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Sexualidade entre jovens das comunidades anfitriãs de turismo: desafios para a prevenção das DST/HIV e o Programa Saúde da Família; Sexuality among the youth of the host communities for tourism: challenges to the STI(s)/HIV prevention and the Family Health Program

Bellenzani, Renata
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 27/03/2008 PT
Relevância na Pesquisa
26.84%
A atividade turística em determinadas regiões brasileiras intensifica fluxos populacionais sazonais e gera impactos socioambientais, dentre eles agravos em saúde sexual e reprodutiva dos moradores das comunidades anfitriãs, o que exige respostas programáticas dos sistemas locais de saúde. Uma das estratégias de prevenção e promoção da saúde sexual que tem sido valorizada no debate sobre o tema constitui na maior incorporação de ações de prevenção ao Programa Saúde da Família (PSF), de acordo com suas diretrizes que prevêem a integração entre ações de prevenção, tratamento e reabilitação, de acordo com a realidade epidemiológica e sociocultural. Os objetivos do estudo foram: (1) descrever a vulnerabilidade social e programática às DST/HIV, gravidez não planejada e ao mercado sexual, entre jovens residentes em comunidades anfitriãs de turismo do litoral sul fluminense; (2) compreender de que modo os profissionais da rede básica/Programa Saúde da Família, da mesma localidade, reconhecem os impactos do contexto do turismo sobre a saúde do segmento jovem caiçara e quais as ações de prevenção que desenvolvem. O estudo de desenho qualitativo utilizou a observação etnográfica e entrevistas semi-estruturadas em profundidade realizadas com dois grupos de informantes: 12 jovens e 11 profissionais de saúde (dez da rede básica/PSF e um gestor da Coordenação Estadual de DST/Aids-RJ). RESULTADOS: O gênero...

Adaptação cultural e validação para a língua portuguesa de um instrumento para mensuração de gravidez não planejada (London Measure of Unplanned Pregnancy); Cultural adaptation and validation for the portuguese language of an instrument for measuring unplanned pregnancies (London Measure of Unplanned Pregnancy)

Cavalhieri, Fernanda Bigio
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 20/05/2011 PT
Relevância na Pesquisa
56.99%
Diante da importância que a gravidez não planejada vem adquirindo no cenário mundial, apesar da melhoria nas tecnologias contraceptivas e ampliação do acesso aos serviços de saúde e métodos contraceptivos, faz-se necessário mensurar com maior precisão este fenômeno. Por esta razão, pesquisadores da área de saúde sexual e reprodutiva têm procurado desenvolver medidas que possam oferecer estimativas confiáveis de mulheres que vivenciam a gravidez não planejada. A maior parte dos instrumentos utilizados para mensurar a gravidez não planejada são unidimensionais e não levam em consideração a parceria, a intencionalidade ou o uso de métodos anticonceptivos de forma simultânea, aspecto não observado no London Measure of Unplanned Pregnancy (LMUP), desenvolvido no Reino Unido. Nesse contexto, este estudo transversal tem como objetivo traduzir e adaptar o instrumento LMUP para a língua portuguesa e validar suas propriedades, visando à sua utilização como instrumento de mensuração de gravidez não planejada no Brasil. A adaptação cultural e validação do LMUP foram realizadas conforme o método preconizado pela literatura. O cenário de estudo foram unidades da rede de Atenção Básica do município de Marília-SP. A população de estudo foi composta por 126 mulheres com idade 18 e 42 anos...

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
36.77%
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...

