A Study on Integrating Post-Abortion Family Planning Services in Shanghai, China
ESC Congress Library. Mao H. May 28, 2014; 50448; A-031
Mr. Hongfang Mao
Mr. Hongfang Mao
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Abstract
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 Objective: To explore a new model of post-abortion family planning services. 


Methods: 3200 early pregnancy women for abortion-seeking were recruited in five hospitals in Shanghai. Two hospitals were selected randomly into intervention group and other three as control group. The intervention group used the integrating post-abortion family planning services which including education, counseling, providing contraceptives and follow-up in one service package. The control group was used the existed services. All the women in both groups were follow upped for one year and evaluated the unintended pregnancies or repeated abortion among all women during the follow-up period. Providers were interviewed for their attitude to the integrating post-abortion family planning services. 


Results: 1581women completed the one year follow-up and valid questionnaires were collected. Among them 865 were in the intervention group and 716 from the control group. In terms of knowledge about reproductive health and contraception, scores in the intervention group were significantly higher than the control group(χ2=158.19, P=0.00 RR=2.86 (95%CI :2.29~3.57)),and the utilization of contraceptives was better in the intervention group as well (χ2=10.16 P=0.01). In the 6-month follow-up, repeated abortion rate was 0.81% in the intervention group and 2.37% in the control group (χ2=6.42 P=0.01 RR=0.53 (95%CI 0.28~0.99)); in the 12-month follow-up, repeated abortion rate was 1.73% in the intervention group and 4.89% in the control group (χ2=12.73 P=0.00 RR=0.54 (95%CI 0.35~0.83)). 98.00% women were satisfied with the integrating post-abortion family planning services. Health care providers also accepted this model of services.


Conclusions: The integrating post-abortion family planning services has significant impact on promoting women's awareness, increasing contraceptive utilization, reducing unwanted pregnancies and repeated abortion. Moreover, this model of services has also been widely accepted by providers.

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