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Uptake and adherence to long-acting reversible contraception post-abortion.
Contraception 2010; 82(4):345-53C

Abstract

BACKGROUND

This study aimed to increase use of long-acting reversible contraceptive (LARC) methods by women post-abortion.

STUDY DESIGN

Ten-week intervention at a public abortion clinic involving free access to three LARC methods (DMPA, LNG-IUS, Multiload Cu375); posters promoting LARC; updated information for clinic staff.

OUTCOME MEASURES

change in the proportion of women choosing LARC prior to and during the intervention; rate of follow-up and method retention at 6 weeks and at 6 months post-abortion.

RESULTS

Use of post-abortion LARC increased significantly from 44% at baseline (226/510) to 61% (310/510) during the intervention (p<.001). Use of LNG-IUS increased almost sixfold from 6% to 36%. Follow-up rates were 71% at 6 weeks (221/310) and 74% at 6 months (184/249). Method retention was 89% at 6 weeks (197/221) and 86% at 6 months (159/184).

CONCLUSION

Uptake of LARC by women post-abortion can be achieved by increasing access to these methods - by eliminating cost and raising awareness and benefits of long-acting methods among both clinicians and patients.

Authors+Show Affiliations

Women's Health Research Centre, Department of Primary Health Care and General Practice, University of Otago, Wellington South, New Zealand. sally.rose@otago.ac.nzNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

20851228

Citation

Rose, Sally B., et al. "Uptake and Adherence to Long-acting Reversible Contraception Post-abortion." Contraception, vol. 82, no. 4, 2010, pp. 345-53.
Rose SB, Lawton BA, Brown SA. Uptake and adherence to long-acting reversible contraception post-abortion. Contraception. 2010;82(4):345-53.
Rose, S. B., Lawton, B. A., & Brown, S. A. (2010). Uptake and adherence to long-acting reversible contraception post-abortion. Contraception, 82(4), pp. 345-53. doi:10.1016/j.contraception.2010.04.021.
Rose SB, Lawton BA, Brown SA. Uptake and Adherence to Long-acting Reversible Contraception Post-abortion. Contraception. 2010;82(4):345-53. PubMed PMID: 20851228.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Uptake and adherence to long-acting reversible contraception post-abortion. AU - Rose,Sally B, AU - Lawton,Beverley A, AU - Brown,Selina A, Y1 - 2010/05/26/ PY - 2009/11/06/received PY - 2010/04/16/revised PY - 2010/04/20/accepted PY - 2010/9/21/entrez PY - 2010/9/21/pubmed PY - 2011/2/8/medline SP - 345 EP - 53 JF - Contraception JO - Contraception VL - 82 IS - 4 N2 - BACKGROUND: This study aimed to increase use of long-acting reversible contraceptive (LARC) methods by women post-abortion. STUDY DESIGN: Ten-week intervention at a public abortion clinic involving free access to three LARC methods (DMPA, LNG-IUS, Multiload Cu375); posters promoting LARC; updated information for clinic staff. OUTCOME MEASURES: change in the proportion of women choosing LARC prior to and during the intervention; rate of follow-up and method retention at 6 weeks and at 6 months post-abortion. RESULTS: Use of post-abortion LARC increased significantly from 44% at baseline (226/510) to 61% (310/510) during the intervention (p<.001). Use of LNG-IUS increased almost sixfold from 6% to 36%. Follow-up rates were 71% at 6 weeks (221/310) and 74% at 6 months (184/249). Method retention was 89% at 6 weeks (197/221) and 86% at 6 months (159/184). CONCLUSION: Uptake of LARC by women post-abortion can be achieved by increasing access to these methods - by eliminating cost and raising awareness and benefits of long-acting methods among both clinicians and patients. SN - 1879-0518 UR - https://www.unboundmedicine.com/medline/citation/20851228/Uptake_and_adherence_to_long_acting_reversible_contraception_post_abortion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-7824(10)00158-7 DB - PRIME DP - Unbound Medicine ER -