{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T00:39:58Z","timestamp":1767832798006,"version":"3.49.0"},"reference-count":28,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"03","license":[{"start":{"date-parts":[[2021,4,15]],"date-time":"2021-04-15T00:00:00Z","timestamp":1618444800000},"content-version":"vor","delay-in-days":45,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective\u2003To evaluate the acceptability of postplacental placement of intrauterine devices (PPIUD), reasons for refusal and suggested policies to increase its use.<\/jats:p><jats:p>\n          Methods\u2003Cross-sectional study conducted at the Women Hospital of the Universidade de Campinas, Campinas, SP, Brazil. Postplacental placement of intrauterine devices was offered to women admitted in labor who did not present infections, uterine malformation, twin pregnancy, preterm birth, and were at least 18 years old. In case of refusal, the parturient was asked to give their reasons and the answers were classified as misinformation about contraception or other reasons. The following were considered misinformation: fear of pain, bleeding, contraception failure and future infertility. Bivariate analysis was performed.<\/jats:p><jats:p>\n          Results\u2003Amongst 241 invited women, the refusal rate was of 41.9%. Misinformation corresponded to 50.5% of all refusals, and the reasons were: fear of pain (39.9%); fear of contraception failure (4.9%); fear of bleeding (3.9%); fear of future infertility (1.9%); other reasons for refusal were 49.5%. Parturients aged between 18 and 27 years old refused the PPIUD more frequently due to misinformation (67.4%), and older parturients (between 28 and 43 years old) refused frequently due to other reasons (63.6%) (p\u2009=\u20090.002). The mean age of those who declined the PPIUD due to misinformation was 27.3\u2009\u00b1\u20096.4 years old, while those who declined for other reasons had a mean age of 29.9\u2009\u00b1\u20095.9 years old (p\u2009=\u20090.017).<\/jats:p><jats:p>\n          Conclusion\u2003The refusal of the PPIUD was high, especially amongst young women and due to misinformation. It is necessary to develop educative measures during antenatal care to counsel women about contraception, reproductive health and consequences of unintended pregnancy.<\/jats:p>","DOI":"10.1055\/s-0041-1725053","type":"journal-article","created":{"date-parts":[[2021,4,16]],"date-time":"2021-04-16T05:28:36Z","timestamp":1618550916000},"page":"172-177","source":"Crossref","is-referenced-by-count":9,"title":["Postplacental Placement of Intrauterine Devices: Acceptability, Reasons for Refusal and Proposals to Increase its Use"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3147-2460","authenticated-orcid":false,"given":"Maria Beatriz de Paula Leite","family":"Kraft","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Science, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2913-3360","authenticated-orcid":false,"given":"Mariana","family":"Miadaira","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Science, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9975-3923","authenticated-orcid":false,"suffix":"J\u00fanior","given":"Marcos","family":"Marangoni","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Science, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3197-1195","authenticated-orcid":false,"given":"C\u00e1ssia Raquel Teatin","family":"Juliato","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Science, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4335-0337","authenticated-orcid":false,"given":"Fernanda Garanhani","family":"Surita","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medical Science, Universidade Estadual de Campinas, Campinas, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2021,4,15]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"publisher","first-page":"301","DOI":"10.1111\/j.1728-4465.2014.00393.x","article-title":"Intended and unintended pregnancies worldwide in 2012 and recent trends","volume":"45","author":"G Sedgh","year":"2014","journal-title":"Stud Fam Plann"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"24","DOI":"10.2307\/2991522","article-title":"Unintended pregnancy in the United States","volume":"30","author":"S K Henshaw","year":"1998","journal-title":"Fam Plann Perspect"},{"issue":"S 03","key":"ref3","doi-asserted-by":"publisher","first-page":"118","DOI":"10.1186\/s12978-016-0227-8","article-title":"Factors associated with unintended pregnancy in Brazil: cross-sectional results from the Birth in Brazil National Survey, 2011\/2012","volume":"13","author":"M M Theme-Filha","year":"2016","journal-title":"Reprod Health"},{"issue":"10","key":"ref4","doi-asserted-by":"publisher","first-page":"1906","DOI":"10.1590\/S0102-311X2011001000004","article-title":"Gravidez n\u00e3o planejada no extremo Sul do Brasil: preval\u00eancia e fatores associados","volume":"27","author":"S OM Prietsch","year":"2011","journal-title":"Cad Saude Publica"},{"key":"ref5","volume-title":"Bras\u00edlia (DF): Minist\u00e9rio da Sa\u00fade;","author":"Minist\u00e9rio da Sa\u00fade","year":"2009"},{"key":"ref6","first-page":"779","volume-title":"Contraceptive efficacy","author":"J. 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