Determinants of emergency contraception non-use among women in unplanned or ambivalent pregnancies

Santos,Osmara Alves dos; Borges,Ana Luiza Vilela; Chofakian,Christiane Borges do Nascimento; Pirotta,Kátia Cibelle Machado
Fonte: Universidade de São Paulo, Escola de Enfermagem Publicador: Universidade de São Paulo, Escola de Enfermagem
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2014 EN
Relevância na Pesquisa
36.9%
Objective To analyze the determinants of emergency contraception non-use among women in unplanned and ambivalent pregnancies. Method Cross-sectional study with a probabilistic sample of 366 pregnant women from 12 primary health care units in the city of São Paulo, Brazil. A multinomial logistic regression was performed, comparing three groups: women who used emergency contraception to prevent ongoing pregnancies (reference); women who made no use of emergency contraception, but used other contraceptive methods; and women who made no use of any contraceptive methods at all. Results Cohabitation with a partner was the common determinant of emergency contraception non-use. No pregnancy risk awareness, ambivalent pregnancies and no previous use of emergency contraception also contributed to emergency contraception non-use. Conclusion Apart from what is pointed out in the literature...

Psychosocial factors in maternal phenylketonuria: prevention of unplanned pregnancies.

Waisbren, S E; Shiloh, S; St James, P; Levy, H L
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /03/1991 EN
Relevância na Pesquisa
36.61%
BACKGROUND. Women with phenylketonuria (PKU) not treated prior to conception can have a pregnancy that results in serious fetal damage. In this report, factors associated with preventing unplanned (and hence late treated) pregnancies are described. METHODS. Subjects included 60 phenylketonuric women and two comparison groups composed of female acquaintances and diabetic women. All were interviewed and administered tests of intelligence, general well-being, knowledge, and personality. RESULTS. Thirty-five percent of the sexually active women with PKU used contraception only sporadically. The variables that best predicted reported frequency of birth control use were the extent to which women felt social support to use contraception (r = .64) along with positive attitudes about birth control (r = .66) and knowledge of family planning (r = .43). For the comparison groups, a different pattern of variables predicted contraceptive use, with locus of control figuring most prominently for the diabetics (r = .39) and social support for birth control being most important for the acquaintances (r = .46). CONCLUSIONS. As more girls with PKU enter childbearing ages, there will be an increased need for specific programs that address psychosocial factors in maternal PKU.

Lessons from an audit of unplanned pregnancies.

Metson, D.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 08/10/1988 EN
Relevância na Pesquisa
47.15%
To determine the effectiveness of contraceptive use a two year audit of pregnant women registered in one group practice was carried out. The methods of contraception used by women with unplanned pregnancies were studied and the rates of failure assessed. Of the 518 pregnancies during the study, 187 (36%) were unplanned. Unplanned pregnancies were most common in the 15-19 age group (54 out of 187), and women aged under 25 used contraceptives less reliably than women aged 25 and over. The combined pill was the most effective method of contraception in all age groups. The methods that resulted in most unplanned pregnancies were the sheath in women aged 25 and over and incorrect use of oral contraceptive or no contraception in those aged under 25. The fear of side effects was an important reason why women did not use the combined pill, being cited by 22 out of 134 women, and inappropriate medical advice was cited by a further 20 women. More discussion between doctors and patients and readily available information on the use of oral contraceptives might help to reduce the number of unplanned pregnancies.

Sexual Health and Responsibility Program (SHARP): Preventing HIV, STIs, and Unplanned Pregnancies in the Navy and Marine Corps

MacDonald, Michael R. (Bob)
Fonte: Association of Schools of Public Health Publicador: Association of Schools of Public Health
Tipo: Artigo de Revista Científica
Publicado em //2013 EN
Relevância na Pesquisa
46.74%
In 1999, the Navy and Marine Corps Public Health Center converted an HIV train-the-trainer program into a broader effort of preventing not just HIV, but also other sexually transmitted infections (STIs) and unplanned pregnancies. The premise for this broader approach was that a more comprehensive sexual health promotion message of STI, HIV, and unplanned pregnancy prevention is more likely to include at least one personally relevant concern for any given individual and is, therefore, more likely to be internalized and acted upon by the greatest number of individuals, and that risk reduction for any one of these consequences of sexual activity may reduce risk for all. This new effort was labeled the Sexual Health and Responsibility Program (SHARP). Within the Navy and Marine Corps, SHARP has become a focal and trusted source of sexual health promotion products, consultative services, and training, as well as a conduit for multidisciplinary collaboration and coordination. The existence of this central sexual health program normalizes integrated and comprehensive sexual health messages, enables efficiencies, promotes program and policy uniformity, and provides a forum for cross-organizational collaboration and continuous improvement.

