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Contraceptive use among post-abortion women in France: A quantitative study
Matthieu Calafiore1,2,3, Charlotte Lebreton1, Judith Ollivon1
1District of General Practice, University of Lille, Lille, France.
Background:
Voluntary termination of pregnancy (VTP) is a subject of ongoing debate throughout the world. The number of abortions continues to rise each year, with 234,300 recorded in France in 2022. This study aims to quantitatively assess changes in contraceptive methods before and after abortion among women in the Hauts-de-France region with a view to improving their care, promoting their sexual well-being and reducing the number of repeat abortions.
Method:
A quantitative, retrospective, descriptive study was carried out using the records of women followed up by general practitioners in Hauts-de-France. The study ran from 15 March 2024-3 September 2024.
Results:
A total of 63 questionnaires were analysed. Most participants were women aged between 26 and 35, living with a partner. Before the abortion, 56.3 % of the women were not using any contraception. After the abortion, 70.5 % of women changed their contraceptive method immediately, and 25 % did so within six months of the abortion. After the abortion and at 6 months, the results were stable overall, with most women choosing Long-Acting Reversible Contraception, but 11 % (n = 7) remaining without any contraception. Of the participants, 12 % (n = 7) had a repeat abortion, of whom 4 were using the pill, 1 was on a copper IUD, and 2 were not using any contraception.
Conclusion:
After an abortion, most women opt for a contraceptive method, mainly implants and IUDs. It is important that every woman receives adequate information to make informed choices about family planning.
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