Prevenção de gestações não planejadas com implante subdérmico em mulheres da Cracolândia, São Paulo

Abstract

IntroductionIllicit drugs promote social and health harm. Many female illicit drug users live on the streets, exchanging sex to buy drugs leaving aside proper contraception methods. This situation facilitates the occurrence of sexually transmitted diseases (STD) and unplanned pregnancies among these women in such vulnerable conditions, causing an increase in abortion and premature birth as well as direct effects on the newborn, which often are abandoned or forced to live with relatives. The efforts to reduce such damages must involve the realization of activities that stimulate greater social inclusion, and prevent unplanned pregnancies through the etonogestrel implant. ObjectiveUse the subdermal etonogestrel implant to prevent unplanned pregnancy among female illicit drug users as a mean of social inclusion and social damage control. MethodThe project applied 106 etonogestrel implants in women living in Cracolândia, central region of São Paulo, where information regarding general and specific history of 101 female drug users was collected. Also, from these 101 users, exams were performed in 54 women in order to diagnose STD and uterine cervix cancer. ResultAmong the 106 women who had implant insertion, 41.6% use crack as main drug, in which 48.5% associate the drug with alcohol and 85.2% with tobacco. Regarding contraception methods, 36.7% do not use any kind of contraceptive method. As for pregnancy conditions, an increase in gestational morbidity was stated, where 16.1% had abortion and 20.6% had premature deliveries. ConclusionThe etonogestrel subdermal implant is a precise indication to prevent unplanned pregnancy among female drug users, because it reduces the risk of gestational and neonatal morbidity, promoting also a reduction in social damage.