Provision and Guidance for Postpartum Contraception - Ensuring Reproductive Rights during Times of Crises - Revista Brasileira de Ginecologia e Obstetrícia

Editorial

Provision and Guidance for Postpartum Contraception – Ensuring Reproductive Rights during Times of Crises

Rev Bras Ginecol Obstet. 2021;43(4):247-249

DOI: 10.1055/s-0041-1729985

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Reproductive choice and access to contraception are basic rights for all women, representing a major step forward in the improvement of gender equality. Sexual and reproductive health is paramount when considering public health, and has been directly affected by the COVID-19 pandemic, since these services suffered a reduction in their capacity for elective care, including consultations directed at contraceptive counseling. This could lead to increase in the number of unplanned pregnancies, which has already been reported as above 50% of all pregnancies.

Postpartum contraception should be considered as an essential component of obstetric care. The immediate postpartum period, prior to hospital discharge is an excellent opportunity to counseling and providing contraceptives, particularly in those women who are unable to attend their follow-up appointments six weeks postpartum. Approximately 40% of women do not attend their postpartum appointments, which favors an increased rate of unplanned and rapid repeated pregnancies (those which occur at intervals of fewer than 18 months).

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