Contracepção Em Adolescentes Antes E Depois Do Parto: Escolhas E Desafios Para O Futuro

To determine methods of contraception used by adolescents before and after pregnancy. Methods A cross-sectional study was performed, and data were collected from medical records of all teens in puerperal consultation at the Hospital da Mulher - José Aristodemo Pinotti (Caism), Universidade Estadual de Campinas (CAISM), São Paulo, Brazil, between July 2011 and September 2013. The inclusion criterionwas being 10 to 19 years old, and the exclusion criterion was having a first consultation 90 days after childbirth. Statistical analyseswere performed with averages, standard deviations, percentages, correlations and Fisher’s exact tests using the SAS program, version 9.4. Results A total of 196 adolescents in postpartum consultation were included (44 days after childbirth on average). The majority was older than 14 years (89%), with an average age of 16.2 years, and the most were exclusively breast-feeding (70%). Before pregnancy, the use of any contraceptive methods was mentioned by 74% adolescents; the most frequent use was combined oral contraceptive followed by condom. The main reason for abandoning the use of contraception was the occurrence of an unintended pregnancy (41%), followed by reports of side effects (22%), behavior issues (18%) and desire for pregnancy (16%). A positive correlation was found between the age of the adolescent at the moment of childbirth, the age of menarche (r 1/4 0.3), and the first sexual intercourse (r 1/4 0.419). Vaginal delivery occurred in 76% of the cases. After birth, depot medroxyprogesterone acetate (DMPA) was the contraception method most frequently used (71%), followed by oral contraceptives (11.8%) and intrauterine devices (IUDs, 11.2%). Conclusions The most prescribed contraceptive method before pregnancy in adolescents who had childbirth was combined oral contraceptives. Many of the study participants had an unintended pregnancy. After childbirth, the most used contraceptive method was DMPA. To improve contraception and reduce the chance of unintended pregnancies among adolescents, we should promote the use of long-acting reversible contraceptives (LARCS). © 2016 by Thieme-Revinter Publicações Ltda, Rio de Janeiro, Brazil.381154555

Computer-assisted Telephone Interviewing (cati): Using The Telephone For Obtaining Information On Reproductive Health [computer-assisted Telephone Interviewing (cati): Usando Telefone Para A Obtenção De Informações Sobre Saúde Reprodutiva]

