Effect of post abortion care on contraception behavior in women seeking for artificial abortion
ESC Congress Library. Xu L. 05/28/14; 50623; A-208 Disclosure(s): This study was supported by China women\'s development foundation.Jing-ICP-01032862
Prof. Liangzhi Xu
Prof. Liangzhi Xu
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Abstract
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Objective: To investigate the requirement and effect of post abortion care on contraceptive behavior in women seeking artificial abortion.


Methods: Non concurrent clinical trial. Participants: women come to the Outpatient Department of Obstetrics & Gynecology, West China Second University Hospital, Sichuan University and seeking for artificial abortion due to unintended pregnancy or fetal anomaly. Control group: those came from August 1, 2011 to September 30, 2011 and accepted routine post abortion care. Treatment group: those came from October 25, 2011 to April 10, 2012 and accepted both routine care and strengthening post abortion care which included intensive consultation, education, and demonstration of selection and use of different contraceptive methods correctly. All women were interviewed at entrance and followed at 1, 3, and 6 months after abortion. Questionnaire specially designed were used for baseline interview and follow up. Comparisons between treatment and control group were conducted by chi-square test.


Results: 200 women in each group were included, the age ranged from 15 to 45 years old. Among them 30(7.5%) were due to fetal anomaly, others were due to unintended pregnancy. The total previous abortion rate at the baseline interview was 58.5%. Among those with previous abortion, 56.2% did not use any contraceptive methods. While among those who used contraceptive methods, 52.5% unintended pregnancy occurred due to rhythm method or coitus interruptus. Among all included women, 24.2% did not have any knowledge of contraception, 67.2% did not know how to select appropriate contraceptive methods for them even they had general information about contraception, 97.5% think it is necessary to include special consultation service in post abortion care. Compared to control group, the treatment group had higher follow up rate (143 person vs. 92 person, P<0.01), lower sexual activity rate within 4 weeks after abortion (3.5% vs. 10.8%,P<0.05), higher contraceptive methods use rate at 1st coitus after abortion (92.7% vs. 82%, P<0.05), higher continuous condom use rate (70.9% vs. 53.4%, P<0.01), higher correct use rate of condom  (81.3% vs. 60.3%, P<0.01), lower unintended pregnancy rate within half year of this abortion (1.5% vs. 7.0%, P>0.05).


Conclusion: strengthening care after abortion is necessary and might improve the correct and continuous rate of contraception use in women.

 


Objective: To investigate the requirement and effect of post abortion care on contraceptive behavior in women seeking artificial abortion.


Methods: Non concurrent clinical trial. Participants: women come to the Outpatient Department of Obstetrics & Gynecology, West China Second University Hospital, Sichuan University and seeking for artificial abortion due to unintended pregnancy or fetal anomaly. Control group: those came from August 1, 2011 to September 30, 2011 and accepted routine post abortion care. Treatment group: those came from October 25, 2011 to April 10, 2012 and accepted both routine care and strengthening post abortion care which included intensive consultation, education, and demonstration of selection and use of different contraceptive methods correctly. All women were interviewed at entrance and followed at 1, 3, and 6 months after abortion. Questionnaire specially designed were used for baseline interview and follow up. Comparisons between treatment and control group were conducted by chi-square test.


Results: 200 women in each group were included, the age ranged from 15 to 45 years old. Among them 30(7.5%) were due to fetal anomaly, others were due to unintended pregnancy. The total previous abortion rate at the baseline interview was 58.5%. Among those with previous abortion, 56.2% did not use any contraceptive methods. While among those who used contraceptive methods, 52.5% unintended pregnancy occurred due to rhythm method or coitus interruptus. Among all included women, 24.2% did not have any knowledge of contraception, 67.2% did not know how to select appropriate contraceptive methods for them even they had general information about contraception, 97.5% think it is necessary to include special consultation service in post abortion care. Compared to control group, the treatment group had higher follow up rate (143 person vs. 92 person, P<0.01), lower sexual activity rate within 4 weeks after abortion (3.5% vs. 10.8%,P<0.05), higher contraceptive methods use rate at 1st coitus after abortion (92.7% vs. 82%, P<0.05), higher continuous condom use rate (70.9% vs. 53.4%, P<0.01), higher correct use rate of condom  (81.3% vs. 60.3%, P<0.01), lower unintended pregnancy rate within half year of this abortion (1.5% vs. 7.0%, P>0.05).


Conclusion: strengthening care after abortion is necessary and might improve the correct and continuous rate of contraception use in women.

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