Inserção de dispositivo intrauterino por médico de família e comunidade na atenção primária em Santa Maria - RS

• Ano de defesa: 2024
• Autor(a) principal: Carli, Luiz Felipe Dias
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• dARK ID: ark:/26339/001300001939x
• Idioma: por
• Instituição de defesa: Universidade Federal de Santa Maria; Brasil; Ciências da Saúde; UFSM; Programa de Pós-Graduação em Ciências da Saúde; Centro de Ciências da Saúde
• Palavras-chave em Português: Dispositivo intrauterino; DIU; LARC; Medicina de família e comunidade; Estratégia de saúde da família; Intrauterine device; IUD; Family and community medicine; Family health strategy; CNPQ::CIENCIAS DA SAUDE
• Link de acesso: http://repositorio.ufsm.br/handle/1/34368

Unplanned pregnancies account for 40% of all pregnancies and are a global reality. Regarding physical health, the lack of reproductive planning to avoid unwanted pregnancies is one of the factors that worsen the situation of maternal mortality in Brazil. Therefore, guidance and provision of contraceptive methods such as the intrauterine device (IUD) guarantee women's right to reproductive and sexual health care. The IUD is one of the highly effective and long-lasting contraceptive options offered by the Unified Health System (SUS), although it is still little used. In this context, this study aimed to increase the insertion of IUDs among SUS users in the municipality of Santa Maria-RS in the primary care network. Initially, theoretical and practical training on copper IUD insertion was provided to Family and Community Medicine resident physicians from the Federal University of Santa Maria (UFSM) and the Franciscan University (UFN), in order to expand the supply of IUDs in the city's basic health network. Subsequently, the IUD was offered as a contraceptive method to women during routine clinical consultations at Family Health Strategy (ESF) units. Forty-five women aged 18 to 45 years old OMS were users of the SUS in the city of Santa Maria and four Family and Community Medicine physicians participated in the project. The average age of the participants was 27 years, with 74.5% of them between 19 and 35 years old; 42% of them completed high school and 19.1% higher education; 59.6% had paid employment; the majority were married and/or in a stable union (61.7%) and 72.3% had one or more previous pregnancies. Resident physicians OMS received training in the insertion of the 380A copper IUD pointed out the following factors that prevented or hindered pre-training: lack of prior knowledge and difficulty in performing the procedure previously. After training, 100% of the professionals felt equipped with knowledge and skills, and reported that the insertion was an easy procedure. Of the 45 users, none presented complications after IUD insertion. In addition, a Standard Operating Protocol for IUD Insertion and Removal, adapted to the reality of the ESFs, was developed and approved for use in loco, facilitating the standardization of the procedure and expansion to other primary health care units in the municipality. This project provided positive results that can support and encourage IUD insertion by Family and Community Medicine professionals, expanding the supply of long-term contraception to the population.