The objective of this study was to evaluate the feasibility of using computer assisted telephone interviewing (CATI) as a method for obtaining information on reproductive health in Brazil. A total of 998 eligible women for the study were selected to answer a questionnaire through computer-assisted telephone interviewing undertaken by trained interviewers. The outcomes of each telephone contact attempt were described. Differences between groups were assessed using the χ2 test. Phone contact was made in 60.3% of the attempts and 57.5% of the interviews were completed. The success rate improved with the decrease in time from hospitalization to interview and with the higher numbers of telephones available. A total of 2,170 calls were made, comprising of one to sixteen attempts per woman. The majority of situations where extra calls were necessary were due to the number being busy or to the fact that the woman was not available at the time of the call. CATI can prove be a valuable procedure for obtaining information on reproductive health among Brazilian women, particularly for relatively recent events and when more than one alternative telephone number is available.27918011808Marcus, A.C., Crane, A.L., Telephone surveys in public health research (1986) Med Care, 24, pp. 97-112Corey, C.R., Freeman, H.E., Use of telephone interviewing in health care research (1990) Health Serv Res, 25, pp. 129-144Chittleborough, C.R., Taylor, A.W., Baum, F.E., Hiller, J.E., Non-response to a life course socioeconomic position indicator in surveillance: Comparison of telephone and face-to-face modes (2008) BMC Med Res Methodol, 8, p. 54Lee, S., Tsang, A., Lau, L., Mak, A., Ng, K.L., Chan, D.M., Concordance between telephone survey classification and face-to-face structured clinical interview in the diagnosis of generalized anxiety disorder in Hong Kong (2008) J Anxiety Disord, 22, pp. 1403-1411Lee, S., Tsang, A., Mak, A., Lee, A., Lau, L., Ng, K.L., Concordance between telephone survey classification and face-to-face interview diagnosis of one-year major depressive episode in Hong Kong (2010) J Affect Disord, 126, pp. 155-160Sykes, W., Collins, M., Effects of mode of interview: Experiments in the UK (2001) Telephone Survey Methodology, pp. 301-320. , In: Groves RM, Biemer PP, Lyberg LE, editors, New York: John Wiley and SonsSmith, J.M., Sullivan, S.J., Baxter, G.D., Telephone focus groups in physiotherapy research: Potential uses and recommendations (2009) Physiother Theory Pract, 25, pp. 241-256Thomas, R., Purdon, S., Telephone methods for social surveys (1994) Social Research Update, (8). , http://sru.soc.surrey.ac.uk/SRU8.htmlSmith, M., Chey, T., Jalaludin, B., Salkeld, G., Capon, T., Increasing response rates in telephone survey: A randomized trial (1995) J Public Health Med, 17, pp. 33-38Banjanovic, A., Towards universal global mobile phone coverage (2010) Special Report, , http://www.euromonitor.com/Articles.aspx?folder=Special_Report_Towards_universal_global_mobile_phone_coverage&print=true, accessed on 10/Jul(2003) Pesquisa Nacional Por Amostra De Domicílios: Síntese De Indicadores, , http://www.ibge.gov.br/english/presidencia/noticias/noticia_visualiza.php?id_noticia=226&id_pagina=1, Instituto Brasileiro de Geografia e Estatística, accessed on 10/Jul/2010Barbosa, A.F., (2009) Survey On the Use of Information and Communication Technologies In Brazil: ICT Households and ICT Enterprises 2008, , São Paulo: Comitê Gestor da Internet no BrasilMonteiro, C.A., Moura, E.C., Jaime, P.C., Lucca, A., Florindo, A.A., Figueiredo, I.C.R., Monitoramento de fatores de risco para doenças crônicas por entrevistas telefônicas (2005) Rev Saúde Pública, 39, pp. 47-57Souza, J.P., Cecatti, J.G., Pacagnella, R.C., Giavarotti, T.M., Parpinelli, M.A., Camargo, R.S., Development and validation of a questionnaire to identify severe maternal morbidity in epidemiological surveys (2010) Reprod Health, 7, p. 16Cooper, C.P., Jorgensen, C.M., Merritt, T.L., Report from the CDC. Telephone focus groups: An emerging method in public health research (2003) J Womens Health (Larchmt), 12, pp. 945-951Iredell, H., Shaw, T., Howat, P., James, R., Granich, J., Introductory postcards: Do they increase response rate in a telephone survey of older persons? (2004) Health Educ Res, 19, pp. 159-164Smyth, B.P., Darker, C.D., Donnelly-Swift, E., Barry, J.M., Allwright, S.P., A telephone survey of parental attitudes and behaviours regarding teenage drinking (2010) BMC Public Health, 10, p. 297França, E., Souza, J.M., Guimarães, M.D.C., Goulart, E.M.A., Colosimo, E., Antunes, C.M.F., Associação entre fatores sócio-econômicos e mortalidade infantil por diarréia, pneumonia e desnutrição em região metropolitana do Sudeste do Brasil: Um estudo caso-controle (2001) Cad Saúde Pública, 17, pp. 1437-1447Elias, M.C., Alves, A., Medicina não-convencional: Prevalência em pacientes oncológicos (2002) Rev Bras Cancerol, 48, pp. 523-532Hayakawa, L.M., Schmidt, K.T., Rossetto, E.G., Souza, S.N.D.H., Bengozi, T.M., Incidência de reinternação de prematuros com muito baixo peso nascidos em um hospital universitário (2010) Esc Anna Nery Rev Enferm, 14, pp. 324-329Brenner, H., Schmidtmann, I., Stegmaier, C., Effects of record linkage errors on registry-based follow-up studies (1997) Stat Med, 16, pp. 2633-2643Perriera, L.K., Reeves, M.F., Chen, B.A., Hohmann, H.L., Hayes, J., Creinin, M.D., Feasibility of telephone follow-up after medical abortion (2010) Contraception, 81, pp. 143-149Kempf, A.M., Remington, P.L., New challenges for telephone survey research in the twenty-first century (2007) Annu Rev Public Health, 28, pp. 113-12

