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Acceptance and Continuation of Contraceptive Methods Immediate Postabortion
Shu-Ping Hou1, Wen-Lei Zhu, Shu-Min Li
1Department of Gynaecology and Obstetrics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China.
Preabortion counseling improved contraceptive continuation after abortion. Intrauterine devices (IUDs) showed higher continuation rates than combined oral contraceptives (COCs) or condoms at six months.
Area of Science:
- Reproductive Health
- Contraception
- Abortion Care
Background:
- Preabortion contraceptive counseling may decrease repeat abortions.
- This study evaluated contraceptive acceptance and continuation postabortion.
Purpose of the Study:
- To compare acceptance and continuation rates of IUDs, COCs, and condoms after abortion.
- To assess the impact of preabortion counseling on contraceptive method choice.
Main Methods:
- Prospective study of women receiving first-trimester abortion and preabortion counseling.
- Contraceptive choice based on counseling, not prior use.
- 6-month follow-up for contraceptive continuation and repeat abortions.
Main Results:
- 64.2% continued IUD use, 10% continued COCs, and 51.5% continued condoms at 6 months.
- Factors favoring IUDs included higher age, marriage, parity, and prior abortion.
- Higher education was associated with COC and condom selection.
Conclusions:
- Combined oral contraceptive continuation postabortion is low, even with counseling.
- Intrauterine devices offer reliable contraception with lower discontinuation rates compared to COCs and condoms.
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