title: The relationship between perinatal psychiatric disorders and contraception use among postpartum women.
abstract: BACKGROUND
  The relationship between perinatal psychiatric disorders and the use of effective contraceptive methods among postpartum women served by primary care clinics has not been established.
  
  
  METHODS
  This was a prospective cohort study with 831 pregnant women recruited from 10 primary care clinics of the public sector in São Paulo followed up to 18 months after delivery.
  
  
  RESULTS
  Among 701 postpartum women, 644 women (91.8%) had resumed sexual activity. Two hundred fifty-three women (39.2%) were classified as using a less effective contraception method (LECM). The presence of perinatal psychiatric disorder (in pregnancy and/or postpartum) was not associated with LECM. Resumption of sexual life 3 months or beyond after delivery was associated with LECM (odds ratio=1.28, 95% confidence interval: 1.02-1.56).
  
  
  CONCLUSIONS
  Although the use of an LECM after delivery is common, contraception choice is not associated with perinatal depressive/anxiety symptoms. However, women who delay the resumption of sexual activity after delivery should be counseled on the use of available contraceptive methods.
authors.affiliation: Preventive Medicine Department, University of São Paulo, Av. Dr. Arnaldo 455-São Paulo, SP, CEP 01246-90, Brazil. Electronic address: lim39@usp.br.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Faisal-Cury
authors.forename: Paulo Rossi
authors.initials: PR
authors.lastname: Menezes
authors.forename: Hsiang
authors.initials: H
authors.lastname: Huang
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D002410:Catholicism; D015331:Cohort Studies; D017280:Condoms; D003268:Contraception Behavior / Q000208:ethnology / Q000523:psychology*; D003276:Contraceptives, Oral / Q000008:administration & dosage; D005193:Family Planning Services; D005260:Female; D006801:Humans; D001523:Mental Disorders / Q000208:ethnology / Q000523:psychology*; D018743:Perinatal Care; D049590:Postpartum Period; D011247:Pregnancy; D011248:Pregnancy Complications / Q000208:ethnology / Q000523:psychology*; D011320:Primary Health Care; D011446:Prospective Studies; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology*; D055815:Young Adult
chemical_list: D003276:Contraceptives, Oral
keywords: Common mental disorders; Contraception; Contraceptive counseling; Perinatal depression; Primary care; Women's health