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Peri-abortion contraceptive care: Can we reduce the incidence of repeat abortions?

Lookup NU author(s): Dr Diana Mansour

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Abstract

Introduction. It is of great importance for repeat unwanted pregnancies to be prevented rather than aborted. We therefore sought to: determine the reasons for contraceptive failure in women seeking repeat abortions, audit ther periabortion contraception services offered at our hospital, and make recommendations regarding periabortion contraception services based on the above findings. Method. A self-administered questionnaire was used to deter-mine the contraceptive practices and details of periabortion contraceptive counselling received by 50 women undergoing a repeat, and 83 women undergoing a first-time, abortion. Results. Ninety-eight percent of women undergoing a repeat abortion reported using contraception at the time of conception, as compared to 83% of women undergoing a first-time abortion. This difference was significant (p = 0.009). Condoms were the main method used by 57% of women undergoing a repeat and 70% of women undergoing a first-time abortion. The oral contraceptive pill (OCP), including both combined oral contraceptive and progestogen-only pill, was the main method used by 37% of M,omen undergoing a repeat and 25% undergoing a first-time abortion. Both these methods were found to be ineffective because of user-dependent failures. All women received periabortion contraceptive counselling, but the perceived contents varied. Follow-up contraceptive appointments were made in less than half of women. Although most women chose an optimal contraceptive method as a result of the counselling, compliance with the chosen method in women undergoing repeat abortions was poor. Conclusions. Standards of audit were met with regards to receipt of contraceptive counselling and agreeing a contraceptive method before discharge. The content of this counselling needs ro be improved. The ineffectiveness of the OCP and barrier methods of contraception needs to be highlighted during counselling. Adequate follow-up arrangements need to be provided to ensure compliance of the chosen method of contraception.

Publication metadata

Author(s): Garg M, Singh M, Mansour D

Publication type: Article

Publication status: Published

Journal: Journal of Family Planning and Reproductive Health Care

Year: 2001

Volume: 27

Issue: 2

Pages: 77-80

ISSN (print): 1471-1893

ISSN (electronic): 2045-2098

Publisher: BMJ Group

URL: http://dx.doi.org/10.1783/147118901101195290

DOI: 10.1783/147118901101195290

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