Validação Da Versão De 36 Itens Do Who Disability Assessment Schedule 2.0 (whodas 2.0) Para A Avaliação De Incapacidade E Funcionalidade Da Mulher Associada à Morbidade Materna

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)To validate the translation and adaptation to Brazilian Portuguese of 36 items from the World Health Organizaton Disability Assessment Schedule 2.0 (WHODAS 2.0), regarding their content and structure (construct), in a female population after pregnancy. Methods This is a validation of an instrument for the evaluation of disability and functioning and an assessment of its psychometric properties, performed in a tertiary maternity and a referral center specialized in high-risk pregnancies in Brazil. A sample of 638 women in different postpartum periods who had either a normal or a complicated pregnancy was included. The structure was evaluated by exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), while the content and relationships among the domains were assessed through Pearson’s correlation coefficient. The sociodemographic characteristics were identified, and the mean scores with their standard deviations for the 36 questions of the WHODAS 2.0 were calculated. The internal consistency was evaluated byCronbach’s α. Results Cronbach’s α was higher than 0.79 for both sets of questons of the questionnaire. The EFA and CFA for the main 32 questions exhibited a total variance of 54.7% (Kaiser-Meyer-Olkin [KMO] measure of sampling adequacy = 0.934; p < 0.001) and 53.47% (KMO = 0.934; p < 0.001) respectively. There was a significant correlation among the 6 domains (r = 0.571–0.876), and a moderate correlation among all domains (r = 0.476–0.694). Conclusion The version of the WHODAS 2.0 instrument adapted to Brazilian Portuguese showed good psychometric properties in this sample, and therefore could be applied to populations of women regarding their reproductive history. © 2017 by Thieme-Revinter Publicações Ltda, Rio de Janeiro, Brazil.3924452471142/2011-5, CNPq, Conselho Nacional de Desenvolvimento Científico e TecnológicoConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq

Cross-cultural Adaptation Of The World Health Organization Disability Assessment Schedule (whodas 2.0) Into Portuguese [adaptação Transcultural Da Escala De Avaliação De Incapacidades Da Organização Mundial De Saúde (whodas 2.0) Para O Português]

