[Causes of non-use of contraceptives in the immediate postpartum period].
OBJECTIVE
To determine the causes of not use of contraceptive during immediate postpartum period.


METHODS
Cross-section observational descriptive study. We include women that went for attention of obstetric event, we identified those were in immediate postpartum period, and we selected the women which not started contraceptive use. Data were collected directly with an interview; the causes of not use of contraceptive were classified in three groups. Group I: causes be derived by patient: personal, religious, moral, families, culture, etc. reasons, when they received information, and advice or when they did not attend to educational actions. Group II: causes be derived by the hospital: technique administrative factors, insufficient educational communication activities by service provider. Group III: Medic Indication: presence of risk factors for health women. We found 2,593 women, we identified 1,493 (57.5%) in immediate postpartum period, 478 (32%) not started contraceptive use. In 349 (73%) women the causes were group I, in 91 (19%) group II, and 38 (8%) group III.


CONCLUSIONS
Is necessary more research to know users concerns, ideas and perspectives in relation with methods of contraception, contraceptive counseling, informants, advisers, and with health service institution, to improve educational communication strategies; and to unify medical criterions for not use contraceptive during immediate postpartum period.
Navarro Núñez
Carlos
C
Instituto Mexicano del Seguro Social, Unidad de Investigación Epidemiológica y en Servicios de Salud, Cuauhtémoc, Colima.
Gutiérrez Suazo
David
D
Alvarez González
Guadalupe
G
Aguayo Godínez
Arnoldo
A
D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000706:statistics & numerical data*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D049590:Postpartum Period; D013997:Time Factors