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Repeat abortion and contraceptive use. Report from an Interview Study in Stockholm
1Department of Obstetrics and Gynecology, Karolinska Hospital, Stockholm, Sweden.
Gynecologic and Obstetric Investigation
|January 1, 1994
Summary
Many women temporarily stop using contraceptives, leading to unintended pregnancies and abortions. Improving contraceptive access and involving men in family planning can help prevent repeat abortions.
Area of Science:
- Reproductive Health
- Sociology of Health
- Public Health
Background:
- Legal abortion on demand has been available in Sweden for a decade.
- Understanding factors influencing abortion decisions is crucial for public health initiatives.
Purpose of the Study:
- To explore the circumstances and decision-making factors for women seeking abortions.
- To identify potential strategies for reducing abortion rates, particularly repeat abortions.
Main Methods:
- Conducted semistructured interviews with a random sample of 120 women seeking abortions in Stockholm.
- Differentiated between first-time aborters (75) and repeat aborters (45).
Main Results:
- Contraceptive use patterns were similar between first-time and repeat aborters.
- A significant proportion (70%) in both groups were temporarily without contraception at conception.
- Repeat aborters reported more difficult family circumstances.
- Male partners and family circumstances were key factors in abortion decisions.
Conclusions:
- Family planning programs should actively include men.
- Preventing abortions generally, by ensuring widespread contraceptive acceptance and accessibility, is key to reducing repeat abortions.
- Addressing temporary lapses in contraceptive use is essential for reducing unintended pregnancies.
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