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Comparison of contraceptive method chosen by women with and without a recent history of induced abortion.
Contraception 2011; 84(6):571-7C

Abstract

BACKGROUND

Women undergoing induced abortion may be more motivated to choose long-acting reversible contraception (LARC), including the intrauterine device (IUD) and implant, than women without a history of abortion. Our objective was to determine whether the contraceptive method chosen is influenced by a recent history of induced abortion and access to immediate postabortion contraception.

STUDY DESIGN

This was a subanalysis of the Contraceptive CHOICE Project. We compared contraception chosen by women with a recent history of abortion to women without a recent history. Participants with a recent history of abortion were divided into immediate postabortion contraception and delayed-start contraception groups.

RESULTS

Data were available for 5083 women: 3410 women without a recent abortion history, 937 women who received immediate postabortion contraception and 736 women who received delayed-start postabortion contraception. Women offered immediate postabortion contraception were more than three times as likely to choose an IUD [adjusted relative risk (RR(adj)) 3.30, 95% confidence interval (CI) 2.67-4.85] and 50% more likely to choose the implant (RR(adj) 1.51, 95%CI 1.12-2.03) compared to women without a recent abortion. There was no difference in contraceptive method selected among women offered delayed-start postabortion contraception compared to women without a recent abortion.

CONCLUSION

Women offered immediate postabortion contraception are more likely to choose the IUD and implant than women without a recent abortion history. Increasing access to immediate postabortion LARC is essential to preventing repeat unintended pregnancies.

Authors+Show Affiliations

Division of Clinical Research, Department of Obstetrics and Gynecology, Washington University in St. Louis School of Medicine, Saint Louis, MO 63110, USA. maddent@wustl.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22078185

Citation

Madden, Tessa, et al. "Comparison of Contraceptive Method Chosen By Women With and Without a Recent History of Induced Abortion." Contraception, vol. 84, no. 6, 2011, pp. 571-7.
Madden T, Secura GM, Allsworth JE, et al. Comparison of contraceptive method chosen by women with and without a recent history of induced abortion. Contraception. 2011;84(6):571-7.
Madden, T., Secura, G. M., Allsworth, J. E., & Peipert, J. F. (2011). Comparison of contraceptive method chosen by women with and without a recent history of induced abortion. Contraception, 84(6), pp. 571-7. doi:10.1016/j.contraception.2011.03.018.
Madden T, et al. Comparison of Contraceptive Method Chosen By Women With and Without a Recent History of Induced Abortion. Contraception. 2011;84(6):571-7. PubMed PMID: 22078185.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of contraceptive method chosen by women with and without a recent history of induced abortion. AU - Madden,Tessa, AU - Secura,Gina M, AU - Allsworth,Jenifer E, AU - Peipert,Jeffrey F, Y1 - 2011/05/04/ PY - 2010/11/10/received PY - 2011/03/23/revised PY - 2011/03/24/accepted PY - 2011/11/15/entrez PY - 2011/11/15/pubmed PY - 2012/3/22/medline SP - 571 EP - 7 JF - Contraception JO - Contraception VL - 84 IS - 6 N2 - BACKGROUND: Women undergoing induced abortion may be more motivated to choose long-acting reversible contraception (LARC), including the intrauterine device (IUD) and implant, than women without a history of abortion. Our objective was to determine whether the contraceptive method chosen is influenced by a recent history of induced abortion and access to immediate postabortion contraception. STUDY DESIGN: This was a subanalysis of the Contraceptive CHOICE Project. We compared contraception chosen by women with a recent history of abortion to women without a recent history. Participants with a recent history of abortion were divided into immediate postabortion contraception and delayed-start contraception groups. RESULTS: Data were available for 5083 women: 3410 women without a recent abortion history, 937 women who received immediate postabortion contraception and 736 women who received delayed-start postabortion contraception. Women offered immediate postabortion contraception were more than three times as likely to choose an IUD [adjusted relative risk (RR(adj)) 3.30, 95% confidence interval (CI) 2.67-4.85] and 50% more likely to choose the implant (RR(adj) 1.51, 95%CI 1.12-2.03) compared to women without a recent abortion. There was no difference in contraceptive method selected among women offered delayed-start postabortion contraception compared to women without a recent abortion. CONCLUSION: Women offered immediate postabortion contraception are more likely to choose the IUD and implant than women without a recent abortion history. Increasing access to immediate postabortion LARC is essential to preventing repeat unintended pregnancies. SN - 1879-0518 UR - https://www.unboundmedicine.com/medline/citation/22078185/Comparison_of_contraceptive_method_chosen_by_women_with_and_without_a_recent_history_of_induced_abortion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0010-7824(11)00150-8 DB - PRIME DP - Unbound Medicine ER -