Intrauterine Device in the Primary Health Care: an integrative review

• Autor(a) principal: Barreto, Danyella da Silva
• Data de Publicação: 2021
• Outros Autores: Maia, Duana Soares, Gonçalves, Rafael Dias, Soares, Ricardo de Sousa
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2821
• topic: Intrauterine Devices; primary health care; Family Practice Primary Health Care e Family Healt; Contraception; Comprehensive Health Care.; Dispositivos Intrauterinos; Atención Primaria de Salud; Medicina Familiar y Comunitaria; Anticoncepción; Atención Integral de Salud.; Dispositivo Intrauterino; Atenção Primária à Saúde; Medicina de Família e Comunidade; Anticoncepção; Assistência Integral à Saúde.

Unplanned pregnancy is a worldwide reality and accounts for 40% of all pregnancies and can trigger increased maternal mortality. The Intrauterine Device (IUD) is one of the options of contraceptives offered in SUS with good effectiveness, but is still little used. Several developed countries have been looking for ways to break down barriers and increase IUD insertion rates, such as vocational training, investments in the area and education of the population. This study aims to conduct an integrative literature review on IUD-related articles in Primary Care over the past ten years. Searches were performed at Pubmed, Scielo, LILACS and BDENF-Enfermagem using related descriptors. Publications that addressed the IUD in Primary Health Care in the last ten years were                                                                           included. Articles resulting from original research, reviews and clinical or learning protocols were considered. After using the inclusion and exclusion criteria, 39 articles were selected and were part of the review, which were grouped into categories. The themes most repeated were the following categories: Barriers to IUD Insertion, Professional Training, Knowledge about IUD, Insertion and Continuation Rates and Others. Among the articles, only two were national. It is concluded that there are few national studies addressing IUD in PHC and that among the studies found there is a concern to identify barriers and strategies to expand the offer of the method.