Adolescent substance use and unplanned pregnancy: strategies for risk reduction

Connery, Hilary S.; Albright, Brittany B.; Rodolico, John M.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.62%
Substance use among adolescents increases the risk of unplanned pregnancies, which then increases the risk of fetal exposure to addictive, teratogenic substances. Specific interventions are necessary to target pregnancy planning and contraception among reproductive age substance users. Screening for substance use using the CRAFFT is recommended in all health care settings treating adolescent patients. Screening for tobacco and nicotine use is also recommended along with provision of smoking cessation interventions. Using motivational interviewing style and strategies is recommended to engage adolescents in discussions related to reducing substance use, risky sexual behavior, and probability of unplanned pregnancy or late-detection pregnancy. Earlier interventions that strengthen autonomy and resourcefulness in recognizing and caring for an unplanned conception is a form of advanced directive that may well reduce fetal exposure to tobacco, alcohol, and drugs and simultaneously empower girls and women in self-care.

Gravidez n??o planejada no extremo Sul do Brasil: preval??ncia e fatores associados

Prietsch, Silvio Omar Macedo; Gonz??lez-Chica, David Alejandro; Cesar, Juraci Almeida; Mendoza-Sassi, Ra??l Andr??s
Fonte: Universidade Federal do Rio Grande Publicador: Universidade Federal do Rio Grande
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
36.67%
The purpose of this study was to investigate factors associated with unplanned pregnancies in Rio Grande, Rio Grande do Sul State, Brazil. A standardized questionnaire was applied in 2007 to all pregnant women in the city, including demographic characteristics, childbearing history, socioeconomic status, and prenatal and childbirth care. The study used Poisson multivariate regression analysis with robust adjustment of variance. Among the 2,557 women included in the study, 65% had not planned the current pregnancy. After adjusting for confounders, the following variables were significantly associated with unplanned pregnancy: black or mixed race, age < 20 years, single marital status, low family income, household crowding, smoking, and multiparity. Previous abortion was a protective factor against unplanned pregnancy. The high unplanned pregnancy rate, especially among women with increased risk of complications during pregnancy and childbirth, highlights the need to target healthcare programs for this group.; Este estudo teve por objetivo identificar fatores associados ?? ocorr??ncia de gravidez n??o planejada em Rio Grande, Rio Grande do Sul, Brasil. Em 2007, aplicouse question??rio padronizado a todas as parturientes residentes neste munic??pio...

Fertility Regulation Behaviors and Their Costs : Contraception and Unintended Pregnancies in Africa and Eastern Europe & Central Asia

Lule, Elizabeth; Singh, Susheela; Chowdhury, Sadia Afroze
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
46.67%
The report consists of three parts: global trends in fertility, contraceptive use and unintended pregnancies; studies of two regions (Africa and Eastern Europe/Central Asia) and two countries (Nigeria and Kazakhstan) on the costs of fertility regulation behaviors and provider attitudes towards contraceptive use. Fertility levels have declined steadily over the last three decades but the pace of decline varies among regions. Countries that have achieved a high level of contraceptive use have reached a lower fertility level. A gap continues to exist between actual and desired family size, resulting in unintended pregnancies. More than one-third of the pregnancies that occur are unintended and one in five pregnancies ends in induced abortion. Almost half of all induced abortions are unsafe, and the proportion of all abortions that are unsafe have increased during the last decade. Sixty-six percent of unintended pregnancies occur among women who are not using any method of contraception. Investing in quality family planning programs is a cost-effective way to address unmet need for contraception and reduce the risks of unsafe abortion...

