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Repeat abortion: facts and issues
Sangeeta Das1, Adewale Adegbenro, Susmita Ray
1Department of Obstetrics and Gynaecology, Royal Oldham Hospital, Oldham, UK. sangeetadas65@aol.com
The Journal of Family Planning and Reproductive Health Care
|April 10, 2009
Summary
Repeat termination of pregnancy (TOP) affects 2.3% of women, often due to financial reasons. Improved contraceptive counseling and partner involvement are key to reducing repeat TOP incidence.
Area of Science:
- Reproductive Health
- Gynecology
- Public Health
Background:
- Termination of pregnancy (TOP) is common in the UK, governed by the Abortion Act.
- No clear criteria exist for defining 'recurrent abortion seekers'.
- This study defines recurrent TOP seekers as women requesting at least two consecutive TOPs within 24 months.
Purpose of the Study:
- To review characteristics of women seeking repeat TOP.
- To identify factors associated with repeat TOP requests.
Main Methods:
- Evaluation of patient data from Fertility Control Services (2001-2006).
- Assessment of demographic data, contraceptive use before conception, and reasons for TOP.
- Analysis of associations between these factors and repeat TOP.
Main Results:
- The incidence of repeat TOP was 2.3% by study criteria.
- Financial circumstances were the most common reason for TOP (75%).
- Combined oral contraceptive pill and condoms were frequent prior methods; Long-Acting Reversible Contraception (LARC) use was low (8% before TOP, 2% continued use after TOP). 50% used no contraception at repeat TOP.
Conclusions:
- Peri-abortion counseling should include social workers and psychologists.
- Contraceptive counseling must address LARC side effects to improve adherence.
- Follow-up, partner involvement, and improved contraception compliance can reduce repeat TOP rates.
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