Abstract

FERNANDEZ RAMOS, Humberto; CRESPO ESTRADA, Yoan; ESTRADA ASTRAL, Ivonne Lídice  and  RODRIGUEZ GUTIERREZ, Katia. Impact of a community intervention strategy on the preconceptional reproductive risk control . AMC [online]. 2008, vol.12, n.3. ISSN 1025-0255.

Background: The intrauterine device is the most diffused modern reversible method and utilized in the world, followed by the pills. Objective: To determine the impact of a community educational intervention for the use of intrauterine device as contraception alternative. Method: An intervention descriptive study in women with preconceptional reproductive risk at the Labadee community of the north department in the Haiti Republic between June and November 2006. The sample remained constituted by 115 women that spontaneously came to the family planning consultation or were identified on the land. Results: The short intergenesial period, the age over 35 years and the multiparity were the main identified risks; the contraceptive method preferred was the hormonal injection, after educational activities there was a great number of patients that accepted the intrauterine device; those that it did not accept referred fear and religious problems, among others causes. Sexually transmitted infections and/or the high risk to contract it were the most frequent contraindications of the IUD implantation in patients that accepted. Conclusions: A minimum of complications existed and an important saving in the cost in comparison with the birth control forms employed up to now

Keywords : Preconception care; impacts on health; risk management; health education; women; intervention studies; reproduction.

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