STATUS OF INTENT AND FACTORS ASSOCIATED WITH THE USE OF IUDS IN THE PUERPERIUM OF WOMEN ADMITTED TO ``HOSPITAL UNIVERSITÁRIO JUNDIAÍ``-SP (Atena Editora)

Abstract

Introduction: Currently, unplanned pregnancies impact the lives of thousands of Brazilian women. 95% of postpartum women declare a desire to avoid pregnancy in the next 24 months, although 70% of these do not use contraceptive methods. Thus, the IUD represents a highly effective choice, available in the SUS, with few contraindications, and can be inserted in the immediate postpartum period. Therefore, it guarantees safe contraception, autonomy and family planning. Objective: To evaluate the perception of IUD use among postpartum women hospitalized in the HU ward who declared their intention to use it as a postpartum contraceptive; detail the reasons given for this choice and know the associated factors; compare the status of intention with the effective use of the method. Materials and Methods: Cross-sectional study carried out at the ``Hospital Universitário de Jundiaí`` based on questionnaires applied to postpartum women in the ward. In a prospective and analytical cohort study, questionnaires were administered in two different telephone contacts to characterize the outcome. The data were archived in a database and analyzed using simple descriptive statistics and, subsequently, bivariate analysis. Results: Between May 2021 and July 2023, 146 postpartum women between 14 and 42 years old were evaluated. 76.1% chose the IUD due to its high effectiveness. In the immediate postpartum period, 73.4% declared an unplanned pregnancy; 65.5% reported never having discussed contraception. After 40 days, 92.2% denied using the IUD, citing the waiting time for consultation as the main reason (50.5%). After 180 days, 80.4% denied using the IUD; 25.5% opted for another method. Conclusion: Although evaluated as a method of intention for postpartum use, the IUD was not the contraceptive most used by the postpartum women interviewed. According to this study, this is due to the lack of public policies that guarantee the principles and guidelines of the SUS. The difficulty in accessing gynecological consultations stands out, which reduces access to health information and education.