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Contraceptive Provision after Medication and Surgical Abortion
Laura Laursen1, Katrina Stumbras1, Irene Lewnard1
1Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois.
Women undergoing surgical abortion were more likely to receive long-acting reversible contraception compared to those having medication abortion. This highlights a disparity in post-abortion contraception provision, emphasizing the need for equitable access to family planning services.
Area of Science:
- Reproductive Health
- Gynecology
- Public Health
Background:
- Contraception provision after induced abortion is crucial for preventing unintended pregnancies.
- Existing literature suggests potential disparities in contraceptive uptake based on abortion method.
Purpose of the Study:
- To compare the types and rates of contraception provided to patients following medication abortion versus surgical abortion.
- To identify differences in the initiation of long-acting reversible contraception (LARC) between the two groups.
Main Methods:
- Retrospective review of medical records for 824 women undergoing first-trimester induced abortion (medication or surgical) between May 2009 and May 2014.
- Contraception provided within 4 weeks of the procedure was defined as postabortal contraception.
Main Results:
- Women who underwent surgical abortion (71.1%) were significantly more likely to initiate LARC (41.9% vs. 23.2%; p < .0001) and receive any contraception overall (83% vs. 64.6%; p < .0001) compared to those who had medication abortion (28.9%).
- The follow-up rate after medication abortion was 71.7%.
Conclusions:
- Surgical abortion patients demonstrated higher odds of receiving both LARC and overall contraception compared to medication abortion patients.
- Further prospective research is recommended to explore the reasons behind these disparities and ensure all patients receive their desired contraception.
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