Riscos e impactos dos métodos contraceptivos hormonais em mulheres com trombofilia hereditária

Abstract

Objective: To relate the choice of hormonal contraceptive methods and the risk of thrombotic events in women with hereditary thrombophilia, contributing to the prevention of thrombotic complications, highlighting the role of nurses in this process and the importance of new research, given the scarcity of up-to-date studies on the subject. Methods: This is an integrative literature review which made it possible to gather, evaluate and synthesize findings from research published between 2015 and 2025 in the PubMed, SciELO and LILACS databases. The descriptors “hormonal contraceptives”, “hereditary thrombophilia” and “thrombotic events” were used, combined with the Boolean operators AND and OR. Articles available in full, with free access, published in Portuguese, English and Spanish, meeting the previously established inclusion and exclusion criteria, were included. Results: The compilation and analysis of the research found makes it possible to make the information more accessible and useful for professionals involved in clinical practice and health decision-making. The majority of women seek primary care to receive guidance on family planning, which requires the active participation of nursing professionals, who, according to the resolution of the Federal Nursing Council, are authorized to prescribe and advise on contraceptive methods. Conclusion: This study showed that women with hereditary thrombophilia face an increased risk of thromboembolic events when using hormonal contraceptive methods. Evidence-based nursing practice can help reduce these risks, ensuring quality care, strengthening educational and preventive strategies, and safety when choosing a contraceptive method.