Abstract
Background
About half of US women having abortions have already had at least one prior abortion.
Facilitating access to contraception may help these women avoid subsequent unintended
pregnancies. Information is needed to document the availability of contraceptive services
in abortion care settings in the United States.
Study Design
Data for this cross-sectional mixed-methods study were collected between December
2008 and September 2009 and come from two sources: 15 semistructured telephone interviews
and 173 structured questionnaires administered to a nationally representative sample
of eligible facilities. Respondents were administrators at large (400+ abortions per
year), nonhospital facilities that provide abortion services in the United States.
Results
Virtually all (96%) abortion clinics incorporate contraceptive education into abortion
care, and the three most common methods reported to be distributed are the birth control
pill (99%), the vaginal ring (61%) and Depo-Provera (58%). Almost one-third reported
being able to offer post-abortion intrauterine device insertion. Most facilities (82%)
accept some form of insurance for either contraceptive or abortion services, and those
with a broader family planning focus are significantly more likely to do so. Administrators
at the majority of facilities (56%) report that patients most commonly do not pay
additional fees for contraceptive services because they are included in the cost of
abortion services.
Conclusion
Although almost all large, non-hospital abortion providers in the United States are
able to provide some level of contraceptive care to their abortion patients, the degree
to which they are able to do so is influenced by a wide range of factors.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ContraceptionAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Contraceptive use among U.S. women having abortions in 2000-2001.Perspect Sex Reprod Health. 2002; 34: 294-303
- Repeat abortion in the United States.Guttmacher Institute, New York2006 (Report No.: 29. 65p)
- Repeat abortion, repeat unintended pregnancy, repeat and misguided government policies.Guttmacher Policy Rev. 2007; 10: 8-12
- Abortion in the United States: incidence and access to services, 2005.Perspect Sex Reprod Health. 2008; 40: 6-16
- Intrauterine devices (IUDs).in: Hatcher R.A. Trussell J. Stewart F.H. Nelson A.L. Cates W. Guest F. Contraceptive technology. Ardent Media, Inc, New York2004: 490-521
- Initiation of oral contraceptives using a quick start compared with a conventional start: a randomized controlled trial.Obstet Gynecol. 2007; 109: 1270-1276
- Advance provision of emergency contraception for pregnancy prevention: a meta-analysis.Obstet Gynecol. 2007; 110: 1379-1388
- Impact of immediate postabortal insertion of intrauterine contraception on repeat abortion.Contraception. 2008; 78: 143-148
- Postabortal contraception.Ann Med. 1993; 25: 185-189
- Effectiveness of contraceptive counselling of women following an abortion: a systematic review and meta-analysis.Eur J Contracept Reprod Health Care. 2009; 14: 1-9
- Counseling in the clinical setting to prevent unintended pregnancy: an evidence-based research agenda.Contraception. 2003; 67: 115-132
- First-trimester surgical abortion practices: a survey of National Abortion Federation members.Contraception. 2009; 79: 385-392
Article info
Publication history
Published online: May 20, 2010
Accepted:
April 12,
2010
Received in revised form:
April 7,
2010
Received:
January 27,
2010
Footnotes
���Declaration of conflicting interests: The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.
Identification
Copyright
© 2010 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
