Perfil de mulheres que inserem o DIU na estratégia de saúde da família: um estudo transversal

Abstract

Introduction: The copper Intrauterine Device (IUD) is an effective long-acting reversible contraceptive (LARC) available through the Brazilian public health system (SUS), but its use remains low, facing barriers to access and misinformation in Primary Health Care (PHC). Objective: To evaluate the sociodemographic and clinical profile of women who sought copper IUD insertion in the Family Health Strategy (FHS) in Lagarto-SE, analyzing factors associated with insertion and discontinuation. Methods: A cross-sectional, descriptive analytical study was conducted using convenience sampling. Data collection was based on the analysis of 103 medical records of women who sought the service, resulting in a final sample of 49 participants. Results: The predominant profile was women with a mean age of 26.6 years, high education level (86.8% with at least high school completion), and a balance between nulliparous (49%) and multiparous (51%) women. As risk factors, 73.5% reported previous dysmenorrhea, and 25% had never undergone a Pap smear. Non-insertion (n=7) was associated with technical difficulties during the procedure, while discontinuation (n=5) correlated with previous oral contraceptive use (80%). Conclusion: It is concluded that the IUD insertion service in Lagarto-SE is functional but fails to ensure equity in access and comprehensive care. The study's limitations, such as sample loss (n=39) and non-standardized medical records, indicate that the real access challenges for the most vulnerable population may be even greater.