Family Planning : The Hidden Need of Married Adolescents in Nepal

Aguilar Rivera, Ana Milena; Cortez, Rafael
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
EN_US
Relevância na Pesquisa
36.74%
In Nepal, both early marriage and motherhood still place adolescents and their children at a great disadvantage. In 2011, one-third of girls aged 15-19 were already married. About 60 percent of them were pregnant or had at least one child, and one in ten had two living children (Nepal Demographic Health Survey, 2011). This brief aims to understand why married adolescents in Nepal have low contraceptive use and a high unmet need for family planning, providing policy recommendations based on a literature review, interviews with key-informants, and a comprehensive analysis of secondary data from household surveys (NDHS 2006-2011). Given that early childbearing in Nepal still occurs primarily within marriage, the brief addresses the needs of female married adolescents which are often overlooked by policy-makers. However, it is important to note that unmarried adolescents are progressively engaging in sexual activity in Nepal increasing their risks for contracting an STI or an unplanned pregnancy that warrants special attention.

Socioeconomic Differences in Adolescent Sexual and Reproductive Health

Yarger, Jennifer; Lara, Diana; Decker, Mara; Brindis, Claire
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Brief
EN_US
Relevância na Pesquisa
46.84%
Adolescent Sexual and Reproductive Health (ASRH) is one of five areas of focus of the World Banks Reproductive Health Action Plan 2010 - 2015 (RHAP), which recognizes the importance of addressing ASRH as a development issue with important implications for poverty reduction. Delaying childbearing and preventing unplanned pregnancies during adolescence has been shown to improve health outcomes and increase opportunities for schooling, future employment, and earnings (Greene and Merrick, 2005). Delaying childbearing and preventing unplanned pregnancies improves health outcomes and increases opportunities for schooling, future employment, and earnings. A couple of key messages were relayed in this brief. An analysis of data from six countries showed that adolescent childbearing is closely tied to marital status. Around half (ranging from 42 percent in Nepal to 55 percent in Nigeria) of ever-married adolescent women have given birth. In comparison, non-marital adolescent childbearing is rare in all countries studied. In Bangladesh and Burkina Faso...

Socioeconomic Differences in Adolescent Sexual and Reproductive Health

Yarger, Jennifer; Decker, Mara; Brindis, Claire; Cortez, Rafael; Quinlan-Davidson, Meaghen
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Brief
EN_US
Relevância na Pesquisa
46.78%
Adolescent sexual and reproductive health (ASRH) is one of five areas of focus of the World Banks reproductive health action plan (RHAP) 2010-2015, which recognizes the importance of addressing ASRH as a development issue with important implications for poverty reduction. Delaying childbearing and preventing unintended pregnancies during adolescence has been shown to improve health outcomes and increase opportunities for schooling, future employment, and earnings. This brief highlights the limited contraceptive use among adolescent women and the socioeconomic disparities in family planning among this population. The results indicate the importance of investing in programs aimed at increasing access to safe and effective contraceptive methods and expanding adolescents knowledge of modern contraception, particularly among adolescent women in rural and poor areas and or those with limited or no education, regardless of marital status. Continued investment should be made in female education and empowerment as a means to reach economic development goals...

Unplanned pregnancy in Portugal.; Gravidez não planeada em Portugal.

Tavares, M; Serviço de Higiene e Epidemiologia, Faculdade de Medicina, Universidade do Porto.; Barros, H
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 30/05/1997 POR
Relevância na Pesquisa
27.08%
This study was to determine the prevalence of unplanned pregnancy in a national sample of Portuguese puerperae and to define a risk profile for women with unplanned pregnancy. We also evaluated the independent effect of unplanned pregnancy in prenatal care utilisation and in the prevalence of preterm birth, low birth weight, and small for gestational age birth. Data was collected through a national survey proposed to the 50 major public Portuguese hospitals and answers were obtained from 41 hospitals, resulting in a sample of 1582 deliveries. Participants were classified as having a planned or unplanned pregnancy and were compared according to socio-demographic, behavioural, clinical, obstetric, and anthropometric characteristics. The prevalence of unplanned pregnancy was 39.4%. In the unplanned pregnancy group, single women aged less than 19 years and more than 34 years, those with one or more previous pregnancies, with 25% or less of the expected education for their age, and with the National Health Service as the source of were significantly more frequent. These characteristics, except the health provision, were significant and independently associated with an increased risk of unplanned pregnancy. Women with unplanned pregnancy were more likely to be unaware of prenatal care system...

