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Factors associated with post-abortion contraceptive discontinuation
Ana Luiza Vilela Borges1, Carolina Cavalcante da Silva Ale1, Christiane Borges do Nascimento Chofakian2
1Universidade de São Paulo (USP), Escola de Enfermagem, Departamento de Enfermagem em Saúde Coletiva. São Paulo, São Paulo, Brasil.
Revista Gaucha De Enfermagem
|May 25, 2022
Summary
Post-abortion contraceptive discontinuation was high, with short-acting methods most common. Factors like younger age, higher education, more children, and delayed pregnancy desire influenced discontinuation.
Area of Science:
- Reproductive Health
- Contraception Research
- Public Health
Background:
- Short-acting contraceptive methods are prevalent among women post-abortion.
- Understanding discontinuation patterns is crucial for effective family planning.
Purpose of the Study:
- To identify factors associated with contraceptive discontinuation after abortion.
- To analyze discontinuation rates and patterns for different contraceptive methods.
Main Methods:
- Cross-sectional study of 111 women aged 18-49 in Brazil (2015-2017).
- Kaplan-Meier estimates and Cox Regression analysis were employed.
- Data collected from women reporting abortion within the preceding five years.
Main Results:
- Contraceptive discontinuation rate was 41.8% within 12 months post-abortion.
- Oral hormonal contraceptives were most frequently abandoned; male condoms had the highest failure rate.
- Younger age (≤24), higher education (≥10 years), higher parity (≥3 children), and delayed pregnancy intention were linked to discontinuation.
Conclusions:
- Short-acting methods dominate post-abortion contraceptive use.
- Discontinuation patterns differ based on contraceptive method type.
- Age, education, parity, and reproductive intentions are key factors influencing post-abortion contraceptive discontinuation.
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