The effectiveness of contraceptive counseling for women in the postabortion period: an intervention study

Ferreira, Ana Laura Carneiro Gomes; Souza, Ariani Impieri de; Pessoa, Rafaela Evangelista; Braga, Cynthia

doi:10.1016/j.contraception.2011.02.003

Cited by 32 publications

(58 citation statements)

References 21 publications

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“…The medical history of each patient was reviewed, and a physical examination was performed by a gynecologist. After providing informed consent, women received standardized contraceptive counseling from the physician based on guidelines for postabortion family planning issued by the Chinese family planning association [4] , which is similar to that reported by Carneiro Gomes Ferreira et al [7] . Before the abortion, women presenting with a request for an abortion were not generally offered postabortion care or introduced to modern methods of contraception.…”

Section: Recruitment and Study Designsupporting

confidence: 64%

Acceptance and Continuation of Contraceptive Methods Immediate Postabortion

Hou

Zhu²,

Li³

et al. 2016

Gynecol Obstet Invest

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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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Section: Recruitment and Study Designsupporting

confidence: 64%

Acceptance and Continuation of Contraceptive Methods Immediate Postabortion

Hou

Zhu²,

Li³

et al. 2016

Gynecol Obstet Invest

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“…Four of the studies took place in developed countries: Iceland,20 Italy,17 Scotland19 and the USA 22. The remaining two studies were carried out in newly industrialised countries: China21 and Brazil 18…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of peri-abortion counselling in preventing subsequent unplanned pregnancy: a systematic review of randomised controlled trials

Stewart

McCall

McPherson

et al. 2015

J Fam Plann Reprod Health Care

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This review found no evidence of effect resulting from enhanced peri-abortion contraceptive counselling on subsequent unplanned pregnancy rate or the uptake of LARC. However, these findings are limited by the small number of relevant studies available and the marked heterogeneity between published studies. Further, larger-scale RCTs should be undertaken to ensure that there is sufficient power to detect an effect.

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“…When .04 12 (8)(9)(10)(11)(12)(13)(14) ,.001 12 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) ,.001 Facebook 6 (3-8) 15 (13)(14)(15)(16)(17) 36 (28-44) 18-25 y Pamphlet 6.5 (4)(5)(6)(7)(8)(9)(10) .02 11 (7.5-14) .02 12 (8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) ,.001 .86 11 (11)(12) .02 16 (12)(13)(14)(15)…”

Section: Resultsunclassified

“…Studies have shown that personalization of standard inperson postabortion contraception counseling increases acceptance and use of contraceptives by patients. 9 Affecting increases in patient knowledge and retention and increasing the use of Tier I contraceptives (IUDs, implants, sterilization) should be the goal for contraceptive counseling.…”

Section: Discussionmentioning

confidence: 99%

“…7 Whether it is contraception or other medical conditions, patients need a counseling method that is familiar and accessible when seeking medical information. 8,9 Recent advances in Internet connectivity and social technology have led to the social media era of communication. Social media includes web sites such as Facebook, Twitter, MySpace, and YouTube.…”

Section: Level Of Evidence: Imentioning

confidence: 99%

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