Socio-demographic features of puerperas and pregnancy follow-up: what has changed in 17 years?.; Características sócio-demográficas das puérperas e seguimento da gravidez: o que mudou em 17 anos?

Santos, Vera; Serviço de Pediatria, Hospital de Faro, Algarve, Portugal.; Moura, Márcio; Pinto, João Paulo; Almeida, Vítor; Maio, José
Fonte: Ordem dos Médicos Publicador: Ordem dos Médicos
Tipo: info:eu-repo/semantics/article; article; article; info:eu-repo/semantics/publishedVersion Formato: application/pdf
Publicado em 20/06/2012 POR
Relevância na Pesquisa
26.78%
In recent years, the time for motherhood has been postponed, which is related to social aspects and can lead to health problems for the pregnant women and the child. An appropriate follow-up of the pregnancy is essential for identification and early treatment of possible complications. The purpose of this study was to evaluate some social and demographic characteristics and the pregnancy follow-up among puerperas, in two different times separated by 17 years (1991 e 2008). In this study, we found that the birth of a first child occurs now later, is more planned and happens more frequently outside of marriage. The postponement of motherhood can be associated with an increased rate of miscarriages. There has been a decrease in the rate of induced abortions, which is probably the result of the implementation of strategies for family planning. We noticed a decline in the number of pregnancies that had not a proper follow-up, demonstrating the improvement of health care. The immigrant population is responsible for about one quarter of the births in the Algarve, with a higher percentage of unplanned pregnancies, which eventually might be related to socio-economic vulnerabilities, but no difference was found in the surveillance of pregnancy...

Addressing Criticisms of 'Misleading' Practises by Pro-life Pregnancy Counselling Services in Australia and the United States

Cho, Haney
Fonte: Universidade Nacional da Austrália Publicador: Universidade Nacional da Austrália
Tipo: Relatório
Relevância na Pesquisa
46.91%
This report explores criticisms in Australia and the United States (US) of 'misleading' practises employed, intentionally or otherwise, by pro-life Pregnancy Counselling Services (PCS), with the principal aim of providing feasible recommendations to address the issue in the future. To develop arguments and comprehend the content surrounding the topic, numerous resources were accessed, including governmental Committee reports, surveys, newspaper and journal articles, online briefs, books and pamphlets and content from PCS websites. Due to the subject's highly controversial matter, care was exercised to remain objective whilst processing and later delivering relevant information. Elements of the argument considered in the report are the definition of PCS, including an identification of characteristics of those which have specifically been critiqued ; the nature and evidence of the criticisms and some refuting arguments; the figures and trends for abortion and unplanned pregnancies in both countries, including their influence over the concerns raised by both pro-life and pro-choice agendas and finally a consideration PCS which were accused of 'misleading' practises where primarily voluntary, non-profit services providing counselling to women and teenagers experiencing an unplanned pregnancy. The majority of these were pro-life; had religious- primarily Christian affiliations and were generally endorsed ideologically and often financially- through public funding- by Republican and Liberal governments...

Argentine Youth : An Untapped Potential

World Bank
Fonte: World Bank Publicador: World Bank
Tipo: Publications & Research :: Publication; Publications & Research :: Publication
ENGLISH
Relevância na Pesquisa
36.53%
Argentina's youth, 6.7 million between the ages of 15 and 24, are an important, but to a certain extent untapped, resource for development. Over 2 million (31 percent) have already engaged in risky behaviors, and another 1 million (15 percent) are exposed to risk factors that are correlated with eventual risky behaviors. This totals 46 percent of youth at some form of risk. Today's youth cohort is the country's largest ever and it's largest for the foreseeable future. If policymakers do not invest in youth now, especially in youth at risk, they will miss a unique opportunity to equip the next generation with the abilities to become the drivers of growth, breaking the intergenerational spiral of poverty and inequality and moving Argentina back into the group of high-income countries. If youth are educated and skilled, they can be a tremendous asset for development. If not, they can burden society and public finances. Overall, Argentina is blessed with high enrollment rates in school, low levels of crime and violence...

