[Integrated mother-child care. Effects on adherence and knowledge of contraceptive methods]
Lucrecia Fotia Perniciaro1, Cinthia Sapienza1, Patricia Carrera Ramos1
1Instituto de Desarrollo e Investigaciones Pediátricas Prof. Dr. Fernando E. Viteri (IDIP), Ministerio de Salud - Comisión de Investigaciones Científicas de la Provincia de Buenos Aires, La Plata, Argentina.
Introduction:
Scientific evidence suggests that mother-child joint care strategies would facilitate knowledge of contraceptive methods (MAC) and their access. The objective was to evaluate the effect of the Integrated Mother and Child Care Model on adherence and knowledge of CAM in women during the first postpartum semester.
Methods:
An intervention study was carried out, 2 groups were formed, GI: intervention group (3 controls up to 6 months postpartum) and GC: control group (one control at 6 months postpartum). The intervention consisted of face-to-face counseling about MAC combined with informative brochures and WhatsApp⌖ messages. Sociodemographic data, gynecological and obstetric history, use and knowledge of contraceptive methods were collected. Adherence to the use and knowledge of MAC were compared in both groups at 6 months postpartum. The analysis was performed using R software version 4.0.3.
Results:
Thirty-nine women were incorporated into each group. A difference was found in the use of MAC between groups at 6 months (92.3% vs. 64.1%), its use being higher in GI. Significant differences were found in the knowledge of some MAC at 6 months. A higher percentage of women in GI knew about birth control pills (p = 0.009), tubal ligation (p = 0.04) and vasectomy (p = 0.010), compared to GC.
Discussion:
Early postpartum intervention with various communication and information strategies can be useful to choose the MAC that is considered most appropriate for each woman and its correct use.
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