Argumentos de rechazo de dispositivo intrauterino y oclusión tubárica bilateral postparto en usuarias de una unidad de segundo nivel de Cárdenas, Tabasco, México
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González Zavala, Marco Antonio
De la Cruz Correa, Rosario
Arévalo Posada, Sergio Eduardo
Llergo Domínguez, Adela
Sánchez Barojas, Josefina
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Universidad Industrial de Santander
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OBJETIVO: Identifcar los argumentos de rechazo manifestados por las puérperas derechohabientes usuarias del Instituto Mexicano del Seguro Social, Cárdenas, Tabasco, que rechazan métodos de planifcación familiar postparto de alta continuidad (dispositivo intrauterino y oclusión tubárica bilateral).
MATERIAL Y MÉTODOS: estudio de diseño observacional, prospectivo, transversal y descriptivo. Puérperas, derechohabientes usuarias del Instituo Mexicano del Seguro Social, Cárdenas, Tabasco. Desde agosto de 2006 a marzo de 2007.
MUESTRA POR CONVENIENCIA: pacientes cuyo parto fue atendido en el Hospital General de Zona No. 2 de Cárdenas, Tabasco, captadas durante el pase diario de visita.
VARIABLES: edad, estado civil, número de embarazos, vía del parto, argumento de rechazo de Métodos de Planifcación Familiar. Los datos se obtuvieron por método de encuesta, previo consentimiento informado. Se estimaron estadísticas descriptivas, y se analizó parcialmente el discurso.
RESULTADOS: 183 puerperas de 15 a 44 años de edad. Estado civil predominante 140 casadas (76,5%). Media de embarazos 2, moda 2, mínimo 1, máximo 9.
VÍA DE ATENCIÓN DEL PARTO: 85 vaginales (46,4%), 98 abdominales (53,6%). Aceptantes de MPF 105 (57,4%), rechazantes 78 (42,6%). 18 manifestaron 1 argumento (23%), 60 declararon más de 1 argumento (77%). Argumento de rechazo manifestado como primera consideración: "mi pareja y/o familia no lo consiente" 34,2%. Explicación brindada con mayor frecuencia como segundo argumento de rechazo: "temor a complicaciones médicas secundarias a éste" 35,6%.
CONCLUSIONES: La cobertura de anticoncepción postparto en la unidad es baja. Los argumentos manifestados por las pacientes al rechazar los MPF, muestran que la mujer posee falta de sentimiento de propiedad sobre su cuerpo; y que existe desinformación sobre el uso, indicaciones, benefcios y riesgos de los métodos de planifcación familiar.
Palabras clave: Salud reproductiva. Métodos de planifcación familiar. Argumentos de rechazo.
OBJECTIVE: identify the rejection arguments manifested for the puerperae claimant users of the Cardenas, Tabasco, that reject family planning methods post-childbirth of high continuity (intrauterine device and bilateral tubal occlusion). MATERIAL AND METHODS: study of design observational, prospective, traverse and descriptive. Puerperae, claimant users of the Instituto Mexicano de seguridad social, Cardenas, Tabasco. August/2006-March/2007. SAMPLE FOR CONVENIENCE: patients whose childbirth was attended in the General Hospital of Zone No. 2 of Cardenas, Tabasco, captured during the daily pass of visit. VARIABLES: age, civil status, pregnancies number, childbirth way, rejection argument of the family planning methods. Data was obtained for survey method, previous informed consent. Be estimated descriptive statistics, and be analyzed partially the discourse. RESULTS: 183 puerperae of 15 to 44 years-old. Predominant civil status 140 married (76,5%). Pregnancies mean 2, mode 2, minimum 1, maximum 9. CHILDBIRTH WAY: 85 vaginal (46,4%), 98 abdominal (53,6%). Family planning methods acceptors 105 (57,4%) rejection 78 (42,6%). 18 manifested 1 argument (23%), 60 declared more of 1 argument (77%). Rejection argument manifested as frst consideration: "my partner and/or family doesn't consent" 34,2%. Explication offered with major frequency as second rejection argument: "fear to medial complications secondary to it" 35,6%. CONCLUSIONS: The covering of family planning post-childbirth in the medical unit is low. The arguments manifested for the patients to reject the show that the women possess lack of property sentiment over your body; and that exist disinformation over use, indications, benefts and risks of the family planning methods. Key words: Reproductive health. Family planning methods. Rejection arguments.
OBJECTIVE: identify the rejection arguments manifested for the puerperae claimant users of the Cardenas, Tabasco, that reject family planning methods post-childbirth of high continuity (intrauterine device and bilateral tubal occlusion). MATERIAL AND METHODS: study of design observational, prospective, traverse and descriptive. Puerperae, claimant users of the Instituto Mexicano de seguridad social, Cardenas, Tabasco. August/2006-March/2007. SAMPLE FOR CONVENIENCE: patients whose childbirth was attended in the General Hospital of Zone No. 2 of Cardenas, Tabasco, captured during the daily pass of visit. VARIABLES: age, civil status, pregnancies number, childbirth way, rejection argument of the family planning methods. Data was obtained for survey method, previous informed consent. Be estimated descriptive statistics, and be analyzed partially the discourse. RESULTS: 183 puerperae of 15 to 44 years-old. Predominant civil status 140 married (76,5%). Pregnancies mean 2, mode 2, minimum 1, maximum 9. CHILDBIRTH WAY: 85 vaginal (46,4%), 98 abdominal (53,6%). Family planning methods acceptors 105 (57,4%) rejection 78 (42,6%). 18 manifested 1 argument (23%), 60 declared more of 1 argument (77%). Rejection argument manifested as frst consideration: "my partner and/or family doesn't consent" 34,2%. Explication offered with major frequency as second rejection argument: "fear to medial complications secondary to it" 35,6%. CONCLUSIONS: The covering of family planning post-childbirth in the medical unit is low. The arguments manifested for the patients to reject the show that the women possess lack of property sentiment over your body; and that exist disinformation over use, indications, benefts and risks of the family planning methods. Key words: Reproductive health. Family planning methods. Rejection arguments.