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Retrospective observational study of interventions to improve acceptance of long-acting reversible contraception following abortion at Lusaka Teaching Hospital, Zambia.
Int J Gynaecol Obstet 2018; 141(1):32-36IJ

Abstract

OBJECTIVE

To evaluate long-acting reversible contraceptive (LARC) uptake immediately after abortion at Lusaka University Teaching Hospital, Zambia in the period following an intervention to increase the acceptance of LARC.

METHODS

The present retrospective, observational study reviewed the clinical records of all patients admitted to the Lusaka University Teaching Hospital for an incomplete abortion or for a legal induced abortion between January 1 and December 31, 2016. The primary outcome measure was the proportion of adult women (aged 20-44 years) and adolescents (aged 10-19 years) who were already using an available contraceptive method at the time of hospital discharge. Contraceptive use was compared with historical data from the same institution before the intervention to increase LARC acceptance was performed.

RESULTS

Data from 3858 patients (587 adolescents and 3271 adults) were included. LARC use was recorded among 108 (18.4%) and 409 (12.5%) adolescents and adults, respectively. This compared with rates from 2011 of less than 1% and less than 4%, respectively.

CONCLUSION

The rate of LARC use at discharge following incomplete or induced abortion had increased when compared with historical control data from before the intervention program was performed; however, there remains room for improvement.

Authors+Show Affiliations

Lusaka University Teaching Hospital, Lusaka, Zambia.Lusaka University Teaching Hospital, Lusaka, Zambia.Lusaka University Teaching Hospital, Lusaka, Zambia.Center for Research in Human Reproduction of Campinas (CEMICAMP), Campinas, Brazil. Women's Hospital "Professor Doctor José Aristodemo Pinotti" - (CAISM), State University of Campinas, Campinas, Brazil.Center for Research in Human Reproduction of Campinas (CEMICAMP), Campinas, Brazil. Department of Obstetrics and Gynaecology, Faculty of Medicine, State University of Campinas, Campinas, Brazil.

Pub Type(s)

Journal Article
Observational Study

Language

eng

PubMed ID

29243249

Citation

Macha, Swebby, et al. "Retrospective Observational Study of Interventions to Improve Acceptance of Long-acting Reversible Contraception Following Abortion at Lusaka Teaching Hospital, Zambia." International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, vol. 141, no. 1, 2018, pp. 32-36.
Macha S, Muyuni M, Nkonde S, et al. Retrospective observational study of interventions to improve acceptance of long-acting reversible contraception following abortion at Lusaka Teaching Hospital, Zambia. Int J Gynaecol Obstet. 2018;141(1):32-36.
Macha, S., Muyuni, M., Nkonde, S., Pádua, K. S., & Faundes, A. (2018). Retrospective observational study of interventions to improve acceptance of long-acting reversible contraception following abortion at Lusaka Teaching Hospital, Zambia. International Journal of Gynaecology and Obstetrics: the Official Organ of the International Federation of Gynaecology and Obstetrics, 141(1), pp. 32-36. doi:10.1002/ijgo.12428.
Macha S, et al. Retrospective Observational Study of Interventions to Improve Acceptance of Long-acting Reversible Contraception Following Abortion at Lusaka Teaching Hospital, Zambia. Int J Gynaecol Obstet. 2018;141(1):32-36. PubMed PMID: 29243249.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Retrospective observational study of interventions to improve acceptance of long-acting reversible contraception following abortion at Lusaka Teaching Hospital, Zambia. AU - Macha,Swebby, AU - Muyuni,Mutinta, AU - Nkonde,Scholastica, AU - Pádua,Karla S, AU - Faundes,Anibal, Y1 - 2018/01/24/ PY - 2017/08/04/received PY - 2017/11/27/revised PY - 2017/12/13/accepted PY - 2017/12/16/pubmed PY - 2018/4/12/medline PY - 2017/12/16/entrez KW - Depot medroxyprogesterone acetate (DMPA) KW - Long-acting reversible contraceptives (LARC) KW - Midwives KW - Post-abortion contraception KW - Short-acting reversible contraceptives (SARC) KW - Task sharing SP - 32 EP - 36 JF - International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics JO - Int J Gynaecol Obstet VL - 141 IS - 1 N2 - OBJECTIVE: To evaluate long-acting reversible contraceptive (LARC) uptake immediately after abortion at Lusaka University Teaching Hospital, Zambia in the period following an intervention to increase the acceptance of LARC. METHODS: The present retrospective, observational study reviewed the clinical records of all patients admitted to the Lusaka University Teaching Hospital for an incomplete abortion or for a legal induced abortion between January 1 and December 31, 2016. The primary outcome measure was the proportion of adult women (aged 20-44 years) and adolescents (aged 10-19 years) who were already using an available contraceptive method at the time of hospital discharge. Contraceptive use was compared with historical data from the same institution before the intervention to increase LARC acceptance was performed. RESULTS: Data from 3858 patients (587 adolescents and 3271 adults) were included. LARC use was recorded among 108 (18.4%) and 409 (12.5%) adolescents and adults, respectively. This compared with rates from 2011 of less than 1% and less than 4%, respectively. CONCLUSION: The rate of LARC use at discharge following incomplete or induced abortion had increased when compared with historical control data from before the intervention program was performed; however, there remains room for improvement. SN - 1879-3479 UR - https://www.unboundmedicine.com/medline/citation/29243249/Retrospective_observational_study_of_interventions_to_improve_acceptance_of_long_acting_reversible_contraception_following_abortion_at_Lusaka_Teaching_Hospital_Zambia_ L2 - https://doi.org/10.1002/ijgo.12428 DB - PRIME DP - Unbound Medicine ER -