Adverse outcomes of planned and unplanned pregnancies among users of natural family planning: a prospective study.

Bitto, A; Gray, R H; Simpson, J L; Queenan, J T; Kambic, R T; Perez, A; Mena, P; Barbato, M; Li, C; Jennings, V
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /03/1997 EN
Relevância na Pesquisa
47.19%
OBJECTIVES: The purpose of this study was to determine prospectively whether unplanned pregnancies are associated with adverse pregnancy outcomes among users of natural family planning. METHODS: Women who became pregnant while using natural family planning were identified in five centers worldwide: there were 373 unplanned and 367 planned pregnancies in this cohort. The subjects were followed up at 16 and 32 weeks' gestation and after delivery. The risks of spontaneous abortion, low birth-weight, and preterm birth were estimated after adjustment by logistic regression. RESULTS: The women with unplanned pregnancies were more likely to be at the extremes of age, to report more medical problems before and during the index pregnancy, and to seek antenatal care later in gestation than the women with planned pregnancies. However, women with planned pregnancies reported a higher rate of spontaneous abortion in previous pregnancies (28.8%) than did women with unplanned pregnancies (12.9%). There were no significant differences in the rates of spontaneous abortion, low birthweight, or preterm birth between the two groups. CONCLUSIONS: No increased risk of adverse pregnancy outcomes was observed among women who experienced an unplanned pregnancy while using natural family planning.

Women's knowledge of taking oral contraceptive pills correctly and of emergency contraception: effect of providing information leaflets in general practice.

Smith, L F; Whitfield, M J
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /08/1995 EN
Relevância na Pesquisa
26.84%
BACKGROUND. About one third of all pregnancies are unplanned and 20% of all pregnancies end in abortion. More than 170,000 legal abortions are performed in the United Kingdom annually. Nearly all general practitioners provide contraceptive advice; the most commonly used form of reversible contraception is the oral contraceptive pill. AIM. The aim of this study was to determine factors associated with women's knowledge of taking the contraceptive pill correctly and of emergency contraception, and to investigate if their knowledge could be improved in general practice by providing women with Family Planning Association information leaflets. METHOD. An uncontrolled intervention study was performed in one rural and one urban English general practice, using a self-completion questionnaire that was initially administered to women attending their general practitioner for oral contraception over six months from 1 October 1992. The questionnaire asked for: sociodemographic information; knowledge of how late women can be taking an oral contraceptive pill and still be protected against unplanned pregnancy; for how many days after being late with a pill they need to use other precautions; sources and methods of emergency contraception; and for how long the methods are effective after the primary contraceptive failure. After completing the questionnaire women were given two leaflets: one about how to take their prescribed contraceptive pill correctly and one about emergency contraception. Three to 12 months later the same questionnaire was administered in the same manner. RESULTS. Of 449 women completing the first questionnaire...

Children Born After Unplanned Pregnancies and Cognitive Development at 3 Years: Social Differentials in the United Kingdom Millennium Cohort

de La Rochebrochard, Elise; Joshi, Heather
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
47.04%
Children born after an unplanned pregnancy have poorer developmental scores. This could arise from less favorable parenting but also could reflect confounding from the socioeconomic circumstances. In a large representative sample in the United Kingdom, the Millennium Cohort Study (2001–2005), cognitive delay at 3 years was explored with the Bracken Assessment. Its association with unplanned pregnancy was studied in logistic models controlling for demographic and socioeconomic characteristics of the family, the child's characteristics, and parenting behavior. Stratification by the mother's educational level (grouped into 3 categories) was explored. Of 12,182 children included in the analysis, 41% were born after a pregnancy reported by the mother to have been a “surprise.” Such unplanned pregnancies were associated in univariate analysis with more cognitive delay. Among mothers with a low or middle level of education, this association vanished when socioeconomic circumstances were controlled. Among mothers with a high level of education, the risk of cognitive delay remained significantly and unexplainedly raised after unplanned pregnancies, despite controlling for socioeconomic characteristics and parental behavior. In conclusion...