Portugal: Trends in contraception use after abortion
ESC Congress Library. Antunes D. May 10, 2018; 208163; ESC245
Dora Antunes
Dora Antunes
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Abstract
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Introduction Abortion by women request is allowed until 10 weeks and 6 days, since 2007. Abortion and the family planning methods are free of charge for all women resident in Portugal. The prevalence of contraception use rises from 85% in 2005 to 94% in 2015, and since 2011, there were a decrease in the number of abortion. Objective To assess the differences in contraception choice after abortion in the last ten years. Methods Retrospective and comparative analyses of 1332 women who request an abortion in 2007-2009 (group 1 - first 2 years since legal abortion) and in 2015-2016 (group 2 - last 2 years since legal abortion). Statistical analysis was performed using IBM SPSS Statistics v22 applying the Chi square and the Student's t tests. The results were statistically significant when p-value 0.020), superior level of education (25.2% vs 35.8%, p0.002). In both groups, women were mostly single (52.0% vs 54.1%, p=0.45). The percentage of women who attended a family planning consultation in the previous year were 99.4% in group 1 and 51.0% in group 2 (p<0.001). In both groups, the majority of women decided to use a contraceptive method after abortion (96.6% vs 86.0%, p<0.001) - in group 1, the pills were the favorite choice (58.7%) while women in group 2 preferred long action reversible contraceptives - LARCs (42,1%). In 2015-2016 only 2.1% of women used emergency contraception. Discussion/Conclusions Although national data reveal an increase in contraception use in the last years, in our study we verified that the percentage of women who attend at the last appointment and registered has having of a contraceptive choice were lower, probably due to economic difficulties and consultation absenteeism after abortion. The increasing use of LARCs are consistent with the published data. Emergency contraception used is still limited.
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