Contraception: what is the resistance all about?

Article Article scientifique Revue de la littérature Contraception: what is the resistance all about? eng 2020-11-06 2021-02 author Gold Nadia 752591 author Viviano Manuela 847651 author Yaron Michal 668428 62-72 10.1080/13625187.2020.1837362 33155860 1362-5187 https://www.tandfonline.com/doi/full/10.1080/13625187.2020.1837362 Purpose: The aim of this study is to identify the aspects associated with resistance to contraception, providing healthcare workers with the necessary tools to increase compliance with contraception and, ultimately, reduce the rate of voluntary abortions. Material and methods: We performed a review of the literature published in Medline between 1st January 2000 and 31st July 2020. We included studies based on qualitative analyses, describing women's perception and attitudes towards contraception, including a population aged 15 years or older and conducted in either Europe or North America. Results: A total of 23 articles were included in the study. Resistance to contraceptive uptake was most frequently due to ambivalence about pregnancy, with up to 54% of ambivalent women reporting not using any means of contraception, and communication issues with the partner and/or health care provider, with a positive association found between communication with the partner and contraceptive use (OR 1.07; p < .050). Additional barriers to contraceptive use were the quality of the relationship with the partner, the perception of the risk of becoming pregnant after unprotected sexual intercourse, and unfamiliarity with contraception. Conclusions: Family planning consultations should acknowledge the aspects that influence contraceptive uptake and address them as part of their consultations. Contraception Ambivalence Resistance Unwanted pregnancy Dewey 618 58 Département de pédiatrie, gynécologie et obstétrique 223 false 590 Prévention du cancer du col utérin 933 The European journal of contraception & reproductive health care 26 1 499fc42b-b14c-47fa-bb7a-f27044beaeff Article (Published version) Restricted Contraception.pdf 1256222 application/pdf CC BY restrictedAccess Faculté de médecine / Section de médecine clinique / Département de pédiatrie, gynécologie et obstétrique

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Contraception: what is the resistance all about?	The European journal of contraception & reproductive health care			2021	245	1

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Gold, Nadia