Contraception post-obstetric event and subsequent pregnancy in adolescents: health personnel perspectives in Mexico

被引:2
作者
Campero, Lourdes [1 ]
Romero, Irma [1 ]
Estrada, Fatima [2 ]
Hubert, Celia [1 ]
Heredia-Pi, Ileana B. [3 ]
Villalobos-Hernandez, Aremis [1 ]
机构
[1] Inst Nacl Salud Publ, Ctr Invest Salud Poblac, Cuernavaca, Morelos, Mexico
[2] Inst Nacl Salud Publ, Catedra Conacyt, Direcc Salud Reprod, Cuernavaca, Morelos, Mexico
[3] Inst Nacl Salud Publ, Ctr Invest Sistemas Salud, Cuernavaca, Morelos, Mexico
来源
SALUD PUBLICA DE MEXICO | 2022年 / 64卷 / 04期
关键词
adolescent pregnancy; contraception; counseling; health personnel; preventive health services; CONTINUUM; CARE;
D O I
10.21149/13515
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective.To identify how the strategy of providing contraceptive methods after any obstetric event (APEO, its Spanish acronym) is implemented and to analyze the barriers, actions and recommendations to prevent subsequent pregnancies in adolescents. Materials and methods. Qualitative study through content analysis of 21 semi-structured interviews with health services providers from two Mexican states. Results. The provision of contraceptives after any obstetric event is promoted during pregnancy, childbirth, postabortion, puerperium and up to 12 months after the obstetric event. Counseling should address, in addition to technical information on contraceptive methods, other key issues related to the sexual and reproductive rights of adolescents. We identified personal, institutional and social barriers in the implementation of the strategy. Health staff provided specific recommendations and actions for consolidate this strategy. Conclusion.The APEO strategy must be strengthened to guarantee the supply of services according to the needs of women under 20, as well as to design interventions based on good practices and health providers' recommendations to overcome barriers and have longer birth intervals that imply further births beyond adolescence.
引用
收藏
页码:385 / 396
页数:12
相关论文
共 38 条
  • [1] Rethinking the Pregnancy Planning Paradigm: Unintended Conceptions or Unrepresentative Concepts?
    Aiken, Abigail R. A.
    Borrero, Sonya
    Callegari, Lisa S.
    Dehlendorf, Christine
    [J]. PERSPECTIVES ON SEXUAL AND REPRODUCTIVE HEALTH, 2016, 48 (03) : 147 - 151
  • [2] [Anonymous], 2011, GUIDELINES PREVENTIN
  • [3] [Anonymous], 2018, Agenda 2030 y los Objetivos de Desarrollo Sostenible. Una oportunidad para America Latina y el Caribe
  • [4] Using three indicators to understand the parity-specific contribution of adolescent childbearing to all births
    Benova, Lenka
    Neal, Sarah
    Radovich, Emma G.
    Ross, David A.
    Siddiqi, Manahil
    Chandra-Mouli, Venkatraman
    [J]. BMJ GLOBAL HEALTH, 2018, 3 (06):
  • [5] Empowering Adolescent Mothers in the Choice of Contraceptive Methods at the Postpartum Period: Avoiding a Subsequent Pregnancy
    Borovac-Pinheiro, Anderson
    Ramos Jesus, Erica Almeida
    Surita, Fernanda Garanhani
    [J]. REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA, 2019, 41 (10): : 607 - 612
  • [6] Centro Nacional de Equidad de Genero y Salud Reproductiva, 2021, PROGR ACC ESP SAL SE
  • [7] Centro Nacional de Equidad de Genero y Salud Reproductiva, 2016, MOD AT INT SAL SEX R
  • [8] Provision of immediate postpartum contraceptive methods in Mexico, 2018-19
    de la Vara-Salazar, Elvia
    Hubert, Celia
    Saavedra-Avendano, Biani
    Suarez-Lopez, Leticia
    Villalobos, Aremis
    Avila-Burgos, Leticia
    Hernandez-Serrato, Maria, I
    Schiavon, Raffaela
    Darney, Blair G.
    [J]. SALUD PUBLICA DE MEXICO, 2020, 62 (06): : 637 - 647
  • [9] Relationships between antenatal and postnatal care and post-partum modern contraceptive use: evidence from population surveys in Kenya and Zambia
    Do, Mai
    Hotchkiss, David
    [J]. BMC HEALTH SERVICES RESEARCH, 2013, 13
  • [10] Choices on contraceptive methods in post-abortion family planning clinic in the northeast Brazil
    Ferreira, Ana Laura C. G.
    Souza, Ariani I.
    Lima, Raitza A.
    Braga, Cynthia
    [J]. REPRODUCTIVE HEALTH, 2010, 7