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Introduction of postabortion contraception, prioritizing long-acting reversible contraceptives, in the principal maternity hospital of Gabon.
Int J Gynaecol Obstet 2014; 126 Suppl 1:S45-8IJ

Abstract

A prospective, descriptive, analytic study was conducted at the Centre Hospitalier de Libreville in Gabon between February and September 2013 to evaluate acceptance of long-acting reversible contraceptives (LARC) and depot-medroxyprogesterone acetate (DMPA) following abortion. Women received counseling on the combined oral pill, DMPA, copper intrauterine devices (IUDs), and implants. The association between sociodemographic and clinical characteristics, knowledge of contraceptives, and acceptance was analyzed. Of the 383 women admitted with abortion complications, 206 (53.7%) knew of no systemic contraceptives. The best-known method was the oral pill (42.0%). Only 14 women (3.6%) knew of a LARC method (IUD or implants) and only 2 (0.5%) said the injectable was their best-known method. Over 90% accepted a modern contraceptive method after abortion. Two-thirds (66.8%) chose the pill, 14.6% DMPA, and 9.3% a LARC method. Only 9.1% of the women refused to initiate use of any method.

Authors+Show Affiliations

University of Health Sciences, Libreville, Gabon. Electronic address: smayi3@yahoo.fr.Department of Obstetrics and Gynecology, Teaching Center Hospital, Libreville, Gabon.Department of Obstetrics and Gynecology, Teaching Center Hospital, Libreville, Gabon.Department of Obstetrics and Gynecology, Teaching Center Hospital, Libreville, Gabon.Department of Obstetrics and Gynecology, Teaching Center Hospital, Libreville, Gabon.Campinas Center for Research in Reproductive Health (CEMICAMP), Campinas, SP, Brazil.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

24745694

Citation

Mayi-Tsonga, Sosthène, et al. "Introduction of Postabortion Contraception, Prioritizing Long-acting Reversible Contraceptives, in the Principal Maternity Hospital of Gabon." International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, vol. 126 Suppl 1, 2014, pp. S45-8.
Mayi-Tsonga S, Obiang PA, Minkobame U, et al. Introduction of postabortion contraception, prioritizing long-acting reversible contraceptives, in the principal maternity hospital of Gabon. Int J Gynaecol Obstet. 2014;126 Suppl 1:S45-8.
Mayi-Tsonga, S., Obiang, P. A., Minkobame, U., Ngouafo, D., Ambounda, N., & de Souza, M. H. (2014). Introduction of postabortion contraception, prioritizing long-acting reversible contraceptives, in the principal maternity hospital of Gabon. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, 126 Suppl 1, pp. S45-8. doi:10.1016/j.ijgo.2014.03.012.
Mayi-Tsonga S, et al. Introduction of Postabortion Contraception, Prioritizing Long-acting Reversible Contraceptives, in the Principal Maternity Hospital of Gabon. Int J Gynaecol Obstet. 2014;126 Suppl 1:S45-8. PubMed PMID: 24745694.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Introduction of postabortion contraception, prioritizing long-acting reversible contraceptives, in the principal maternity hospital of Gabon. AU - Mayi-Tsonga,Sosthène, AU - Obiang,Pamphile Assoumou, AU - Minkobame,Ulysse, AU - Ngouafo,Doris, AU - Ambounda,Nathalie, AU - de Souza,Maria Helena, Y1 - 2014/03/30/ PY - 2014/4/22/entrez PY - 2014/4/22/pubmed PY - 2015/2/11/medline KW - DMPA KW - FIGO initiative KW - Gabon KW - Long-acting reversible contraceptives KW - Postabortion contraception KW - Prevention KW - Unsafe abortion SP - S45 EP - 8 JF - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JO - Int J Gynaecol Obstet VL - 126 Suppl 1 N2 - A prospective, descriptive, analytic study was conducted at the Centre Hospitalier de Libreville in Gabon between February and September 2013 to evaluate acceptance of long-acting reversible contraceptives (LARC) and depot-medroxyprogesterone acetate (DMPA) following abortion. Women received counseling on the combined oral pill, DMPA, copper intrauterine devices (IUDs), and implants. The association between sociodemographic and clinical characteristics, knowledge of contraceptives, and acceptance was analyzed. Of the 383 women admitted with abortion complications, 206 (53.7%) knew of no systemic contraceptives. The best-known method was the oral pill (42.0%). Only 14 women (3.6%) knew of a LARC method (IUD or implants) and only 2 (0.5%) said the injectable was their best-known method. Over 90% accepted a modern contraceptive method after abortion. Two-thirds (66.8%) chose the pill, 14.6% DMPA, and 9.3% a LARC method. Only 9.1% of the women refused to initiate use of any method. SN - 1879-3479 UR - https://www.unboundmedicine.com/medline/citation/24745694/Introduction_of_postabortion_contraception_prioritizing_long_acting_reversible_contraceptives_in_the_principal_maternity_hospital_of_Gabon_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0020-7292(14)00162-3 DB - PRIME DP - Unbound Medicine ER -