Introduction of postabortion contraception, prioritizing long‐acting reversible contraceptives, in the principal maternity hospital of Gabon

Abstract

a b s t r a c t a r t i c l e i n f oKeywords: DMPA FIGO initiative Gabon Long-acting reversible contraceptives Postabortion contraception Prevention Unsafe abortion A prospective, descriptive, analytic study was conducted at the Centre Hospitalier de Libreville in Gabon between February and September 2013 to evaluate acceptance of long-acting reversible contraceptives (LARC) and depotmedroxyprogesterone acetate (DMPA) following abortion. Women received counseling on the combined oral pill, DMPA, copper intrauterine devices (IUDs), and implants. The association between sociodemographic and clinical characteristics, knowledge of contraceptives, and acceptance was analyzed. Of the 383 women admitted with abortion complications, 206 (53.7%) knew of no systemic contraceptives. The best-known method was the oral pill (42.0%). Only 14 women (3.6%) knew of a LARC method (IUD or implants) and only 2 (0.5%) said the injectable was their best-known method. Over 90% accepted a modern contraceptive method after abortion. Two-thirds (66.8%) chose the pill, 14.6% DMPA, and 9.3% a LARC method. Only 9.1% of the women refused to initiate use of any method.

The promotion of intrauterine contraception in low- and middle-income countries: a narrative review

“…Nine publications, summarized in Table 2, concerned contraceptive counseling and provision following birth, abortion or miscarriage [16][17][18][19][20][21][22][23][24]. A major effort to provide postpartum IUD services in six countries, three in Asia and three in Africa, involved 330 hospitals in India and 78 health facilities (mainly hospitals) in the other countries.…”

Immediate postpartum insertion of intrauterine devices: experience of maternity ward of the university and teaching hospital of Treichville, Abidjan

“…Several authors have thus demonstrated in developing countries, that clandestine abortion rate was higher for low socioeconomic patients. 6,9,10 Sociodemographic characteristics of our population confirmed a real need for contraception and the IUD is a suitable solution.…”

Predictors of Women’s Emergency Contraception Use and Men’s Support of Partner’s Use among College Students

“…In one study of women ages 18-35, ambivalence regarding contraception use was linked to lower rates of contraception use (hence, higher risk for pregnancy and subsequent abortion) (Neustadt, Holmquist, Davis, & Gilliam, 2011). In other studies outside of the U.S., the majority of women who received post-abortion counseling were either unaware of modern contraceptive methods or were not using them at the time of their pregnancy (Ceylan, Ertem, Saka, & Akdeniz, 2009;Mayi-Tsonga, Obiang, Minkobame, Ngouafo, Ambounda, & DeSousa, 2014). However, following counseling, the majority of them accepted and used contraception at follow-up.…”