Objective: The World Health Organization Disability Assessment Schedule (WHODAS 2.0) was designed to assess the functioning level in six life domains (cognition, mobility, self-care, getting along, life activities, and participation in community activities). There are different versions, from the simplest to the most complete, various presentations (either interviews or self-administered), comprehending the domains of the International Classification of Functioning, Disability and Health (ICF). This study aimed to make a cross-cultural adaptation of the complete version into Portuguese. Methods: The proceeding was developed over six stages: translation, back-translation, semantic equivalence, evaluation of previous stages by experts, tool pretest, and final version. Results: After the pretest, an adjustment to a more colloquial Portuguese was made. The versions were shown to be similar regarding general and referential meaning. Conclusion: WHODAS 2.0 was shown to be easily applied and understood by women in the pregnancy-postpartum cycle. © 2013 Elsevier Editora Ltda. All rights reserved.593234240Üstün, T.B., Chatterji, S., Kostanjsek, N., Rehm, J., Kennedy, C., Epping-Jordan, J., Developing the World Health Organization Disability Assesment Schedule 2.0 (2010) Bull World Health Organ, 88, pp. 815-823. , WHO/NIH Joint ProjectDi Nubila, H.B., Uma introdução à CIF: Classificação Internacional de Funcionalidade, Incapacidade e Saúde (2010) Rev Bras Saúde Ocup, 35, pp. 122-123Battistella, L.R., Brito, C.M., Classificação Internacional de Funcionalidade (CIF) (2002) Acta Fisiatrica, 9, pp. 98-101Farias, N., Buchalla, C.M., A Classificação Internacional de Funcionalidade, Incapacidade e Saúde da Organização Mundial da Saúde: Conceitos, usos e perspectivas (2005) Rev Bras Epidemiol, 8, pp. 187-193(2001) World Health Organization, International Classification of Functioning, Disability and Health: ICF, , http://www.who.int/classifications/icf/en/, Geneve: WHO [citado 4 jan 2012]Sampaio, R.F., Luz, M.T., Funcionalidade e incapacidade humana: Explorando o escopo da classificação internacional da Organização Mundial da Saúde (2009) Cad Saúde Pública, 25, pp. 475-483Diniz, D., Medeiros, M., Squinca, F., Reflexões sobre a versão em português da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (2007) Cad Saúde Publica, 23, pp. 2507-2510Stucki, G., Reinhardt, J.D., Grimby, G., Melvin, J., O desenvolvimento da pesquisa em funcionalidade humana e reabilitação a partir de uma perspectiva abrangente (2008) Acta Fisiatrica, 15, pp. 63-69(2010) Measuring Health and Disability: Manual for WHO Disability Assessment Schedule (WHODAS 2.0), , http://whqlibdoc.who.int/publications/2010/9789241547598_eng.pdf, World Health Organization Geneve: WHO [citado 4 jan 2012]Griffiths, J., Fortune, G., Barber, V., Young, J.D., The prevalence of post-traumatic stress disorder in survivors of ICU treatment: A systematic review (2007) Intensive Care Med, 33, pp. 1506-1518Soberg, H.L., Bautz-Holter, E., Roise, O., Finset, A., Long-term multidimensional functional consequences of severe multiple injuries two years after trauma: A prospective longitudinal cohort study (2007) J Trauma, 62, pp. 461-470Garin, O., Ayuso-Mateos, J.L., Almansa, J., Nieto, M., Chatterji, S., Vilagut, G., Validation of the "world Health Organization Disability Assessment Schedule, WHODAS-2" in patients with chronic diseases (2010) Health Qual Life Outcomes, 8, p. 51. , MHADIE consortiumProcess of Translation and Adaptation of Instruments, , http://www.who.int/substance_abuse/research_tools/translation/en, World Health Organization [citado 8 ago 2011]Beaton, D.E., Bombardier, C., Guillemin, F., Ferraz, M.B., Guidelines for the process of cross-cultural adaptation of self-report measures (2000) Spine, 25, pp. 3186-3191Gray, D.B., Hendershot, G.E., The ICIDH-2: Developments for a new era of outcomes research (2000) Arch Phys Med Rehabil, 81 (SUPPL. 2), pp. S10-S14Herdman, M., Fox-Rushby, J., Badia, X., A model of equivalence in the cultural adaptation of HRQoL instruments: The universalist approach (1998) Qual Life Res, 7, pp. 323-335Reichenheim, M.E., Moraes, C.L., Operacionalização de adaptação transcultural de instrumentos de aferição usados em epidemiologia (2007) Rev Saúde Pública, 41, pp. 665-673Jorge, M.R., Adaptação transcultural de instrumentos de pesquisa em saúde mental (1998) Rev Psiquiatr Clín (São Paulo), 25, pp. 233-239Reichenheim, M.E., Moraes, C.L., Hasselmann, M.H., Equivalência semântica do instrumento Abuse Assessment Screening (2000) Rev Saúde Pública, 34, pp. 610-616Guillemin, F., Bombardier, C., Beaton, D., Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines (1993) J Clin Epidemiol, 46, pp. 1417-1432Üstün, T.B., Chatterji, S., Bickenbach, J., Kostanjsek, N., Schneider, M., The International Classification of Functioning, Disability and Health: A new tool for understanding disability and health (2003) Disabil Rehabil, 25, pp. 565-571(2007) Classificação Internacional da Funcionalidade, Incapacidade e Saúde: Versão Para Crianças e Jovens, , http://www.fsp.usp.br/cbcd/CIF/manual.pdf, Organização Mundial da Saúde Genebra: WHO Tradução ao português. [citado 14 out 2012]Jomeen, J., The importance of assessing psychological status during pregnancy, childbirth and the postnatal period as a multidimensional construct: A literature review (2004) Clin Effect Nurs, 8, pp. 143-155Filippi, V., Ganaba, R., Baggaley, R.F., Marshall, T., Storeng, K.T., Sombié, I., Health of women after severe obstetric complications in Burkina Faso: A longitudinal study (2007) Lancet, 370, pp. 1329-1337Souza, J.P., Cecatti, J.G., Parpinelli, M.A., Krupa, F., Osis, M.J., An emerging "maternal near-miss syndrome": Narratives of women who almost died during pregnancy and childbirth (2009) Birth, 36, pp. 149-15