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[Contraceptive prescriptions following repeated volontary induced abortions].

Abstract

OBJECTIVES

The main objective of this study was to evaluate if the increasing number of repeated abortions in France is linked to a failure to reassess post-abortion contraceptive methods.

METHODS

This is a multicentered, descriptive, retrospective study of post-abortion contraceptive practices of patients who underwent a repeated volontary abortion between September one and December 31, 2017, in four abortion centers, in public hospitals in the Alpes-Maritimes and East Var.

RESULTS

Of the 217 patients who participated to the study, 78.8% used a different contraceptive method post-abortion vs. the method used during the conception. Only 51.8% of long-acting reversible contraception (LARC) prescribed have been used at the post abortion consultation.

DISCUSSION AND CONCLUSION

The repeated abortion may be partly explained by a transient or prolonged absence of contraception. Screening for breaks in the contraceptive history is therefore essential to adapt and maintain contraception at each stage of the patient's life. Some of the professional practices which do not favour an early placement of LARC devices prescribed at the time of abortion, contrary to the new recommendations. The evolution of professional practices still seems necessary to try to help reduce the repeated use of abortion.

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  • Authors+Show Affiliations

    ,

    Cabinet médical, 4, rue Paul Déroulède, 06000 Nice, France; Sce de gynécologie obstétrique reproduction et de médecine fœtale, hôpital de l'Archet 2, université Côte d'Azur, CHU Nice, 151, route de Saint-Antoine, 06200 Nice, France. Electronic address: amelie.lheude.pro@gmail.com.

    ,

    Sce de gynécologie obstétrique, centre hospitalier intercommunal de Fréjus Saint Raphael, 240, avenue de Saint-Lambert, 83600 Fréjus, France. Electronic address: asgobenceaux@gmail.com.

    ,

    EA 2694 - santé publique : épidemiologie et qualité des soins, department of biostatistics, université de Lille, CHU Lille, 59000 Lille, France. Electronic address: machuronfrancois@hotmail.fr.

    ,

    Sce de gynécologie obstétrique, centre hospitalier de Cannes, 15, avenue des Broussailles, 06400 Cannes, France. Electronic address: o.toullalan@ch-cannes.fr.

    ,

    Sce de gynécologie obstétrique, centre hospitalier de Grasse, 28, chemin de Clavary, 06130 Grasse, France. Electronic address: asazuar@gmail.com.

    Sce de gynécologie obstétrique reproduction et de médecine fœtale, CLE en santé des Femmes (UCA-LAVAL), hôpital de l'Archet 2, université Côte d'Azur, CHU Nice, 151, route de Saint-Antoine, 06200 Nice, France. Electronic address: delotte.j@chu-nice.fr.

    Source

    Pub Type(s)

    English Abstract
    Journal Article

    Language

    fre

    PubMed ID

    31200109

    Citation

    L'Heudé, A, et al. "[Contraceptive Prescriptions Following Repeated Volontary Induced Abortions]." Gynecologie, Obstetrique, Fertilite & Senologie, 2019.
    L'Heudé A, Gobenceaux AS, Machuron F, et al. [Contraceptive prescriptions following repeated volontary induced abortions]. Gynecol Obstet Fertil Senol. 2019.
    L'Heudé, A., Gobenceaux, A. S., Machuron, F., Toullalan, O., Azuar, A. S., & Delotte, J. (2019). [Contraceptive prescriptions following repeated volontary induced abortions]. Gynecologie, Obstetrique, Fertilite & Senologie, doi:10.1016/j.gofs.2019.06.003.
    L'Heudé A, et al. [Contraceptive Prescriptions Following Repeated Volontary Induced Abortions]. Gynecol Obstet Fertil Senol. 2019 Jun 11; PubMed PMID: 31200109.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - [Contraceptive prescriptions following repeated volontary induced abortions]. AU - L'Heudé,A, AU - Gobenceaux,A-S, AU - Machuron,F, AU - Toullalan,O, AU - Azuar,A S, AU - Delotte,J, Y1 - 2019/06/11/ PY - 2018/11/29/received PY - 2019/6/15/pubmed PY - 2019/6/15/medline PY - 2019/6/15/entrez KW - Abortion KW - Avortement KW - Contraception KW - Contraception réversible à longue durée d’action KW - Induced abortion KW - Interruption volontaire de grossesse KW - Long-acting reversible contraception JF - Gynecologie, obstetrique, fertilite & senologie JO - Gynecol Obstet Fertil Senol N2 - OBJECTIVES: The main objective of this study was to evaluate if the increasing number of repeated abortions in France is linked to a failure to reassess post-abortion contraceptive methods. METHODS: This is a multicentered, descriptive, retrospective study of post-abortion contraceptive practices of patients who underwent a repeated volontary abortion between September one and December 31, 2017, in four abortion centers, in public hospitals in the Alpes-Maritimes and East Var. RESULTS: Of the 217 patients who participated to the study, 78.8% used a different contraceptive method post-abortion vs. the method used during the conception. Only 51.8% of long-acting reversible contraception (LARC) prescribed have been used at the post abortion consultation. DISCUSSION AND CONCLUSION: The repeated abortion may be partly explained by a transient or prolonged absence of contraception. Screening for breaks in the contraceptive history is therefore essential to adapt and maintain contraception at each stage of the patient's life. Some of the professional practices which do not favour an early placement of LARC devices prescribed at the time of abortion, contrary to the new recommendations. The evolution of professional practices still seems necessary to try to help reduce the repeated use of abortion. SN - 2468-7189 UR - https://www.unboundmedicine.com/medline/citation/31200109/[Contraceptive_prescriptions_following_repeated_volontary_induced_abortions.] L2 - https://linkinghub.elsevier.com/retrieve/pii/S2468-7189(19)30194-1 DB - PRIME DP - Unbound Medicine ER -