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Effect of previous induced abortions on postabortion contraception selection
Melissa Keene1, Alicia Roston2, Louis Keith1
1Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA; Division of Family Planning, Department of Obstetrics and Gynecology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
Contraception
|February 1, 2015
Summary
Women with a history of abortion or living children are more likely to choose highly effective contraception after an abortion. Integrating these methods postabortion is key to preventing future unintended pregnancies.
Area of Science:
- Reproductive Health
- Contraception
- Public Health
Background:
- Contraceptive method selection after pregnancy termination is crucial for preventing unintended pregnancies.
- Understanding factors influencing contraceptive choice in women undergoing abortion is essential for targeted interventions.
Purpose of the Study:
- To compare contraceptive method selection between women undergoing their first versus repeat pregnancy termination.
- To identify predictors of highly effective contraceptive method selection postabortion.
Main Methods:
- Retrospective analysis of 7466 women undergoing first-trimester surgical abortion.
- Comparison of contraceptive choices postabortion counseling, stratified by prior abortion history.
- Statistical analysis controlling for age, race, and number of living children.
Main Results:
- Women with a history of abortion were more likely to select highly effective contraception (OR 1.19).
- Having living children was the strongest predictor of selecting highly effective contraception (OR 3.17), independent of abortion history.
- 48.6% of women had no history of previous abortion.
Conclusions:
- Previous abortion history and having living children are significant predictors of selecting highly effective postabortion contraception.
- Integrating highly effective contraceptive methods into postabortion care is vital for reducing repeat unintended pregnancies, especially in high-risk populations.
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