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López Jiménez S, Ruiz Fernández R, Noguera Sánchez I. Planificación familiar postparto: revisión de la evidencia. Metas Enferm sep 2020; 23(7):49-59. Doi: https://doi.org/10.35667/MetasEnf.2020.23.1003081631
Sara López Jiménez1, Rocío Ruiz Fernández2, Ismael Noguera Sánchez2
1Grado de Enfermería. Especialista en Enfermería Obstétrico-ginecológica. Hospital Doctor José Molina Orosa. Lanzarote. Las Palmas 2Grado de Enfermería. Especialista en Enfermería Obstétrico-ginecológica. Hospital General de Fuerteventura Virgen de la Peña. Fuerteventura. Las Palmas
Sara López Jiménez. Ctra. Arrecife-San Bartolomé, km 1,3. 35500 Arrecife (Las Palmas).
Contact email: email@example.com
Objective: to identify the contraceptive methods adequate for use in the post-partum period according to scientific evidence, as well as the adequate time to inform about post-partum contraception.
Method: a narrative review was conducted, through bibliographic location and search of the articles published in the following databases: PubMed, Cochrane Plus and Cuiden. The Uptodate database was also consulted, as well as the Library of Reproductive Health by the World Health Organization (WHO) and the Clinical Practice Guidelines (CPG) by the National Health System, and the protocols published at the Spanish Society of Contraception (SEC). The search was established during the years 2010-2020, and only articles in Spanish and English were included. The documents found were reviewed and selected according to various inclusion criteria.
Results: of the 579 documents identified, four were eliminated because they were duplicates; therefore, 575 articles were reviewed in total. Out of these, 524 articles were eliminated because the inclusion criteria were not met, and only 51 were selected in order to assess their quality, and 27 of these were included in the review. Results were classified according to the following contents: when and how to inform about post-partum contraception methods, and the contraceptive methods adequate for said period.
Conclusions: regardless of demands by the population, there is deficit of information and advice regarding post-partum family planning. Health professionals must take every opportunity during pregnancy, delivery and puerperium, in order to provide information and guidance. There is a variety of contraceptive methods adequate for the post-partum period. There is still some controversy regarding the time to initiate contraception with gestagens, and the most adequate time to insert an IUD.
family planning; contraception; postpartum; postnatal care; midwife; nursing
Versión en Español