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Objective: to know the number of       nue with the chosen method were: pre-
         adolescent women who continued with       ference for a long-term method (22.6%),
         the chosen MAC at hospital discharge      discomfort due to adverse effects (17%),
         6 months after obstetric event, to esta-  forgetting  to  take  oral  contraceptives
         blish which was the method most cho-      and expulsion of IUD (20.8%), for lack
         sen by this population, to know the       of inputs (3.8%) and others (15.1%).
         causes that  led to the  discontinuity  of   Conclusions:  from this research
         the chosen method and to determine if     we were able to establish that there is
         there was an unwanted pregnancy after     a strong acceptance of adolescents  by
         the obstetric event.                      LARCs: more than a third choose them
            Materials and method: descriptive,     at the time of obstetric discharge and
         observational, retrospective and  cross-  of those who decided to change MAC,
         sectional study. Data were extracted      almost 23% specified that they wanted
         from the Perinatal Computer System        a long-lasting but reversible method  .
         and  then extramural activity was  ca-    Among them, both the choice and the
         rried out through telephone calls to co-  adherence over time of the subdermal
         llect data on adherence to contraceptive   implant stood out. Thanks to the  per-
         methods.                                  formance  of extramurals, this work
            Results:  41.9%  of  the sample (N =   allowed us to reconnect with  the  wo-
         148) chose a long-term method at dis-     men to whom we had provided care a
         charge (subdermal  implant and  intra-    certain time ago. This fact enabled us
         uterine device -DIU-). 51.4% continued    not only to achieve the  objectives set,
         with the chosen method, 35.8% opted to    but also to know first-hand the use of
         change the method and 12.4% reported      MAC in adolescents and all that  their
         having had a pregnancy. Of the women      adherence implies, in order to improve
         who accessed  the subdermal implant,      our own counseling on Sexual and Re-
         97.2% continue with  it  and of those     productive Health.
         who accessed the IUD, 46.2% continue        Keywords: adolescence-adherence-
         to use it, in contrast to oral contracepti-  LARC-unplanned pregnancy-birth con-
         ves, whose adherence was 34.4%. Some      trol implant.
         of the reasons why they did not conti-

















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