Effectiveness of preabortion counseling on postabortion contraceptive use

Bender, Sóley S.; Geirsson, Reynir Tómas

doi:10.1016/j.contraception.2003.12.014

Cited by 48 publications

(54 citation statements)

References 20 publications

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“…We did, however, obtain a sample size similar to the one calculated. The dropout rate was high (41%) but close to those of the trials in Iceland and the UK 6,7 .…”

Section: Discussionsupporting

confidence: 56%

“…However, randomized trials have produced a mixed picture [6][7][8] . The Icelandic trial failed to demonstrate an effect of intensive pre-abortion counselling on contraceptive use during a follow-up of four to six months 7 .…”

Section: Discussionmentioning

confidence: 97%

“…Contraceptive counselling reduces the number of repeat abortions 4,5 , without suppressing all of these 6 . Few randomized trials have evaluated the impact of this counselling on contraceptive use among abortion-seeking women [6][7][8] , and none was conducted in developing countries. The interventions have to be adapted to the Chinese socio-cultural context and the rapid economic development, as well as the huge migration from rural areas to cities 9 .…”

Section: Introductionmentioning

confidence: 99%

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Impact of post-abortion family planning services on contraceptive use and abortion rate among young women in China: a cluster randomised trial

Zhu

Zhang

Chen³

et al. 2009

The European Journal of Contraception & Reproductive Health

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“…We did, however, obtain a sample size similar to the one calculated. The dropout rate was high (41%) but close to those of the trials in Iceland and the UK 6,7 .…”

Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Impact of post-abortion family planning services on contraceptive use and abortion rate among young women in China: a cluster randomised trial

Zhu

Zhang

Chen³

et al. 2009

The European Journal of Contraception & Reproductive Health

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“…Despite this, research generally illuminates the deficiencies in these services both in Ho Chi Minh City and in other regions in Vietnam (Nguyen, Gammeltoft, and Rasch 2007;Xinh et al 2004). While studies conducted in Turkey, Iceland and Italy have investigated and documented pre-abortion counselling effectiveness (Bender and Geirsson 2004;Nobili et al 2007;Ortayli, Bulut, and Nalbant 2001), few have done so in urban Vietnam. Pertaining to Vietnam, documenting native provider discourses on pre-abortion counselling is essential because providers working in abortion services are more likely to be well-versed in abortion-seeking clients' needs than other health and non-health professionals.…”

Section: Introductionmentioning

confidence: 96%

“…This counselling also gives service providers the opportunity to dispel negative attitudes and false beliefs regarding sex and contraception (Bender and Geirsson 2004). Pre-abortion counselling further acts as a contact point to provide 'continuity of family planning care' and follow-up treatment of complications for abortion-seeking clients (WHO 1997, 15).…”

Section: Introductionmentioning

confidence: 99%

Guiding change: provider voices in youth pre-abortion counselling in urban Vietnam

Nguyen

Martin

Chinh³

et al. 2010

Culture, Health & Sexuality

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Pre-abortion counselling has a role in promoting safe sex practices and in preventing repeated unplanned pregnancies and repeated abortions among abortion-seeking women. Such counselling is essential in Vietnam, especially given the common use of abortion. Arguably, in Ho Chi Minh City, Vietnam, the delivery of pre-abortion counselling is more urgent for young women, who have historically been ignored by State reproductive health initiatives and are increasingly exposed to transmission of sexually transmitted infections (STIs), unplanned pregnancies and abortion. This paper charts urban Vietnamese service providers' discourses in pre-abortion counselling specific for reducing risks of additional unwanted pregnancies, repeat abortion and STI/HIV transmission among young Vietnamese women. Thirteen providers working in counselling delivery, management and programme-planning at the Reproductive Health Care Centre of Ho Chi Minh City participated in this study. Through qualitative interviews, this paper elicits a range of provider attitudes, considerations and approaches in pre-abortion counselling and presents these discourses using participant anecdotes. Demonstrated among participant responses were five key pre-abortion counselling phases for promoting effective family planning among young women. Topics covered in these counselling phases included abortion complications, post-abortion fertility return, contraception, behaviour change and STI/HIV prevention and sexual and reproductive health basics (SRH). The service provider discourses gleaned from this study are foundational for further research and development of best practice guidelines in pre-abortion counselling.

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Interventions for encouraging sexual behaviours intended to prevent cervical cancer

Shepherd

Frampton

Harris

2011

Cochrane Database of Systematic Reviews

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Background Human papillomavirus (HPV) is the key risk factor for cervical cancer. Continuing high rates of HPV and other sexually transmitted infections (STIs) in young people demonstrate the need for effective behavioural interventions. Objectives To assess the effectiveness of behavioural interventions for young women to encourage safer sexual behaviours to prevent transmission of STIs (including HPV) and cervical cancer. Search methods Systematic literature searches were performed on the following databases: Cochrane Central Register of Controlled Trials (CENTRAL Issue 4, 2009) Cochrane Gynaecological Cancer Review Group (CGCRG) Specialised Register, MEDLINE, EMBASE, CINAHL, PsychINFO, Social Science Citation Index and Trials Register of Promoting Health Interventions (TRoPHI) up to the end of 2009. All references were screened for inclusion against selection criteria. Selection criteria Randomised controlled trials (RCTs) of behavioural interventions for young women up to the age of 25 years that included, amongst other things, information provision about the transmission and prevention of STIs. Trials had to measure behavioural outcomes (e.g. condom use) and/or biological outcomes (e.g. incidence of STIs, cervical cancer). Data collection and analysis A narrative synthesis was conducted. Meta-analysis was not considered appropriate due to heterogeneity between the interventions and trial populations. Main results A total of 5271 references were screened and of these 23 RCTs met the inclusion criteria. Most were conducted in the USA and in health-care clinics (e.g. family planning). The majority of interventions provided information about STIs and taught safer sex skills (e.g. communication), occasionally supplemented with provision of resources (e.g. free sexual health services). They were heterogeneous in duration, contact time, provider, behavioural aims and outcomes. A variety of STIs were addressed including HIV and chlamydia. None of the trials explicitly mentioned HPV or cervical cancer prevention. Statistically significant effects for behavioural outcomes (e.g. increasing condom use) were common, though not universal and varied according to the type of outcome. There were no statistically significant effects of abstaining from or reducing sexual activity. There were few statistically significant effects on biological (STI) outcomes. Considerable uncertainty exists in the risk of bias due to incomplete or ambiguous reporting. Authors’ conclusions Behavioural interventions for young women which aim to promote sexual behaviours protective of STI transmission can be effective, primarily at encouraging condom use. Future evaluations should include a greater focus on HPV and its link to cervical cancer, with long-term follow-up to assess impact on behaviour change, rates of HPV infection and progression to cervical cancer. Studies should use an RCT design where possible with integral process evaluation and cost-effectiveness analysis where appropriate. Given the predominance of USA studies in t...

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Effectiveness of preabortion counseling on postabortion contraceptive use

Cited by 48 publications

References 20 publications

Impact of post-abortion family planning services on contraceptive use and abortion rate among young women in China: a cluster randomised trial

Impact of post-abortion family planning services on contraceptive use and abortion rate among young women in China: a cluster randomised trial

Guiding change: provider voices in youth pre-abortion counselling in urban Vietnam

Interventions for encouraging sexual behaviours intended to prevent cervical cancer

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