Unwanted pregnancies especially affect adolescent women, single women, and women over 40 years of age. Given their desperate situation with an unwanted pregnancy, some women opt for an unsafe abortion, which can lead to their death. Other women can go so far as to commit suicide, or be murdered by a family member or other person who is unhappy that the pregnancy has occurred. It has been found that women who decide to continue with the pregnancy have higher risks of suffering an illness, and the same is true for the child. Reducing unwanted pregnancies and treating post-abortion complications are key to lowering maternal mortality and morbidity. This necessitates developing mass communication programs that address gender issues...

Postpartum depression among women with unintended pregnancy

Brito,Cynthia Nunes de Oliveira; Alves,Sandra Valongueiro; Ludermir,Ana Bernarda; Araújo,Thália Velho Barreto de
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2015 EN
Relevância na Pesquisa
46.3%
OBJECTIVE To analyze the association between unintended pregnancy and postpartum depression.METHODS This is a prospective cohort study conducted with 1,121 pregnant aged 18 to 49 years, who attended the prenatal program devised by the Brazilian Family Health Strategy, Recife, PE, Northeastern Brazil, between July 2005 and December 2006. We interviewed 1,121 women during pregnancy and 1,057 after childbirth. Unintended pregnancy was evaluated during the first interview and postpartum depression symptoms were assessed using the Edinburgh Postnatal Depression Screening Scale. The crude and adjusted odds ratios for the studied association were estimated using logistic regression analysis.RESULTS The frequency for unintended pregnancy was 60.2%; 25.9% presented postpartum depression symptoms. Those who had unintended pregnancies had a higher likelihood of presenting this symptoms, even after adjusting for confounding variables (OR = 1.48; 95%CI 1.09;2.01). When the Self Reporting Questionnaire (SRQ-20) variable was included, the association decreased, however, remained statistically significant (OR = 1.42; 95%CI 1.03;1.97).CONCLUSIONS Unintended pregnancy showed association with subsequent postpartum depressive symptoms. This suggests that high values in Edinburgh Postnatal Depression Screening Scale may result from unintended pregnancy.

The role of son preference in reproductive behaviour in Pakistan

Hussain,R.; Fikree,F.F.; Berendes,H.W.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2000 EN
Relevância na Pesquisa
36.15%
The sex of surviving children is an important determinant of reproductive behaviour in South Asia in general and Pakistan in particular. This cohort study evaluates the role of the sex of children on reproductive intentions and subsequent behaviour of women in urban slums of Karachi, Pakistan. The analysis is based on two rounds of surveys conducted in 1990-91 and 1995 of a cohort of married women aged 15-49 years. The results show that pregnancies became increasingly unwanted as the number of surviving sons increased. The sex of surviving children was strongly correlated with subsequent fertility and contraceptive behaviour. However, rather than an exclusive son preference, couples strove for one or more sons and at least one surviving daughter. The policy implications of the link between overt son preference and low status of women are discussed.

Condom use within marriage: a neglected HIV intervention

Ali,Mohamed M.; Cleland,John; Shah,Iqbal H.
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2004 EN
Relevância na Pesquisa
36.32%
OBJECTIVE: To assess the contraceptive effectiveness of condoms versus oral contraceptive pills and estimate the reproductive consequences of a major shift from pill to condom use. METHODS: Secondary analysis was performed on nationally representative cross-sectional surveys of women in 16 developing countries. FINDINGS: In the 16 countries, the median per cent of married couples currently using condoms was 2%, compared with 13% for the pill. Condom users reported a higher 12-month failure and higher method-related discontinuation rates than pill users (9% and 44% vs 6% and 30%, respectively). Condom users were more likely to report subsequent abortion following failure (21% vs 14%), and also more likely to switch rapidly to another method (76% vs 58%). The reproductive consequences, in terms of abortion and unwanted births, of a hypothetical reversal of the relative prevalence of condom and pill were estimated to be minor. The main reason for this unexpected result is that the majority of abortions and unwanted births arise from non-use of any contraceptive method. CONCLUSION: A massive shift from the more effective oral contraceptive pills to the less effective condom would not jeopardize policy goals of reducing abortions and unwanted births. However...

Association between contraceptive discontinuation and pregnancy intentions in Guatemala

Barden-O’Fallon,Janine L.; Speizer,Ilene S.; White,Justin S.
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/06/2008 EN
Relevância na Pesquisa
46.77%
OBJECTIVES: To determine whether contraceptive discontinuation is associated with pregnancies that are conceived earlier than desired (mistimed) or are not wanted at the time of conception (unwanted). METHODS: Data were obtained from the 2002 Guatemala National Maternal and Child Health Survey. Pregnancies within the three years prior to and at the time of the survey (April 1999-November 2002) were classified as either "intended," "mistimed," or "unwanted." The key independent variable was whether the woman had used contraception within 12 months of the pregnancy and, for those who had used it, the reason for discontinuation (either to get pregnant or for another reason). A multinomial logistic analysis was used to determine the degree of association of discontinuation with pregnancy intentions. RESULTS: One of every five mistimed pregnancies and one of every six unwanted pregnancies followed discontinuations that were for reasons other than to become pregnant (e.g., contraceptive failure, side effects, and health concerns). Discontinuations for reasons other than to become pregnant were shown to be positively and significantly associated with a reported mistimed pregnancy (coefficient = 2.15; standard error = 0.27) or unwanted pregnancy (2.68; 0.37) compared to an intended pregnancy. Pregnancies preceded by discontinuations for reasons other than to become pregnant were also more likely to be reported as mistimed or unwanted than pregnancies of women who were not using contraception during the year prior to pregnancy. CONCLUSIONS: There is a need to increase contraceptive continuation. Any program should include an increased effort to reduce contraceptive failure and better address the side effects and the health concerns that women have that can lead to discontinuation. Non-users who want to delay or limit births should also be identified and targeted for outreach in order to reduce unintended pregnancies.