Contraception: what is the resistance all about?

Abstract

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.

摘要

目的：本研究的目的是确定与抵制避孕有关的方面, 为保健工作者提供必要的工具, 以提高对避孕的依从性, 并最终降低堕胎率。

材料和方法：我们对2000年1月1日至2020年7月31日发表在Medline上的文献进行了回顾。我们纳入的研究基于定性分析, 描述了女性对避孕的看法和态度, 包括了年龄在15岁或以上的欧洲人或北美人群。

结果：共纳入了23篇文献。抵制避孕最主要的原因是关于妊娠矛盾的的情绪, 高达54%的矛盾女性没有采用任何的避孕手段。和伴侣和/或医生的沟通问题, 与伴侣的沟通和应用避孕措施之间有积极的联系(OR 1.07; p < .050)。应用避孕措施的其他障碍是与伴侣的关系质量、对无保护性交后怀孕风险的认识以及不熟悉避孕措施。

结论：计划生育咨询应承担影响应用避孕措施的各个方面, 并将其作为咨询的一部分告知患者。

Keywords:

• Contraception
• resistance
• ambivalence
• unwanted pregnancy

Disclosure statement

No potential conflict of interest was reported by the author(s).

Table 1. Summary of the articles included in the review..