“…Our finding is similar to what has been reported in other low income countries where PAC-FP acceptance was reported to have improved following training specifically on counselling. 26 Though 70% of PAC clients opted for short-term methods of contraception over the three-year period, a gradual shift towards more effective LARC methods was observed. It is expected that clients' acceptance of LARC methods increases as misconceptions are clarified and provider skills improve over time, particularly in regard to counselling.…”
“…Our finding is similar to what has been reported in other low income countries where PAC-FP acceptance was reported to have improved following training specifically on counselling. 26 Though 70% of PAC clients opted for short-term methods of contraception over the three-year period, a gradual shift towards more effective LARC methods was observed. It is expected that clients' acceptance of LARC methods increases as misconceptions are clarified and provider skills improve over time, particularly in regard to counselling.…”
“…Researchers suggest that the experience of an abortion may make women more likely to choose highly effective contraceptive methods (Madden et al, 2011; Tripney et al, 2013). In France, 54% of women undergoing induced abortion switched to a more effective method (Moreau et al, 2010).…”
We aimed to determine whether current contraceptive use is affected by a history of abortion for women from a country with abortion-restricted laws. This is an analysis of 2006 Brazil Demographic and Health Survey. Non-pregnant women whose first pregnancy occurred in the previous five years were selected for this study (n=2,181). We used propensity score matching to compare current contraceptive use among women with induced or spontaneous abortion and women with no abortion. We found differences in the use, but women with a history of abortion did not report more effective contraceptive than women with no abortion, as we expected.
“…92 not want to discuss contraception on the day of the abortion. However, a recent review by Tripney et al [13] indicated that there was greater acceptance and/or use of modern contraceptive methods in women who had received postabortion contraceptive counseling and services as compared with women who did not receive counseling. Input from friends and family play an important role in a women's choice of contraception [14] .…”
Background/Aims: Providing preabortion contraceptive counseling for the method of contraception may reduce the incidence of repeat abortions. This study aimed to compare the acceptance and continuation rates of intrauterine devices (IUDs), combined oral contraceptives (COCs), and condom use after abortion in women who received preabortion contraceptive counseling. Methods: Women seeking a first-trimester abortion prospectively received preabortion contraceptive counseling and the choice of method of contraception was based on the counseling and not related to prior methods of birth control. Outcomes included continuation of postabortion contraceptive use and repeat abortions over a 6-month follow-up period. Results: Four hundred and fifty-five women (IUD group: n = 161; COC group: n = 149; condom group: n = 135) completed 6-month follow-up after the abortions. At the sixth month follow-up, patients continued using the IUD, COC, and condoms for contraception were 64.2, 10, and 51.5%, respectively. Higher age, being married, parity ≥1, and previous abortion were factors that were associated with more frequent selection of an IUD, while a higher education level was associated with a more frequent selection of COC and condoms. Conclusion: The continued use of COCs after abortion is low even with preabortion contraceptive counseling. The IUD offers reliable birth control with a lower discontinuation rate than COCs or condoms.
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