INTERVENTIONS TO IMPROVE ADHERENCE TO HORMONAL CONTRACEPTIVE USE IN THE POSTPARTUM PERIOD

Abstract

Introduction: Pregnancies with short inter-gestational intervals, can directly affect maternal and newborn health, significantly increasing maternal and infant morbidity and mortality. One strategy that allows women to space pregnancies at least 12 months apart is postpartum contraception. Objective: To identify, based on scientific evidence, the different types of interventions used to improve adherence to the use of hormonal contraceptive methods in the postpartum period. Methods: The present review was conducted based on the methodological guidelines proposed by the Joanna Briggs Institute (JBI) Manual, in accordance with the PRISMA-ScR guidelines in its extension for scoping reviews. The search was performed in 3 databases (PubMed, Scopus and Lilacs) and the selection of studies was managed through Rayyan software. Studies with quasi-experimental methodological designs and randomized trials were included. Final records were analyzed by basic qualitative content analysis in categories. Results: A total of 1382 studies were retrieved, of which 13 articles and 1 gray literature study were included. A greater number of publications were found in African countries (50%). The interventions found were counseling, contraceptive delivery and mother-child integration. Conclusions: The interventions applied in each of the studies largely show a significant increase in the use of hormonal contraceptive methods in the postpartum period