Advertisement

Patients' attitudes and experiences related to receiving contraception during abortion care

      Abstract

      Background

      High risk for additional unintended pregnancies among abortion patients makes the abortion care setting an ideal one for facilitating access to contraception. This study documents attitudes of abortion patients about contraceptive services during their receipt of abortion services and identifies patient characteristics associated with desire for contraception and interest in using a long-acting reversible contraceptive method (LARC).

      Study Design

      Structured surveys were administered to 542 patients at five US abortion-providing facilities between March and June of 2010. Supplementary information was collected from 161 women who had had abortions in the past 5 years through an online survey.

      Results

      Among abortion patients, two thirds reported wanting to leave their appointments with a contraceptive method and 69% felt that the abortion setting was an appropriate one for receiving contraceptive information. Having Medicaid and having ever used oral contraceptives were predictive of wanting to leave with a method. Women having a second or higher-order abortion were over twice as likely as women having a first abortion to indicate interest in LARC, while black women were half as likely as white women to indicate this interest.

      Conclusion

      Many women are interested in learning about and obtaining contraceptive methods, including LARC, in the abortion care setting.

      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 access
      One-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 Contraception
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Jones R.K.
        • Finer L.B.
        • Singh S.
        Characteristics of U.S. abortion patients, 2008.
        Guttmacher Institute, New York2010
        • Kavanaugh M.L.
        • Jones R.K.
        • Finer L.B.
        How commonly do U.S. abortion clinics offer contraception?.
        Contraception. 2010; 82: 331-336
        • Curtis C.
        • Huber D.
        • Moss-Knight T.
        Postabortion family planning: addressing the cycle of repeat unintended pregnancy and abortion.
        Int Perspect Sex Reprod Health. 2010; 36: 44-48
        • Cohen S.A.
        Repeat abortion, repeat unintended pregnancy, repeat and misguided government policies.
        Guttmacher Policy Rev. 2007; 10: 8-12
        • Berer M.
        Integration of sexual and reproductive health services: a health sector priority.
        Reprod Health Matters. 2003; 11: 6-15
        • Garg M.
        • Singh M.
        • Mansour D.
        Peri-abortion contraceptive care: can we reduce the incidence of repeat abortions?.
        J Fam Plann Reprod Health Care. 2001; 27: 77-80
        • Bender S.S.
        • Geirsson R.T.
        Effectiveness of preabortion counseling on postabortion contraceptive use.
        Contraception. 2004; 69: 481-487
        • Yassin A.S.
        • Cordwell D.
        Does dedicated pre-abortion contraception counselling help to improve post-abortion contraception uptake.
        J Fam Plann Reprod Health Care. 2005; 31: 115-116
        • Moslin T.A.
        • Rochat R.W.
        Contraceptive use among clients of the Atlanta Feminist Women's Health Center at three to five weeks post-abortion.
        Matern Child Health J. 2010 Jul 3; ([Epub ahead of print])
        • Nobili M.P.
        • Piergrossi S.
        • Brusati V.
        • Moja E.A.
        The effect of patient-centered contraceptive counseling in women who undergo a voluntary termination of pregnancy.
        Patient Educ Couns. 2007; 65: 361-368
        • Ferreira A.L.
        • Lemos A.
        • Figueiroa J.N.
        • de Souza A.I.
        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
        • Schunmann C.
        • Glasier A.
        Specialist contraceptive counselling and provision after termination of pregnancy improves uptake of long-acting methods but does not prevent repeat abortion: a randomized trial.
        Hum Reprod. 2006; 21: 2296-2303
        • Moos M.K.
        • Bartholomew N.E.
        • Lohr K.N.
        Counseling in the clinical setting to prevent unintended pregnancy: an evidence-based research agenda.
        Contraception. 2003; 67: 115-132
        • Langston A.M.
        • Rosario L.
        • Westhoff C.L.
        Structured contraceptive counseling ��� a randomized controlled trial.
        Patient Educ Couns. 2010; 81: 362-367
        • Thompson K.M.
        • Speidel J.J.
        • Saporta V.
        • Waxman N.J.
        • Harper C.C.
        Contraceptive policies affect post-abortion provision of long-acting reversible contraception.
        Contraception. 2011; 83: 41-47
        • Dehlendorf C.
        • Diedrich J.
        • Drey E.
        • Postone A.
        • Steinauer J.
        Preferences for decision-making about contraception and general health care among reproductive age women at an abortion clinic.
        Patient Educ Couns. 2010; 81: 343-348
        • Kumar U.
        • Baraitser P.
        • Morton S.
        • Massil H.
        Peri-abortion contraception: a qualitative study of users' experiences.
        J Fam Plann Reprod Health Care. 2004; 30: 55-56
        • Grimes D.A.
        • Lopez L.M.
        • Schulz K.F.
        • Stanwood N.L.
        Immediate postabortal insertion of intrauterine devices.
        Cochrane Database Syst Rev. 2010; : CD001777
        • Goodman S.
        • Hendlish S.K.
        • Benedict C.
        • Reeves M.F.
        • Pera-Floyd M.
        • Foster-Rosales A.
        Increasing intrauterine contraception use by reducing barriers to post-abortal and interval insertion.
        Contraception. 2008; 78: 136-142
        • Goodman S.
        • Hendlish S.K.
        • Reeves M.F.
        • Foster-Rosales A.
        Impact of immediate postabortal insertion of intrauterine contraception on repeat abortion.
        Contraception. 2008; 78: 143-148
        • Jones R.K.
        • Zolna M.R.S.
        • Henshaw S.K.
        • Finer L.B.
        Abortion in the United States: incidence and access to services, 2005.
        Perspect Sex Reprod Health. 2008; 40: 6-16
        • Speidel J.J.
        • Harper C.C.
        • Shields W.C.
        The potential of long-acting reversible contraception to decrease unintended pregnancy.
        Contraception. 2008; 78: 197-200
        • Dehlendorf C.
        • Ruskin R.
        • Grumbach K.
        • et al.
        Recommendations for intrauterine contraception: a randomized trial of the effects of patients' race/ethnicity and socioeconomic status.
        Am J Obstet Gynecol. 2010; 203: e1-e8
        • Thorburn S.
        • Bogart L.M.
        African American women and family planning services: perceptions of discrimination.
        Women Health. 2005; 42: 23-39
        • Isaac L.A.
        • Brandon D.T.
        • LaVeist T.A.
        The legacy of Tuskegee and trust in medical care: is Tuskegee responsible for race differences in mistrust of medical care?.
        J Natl Med Assoc. 2005; 97: 951-956