Post-abortion contraception: care and practices

Borges, Ana Luiza Vilela; Monteiro, Renata Luciria; Hoga, Luiza Akiko Komura; Fujimori, Elizabeth; Chofakian, Christiane Borges do Nascimento; Santos, Osmara Alves dos

doi:10.1590/0104-1169.3240.2415

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Revista Latino-Americana de Enfermagem

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Original Articles • Rev. Latino-Am. Enfermagem 22 (02) • Mar-Apr 2014 • https://doi.org/10.1590/0104-1169.3240.2415 copy

Post-abortion contraception: care and practices¹ 1 Supported by Apoio financeiro da Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), process # 2010/15298-0

Authorship SCIMAGO INSTITUTIONS RANKINGS

OBJECTIVE:

to analyze assistance regarding contraception methods received by women during hospitalization due to abortion, and contraceptive practices the month after this episode.

METHODS:

a longitudinal study of women hospitalized due to abortion in a public hospital in the city of São Paulo. Face-to-face interviews (n=170) followed by telephone interviews in the subsequent month (n=147) were conducted between May and December of 2011.

RESULTS:

a small number of women reported they received guidance on, and prescription for, contraceptive methods at hospital discharge. A trend of statistical significance was identified for prescription of contraceptive methods at discharge and its use in the following month, when adjusted for age. Most women reported sexual intercourse (69.4%) with the use of contraceptive method (82.4%), but no health professional guidance (63.1%).

CONCLUSION:

despite the fact that post-abortion contraception assistance was lower than the recommended guidelines by public health policies, women demonstrated willingness to use contraceptive methods.

Contraception; Abortion; Health Care (Public Health).

Characteristics		n	%
Age (years)
	15-24	54	31.8
	25-34	69	40.6
	≥35	47	27.6
Ethnicity
	White	79	46.5
	Mixed	57	33.5
	Black	26	15.3
	Asian	6	3.5
	Indigenous	2	1.2
Paid work
	No	69	40.6
	Yes	101	59.4
Marital status
	Living with a partner	128	75.3
	Living without a partner	42	24.7
Religion
	Catholic	74	43.5
	Protestant	50	29.4
	None	34	20.0
	Others	12	7.1
Children
	No	54	31.8
	Yes	116	68.2
Previous abortion
	No	42	24.7
	Yes	128	75.3
Planned pregnancy
	No	38	22.4
	Ambiguous	82	48.2
	Yes	50	29.4
Total		170	100.0

Variable				n	%
During hospitalization (n=170)
	Counseling on contraceptive methods			49	33.3
	Prescription for contraceptive method			13	8.9
During the subsequent month of abortion (n=147)
	Were you counseled about contraception methods?			38	25.9
		Counseling setting
			Primary Health Care service	24	63.2
			At home	10	26.3
			Ambulatory service	3	7.9
			Private practice	1	2.6
		Who provided the counseling?
			Physician	27	71.1
			Family and friends	10	26.3
			Nurse	1	2.6
	Did you have sexual intercourse?			102	69.4
		Did you use a contraceptive method?		84	82.4
			For all intercourse	77	91.7
			For some intercourse	7	8.3
		Did you use contraceptive methods without counseling from a health professional?		53	63.1
		Did you buy a contraceptive method in a private pharmacy?		49	58.3

Variable	Category	Univariate analysis			Multiple logistic regression analysis
		Use of contraceptive methods 30 days after abortion			Final model
		n	%	p	OR adjust*	IC 95%
CM prescription at hospital discharge				0.074
	No	76	87.4		1.0	-
	Yes	11	12.6		4.7	[0.9-22.9]
CM counseling during hospitalization period				0.722
	No	57	65.5
	Yes	30	34.5
Age				0.019
	15-24	20	22.9		1.0	-
	25-34	44	50.6		3.3	[1.4-7.5]
	≥ 35	23	26.5		1.8	[0.7-4.3]
Paid employment				0.180
	No	31	35.6
	Yes	56	64.4
Marital status				0.041
	Living with a partner	72	82.8
	Not living with a partner	15	17.2
Children				0.223
	No	25	28.7
	Yes	62	71.3
Previous abortion				0.851
	No	65	74.7
	Yes	22	25.3
Planned pregnancy				0.838
	No	17	19.5
	Ambiguous	44	50.9
	Yes	26	29.9
Desire to become pregnant again				0.776
	No	17	19.5
	Yes	55	63.2
	No thoughts about it	15	17.2

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding Author: Ana Luiza Vilela Borges Universidade de São Paulo. Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 CEP: 05403-000, São Paulo, SP, Brasil E-mail:alvilela@usp.br

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Post-abortion contraception: care and practices1 1 Supported by Apoio financeiro da Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), process # 2010/15298-0

OBJECTIVE:

METHODS:

RESULTS:

CONCLUSION:

Post-abortion contraception: care and practices¹ 1 Supported by Apoio financeiro da Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP), process # 2010/15298-0