Contraceptive choices after abortion - a comparative study with general population
ESC Congress Library. Carmo Bombas T. May 10, 2018; 208165; ESC248
Dr. Teresa Alexandra Carmo Bombas
Dr. Teresa Alexandra Carmo Bombas
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Abstract
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Introduction: Women presenting for abortion care are often motivated by the unintended pregnancy to use effective contraception. In Portugal, the rate of abortion has been decreased in the last years and the rate of contraceptive used increased, which indicates that the role in contraceptive counseling as been important and effective. Objectives: The aim of this study is to evaluate the impact of an abortion in the contraceptive method choice and to compare it with the options from the general population. Material and Methods: Retrospective study of the records from the women who attended for abortion on the last 10 years at our Center and comparative the contraceptive choices after abortion with the results of the last national survey on contraceptive use. We considered two groups: Group1 (G1)- women who had abortion and Group2 (G2)- general population. Results: We evaluated 7335 women in G1 and 4003 in G2. Concerning education level, G1 had a higher rate of primary education (30.3% vs 12.9%) but a similar percentage of university degree (30.5% vs 31.5%). Fifty-eight percent of women attended a family planning appointment the previous year in G1 against almost 60% in G2. The rate of emergency contraception use was more than 3 times lower in G1 (4.6% vs 17%). On G1 the choice of a long acting reversible method (LARCs) is higher (28.2% vs 17.2%) accounting 16.9% of intrauterine contraceptive in G1 vs 11.8% in G2 and 11.3% vs 5.4% in implant use. The percentage of women using hormonal contraceptive were similar in both groups (55.5% vs 58.7%) as well as tubal ligation (3.1% vs 2.6%). Seven percent of women in G1 use vaginal ring and patch vs 5.7% in G2.  The larger difference between the two groups were registered in use of condoms and natural methods: 5,8 % in G1 compared to almost 24% in G2. Conclusions: Women who had an abortion are motivated to use more effective contraceptive methods mainly LARCs. Abortion is an important timing for contraceptive counseling. 
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