High Reproductive Risk and Contraception

Background: Patients with high reproductive risk have important risk factors for the development of complications, including maternal death. Rejection of contraceptive methods is influenced by biological, cultural, and social factors. Objective: Identify the main sociocultural and demographic factors associated with not choosing a contraceptive method in women at high reproductive risk. Material and methods: it is an observational, cross-sectional, analytical and prospective study using non-probabilistic sampling of pregnant women with high reproductive risk who were offered contraception through a questionnaire. Results: 75 patients with high reproductive risk (20%) were included, with a mean age of 27 years and 48% identifying as housewives, living in an urban area (66.7%), complete primary schooling (22.67%), Catholic religion (72%), married (57.3%), middle class (72%); alcoholism in 2 patients (2.67%) and 2 other drugs (2.67%); 68% rejected contraception; for personal reasons (76.4%). A significant relationship was found with the Jehovah’s Witness religion (p = 0.018). Conclusion: Rejection of contraception was significantly associated with personal history and religious beliefs, with implications for reproductive health.