Choices on contraceptive methods in post-abortion family planning clinic in the northeast Brazil
Open accessAbstract
BACKGROUND: In Brazil, a Ministry of Health report revealed women who underwent an abortion were predominantly in the use of contraceptive methods, but mentioned inconsistent or erroneously contraceptive use. Promoting the use of contraceptive methods to prevent unwanted pregnancies is one of the most effective strategies to reduce abortion rates and maternal morbidity and mortality. Therefore, providing post-abortion family planning services that include structured contraceptive counseling with free and easy access to contraceptive methods can be suitable. So the objective of this study is to determine the acceptance and selection of contraceptive methods followed by a post-abortion family planning counseling. METHODS: A cross-sectional study was carried out from July to October 2008, enrolling 150 low income women to receive post-abortion care at a family planning clinic in a public hospital located in Recife, Brazil. The subjects were invited to take part of the study before receiving hospital leave from five different public maternities. An appointment was made for them at a family planning clinic at IMIP from the 8th to the 15th day after they had undergone an abortion. Every woman received information on contraceptive methods, side effects and fertility. Counseling was individualized and addressed them about feelings, expectations and motivations regarding contraception as well as pregnancy intention. RESULTS: Of all women enrolled in this study, 97.4% accepted at least one contraceptive method. Most of them (73.4%) had no previous abortion history. Forty of the women who had undergone a previous abortion, 47.5% reported undergoing unsafe abortion. Slightly more than half of the pregnancies (52%) were unwanted. All women had knowledge of the use of condoms, oral contraceptives and injectables. The most chosen method was injectables, followed by oral contraceptives and condoms. Only one woman chose an intrauterine device. CONCLUSION: The acceptance rate of post-abortion contraceptive methods was greater and the most chosen method was the best-known one. Implementing a specialized family planning post abortion service may promote an acceptance, regardless of the chosen method. Most important is they do receive contraception if they do not wish for an immediate pregnancy.
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A recent cross-sectional study from Brazil reported a postabortion contraceptive acceptance rate of 97.4%.
“A recent cross-sectional study from Brazil reported a postabortion contraceptive acceptance rate of 97.4% (48).”
From Unsafe abortion and postabortion care - an overview (2011) · cites this paper as [48]
The Methods describe a cross-sectional study of post-abortion women in Recife, Brazil. The Results (Table 2; page unavailable) show that 146 of 150 women chose a contraceptive method—97.3% when rounded to one decimal place, not the claimed 97.4%. (LLM, conf=0.88)
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Research works printed but not linked: 21
- Kost K Singh S Vaughan B Trussel J Bankole A Estimates of contraceptive failure from 2002 National Survey of Family Growth Contraception 2008 77 1 10 21 10.1016/j.contraception.2007.09.013 18082661 PMC2811396 · DOI
- Kero A Högberg U Lalos A Contraceptive risk-taking in women and men facing legal abortion Eur J Contracept Reprod Health Care 2001 6 4 205 18 11848650
- Rash V Massawe S Yambesi F Bergstrom S Acceptance of contraceptives among women who had an unsafe abortion in Dar es Salaam Trop Med Int Health 2004 9 3 399 405 10.1111/j.1365-3156.2004.01197.x 14996370 · DOI
- Grimes DA Benson J Singh S Romero M Ganatra B Okaonofua FE Shah IH Unsafe abortion: the preventable pandemic Lancet 2006 368 9550 1908 19 10.1016/S0140-6736(06)69481-6 17126724 · DOI · Paper page
- Delmanto C Delmanto R Junior RD Delmanto FMA Código Penal Comentado 2007 7 Rio de Janeiro: Renovar Press
- Alves SV Maternal Mortality in Pernambuco, Brazil: What has changed in ten years? Reprod Health Matters 2007 15 30 134 44 10.1016/S0968-8080(07)30326-1 17938078 · DOI
- Rash V Yambesi F Massawe S Medium and longterm adherence to postabortion contraception among women having experienced unsafe induced abortion in Dar es Salaam, Tanzania BMC Pregnancy Childbirth 2008 32 1 8 PMC2529258 18667094
- Cheng Y Xu X Wuillaume F Zhu J Gibson D Temmerman M The need for integrating family planning and postabortion care in China Int J Gynaecol Obstet 2008 103 2 140 3 10.1016/j.ijgo.2008.06.013 18760783 · DOI
- Nobili MP Piergrossi S Brusati V Moja EA The effect of patient-centered contraceptive counseling in women who undergo a voluntary termination of pregnancy Patient Educ Couns 2007 65 3 361 8 10.1016/j.pec.2006.09.004 17125957 · DOI
- Weisman CS Maccannon DS Henderson JT Shortridge E Orso CL Contraceptive counseling in managed care: preventing unintended pregnancy in adults Womens Health Issues 2002 12 2 79 95 10.1016/S1049-3867(01)00147-5 11879761 · DOI
- Fasubaa OB Odjo OD Impact of post-abortion counseling in a semi-urban town of Western Nigeria J Obstet and Gynaecol 2004 24 3 298 303 10.1080/01443610410001660913 15203633 · DOI
- Prager SW Steinauer JE Foster DG Darney PD Drey EA Risk factors for repeat elective abortion Am J Obstet Gynecol 2007 197 6 575e1 6 10.1016/j.ajog.2007.04.007 17904511 · DOI
- Bender SS Geirsson RT Effectiveness of preabortion counseling on postabortion contraceptive use Contraception 2004 69 6 481 7 10.1016/j.contraception.2003.12.014 15157793 · DOI
- Johnson BR Ndhlovu S Farr SL Chipato T Reducing unplanned pregnancy and abortion in Zimbabwe through postabortion contraception Stud Fam Plann 2002 33 2 195 202 10.1111/j.1728-4465.2002.00195.x 12132639 · DOI
- 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 9 2296 303 10.1093/humrep/del168 16751644 · DOI
- Schor N Ferreira AF Machado VI França AP Pirotta KCM Aluarenga AT Siqueira AA Women and contraception: knowledge and use of contraceptive methods Cad Saude Publica 2000 16 2 377 84 10.1590/S0102-311X2000000200008 10883036 · DOI
- Correia DS Pontes AC Cavalcante JC Egito ES Maia EM Adolescents: contraceptive knowledge and use, a Brazilian study Scientific World Journal 2009 9 37 45 19151897 PMC5823231
- Bjelica A Socio-demographic factors influence contraception use among female students of the University of Novi Sad (Serbia) Eur J Contracept Reprod Health Care 2008 13 4 422 30 10.1080/13625180802296747 19117259 · DOI
- Espejo X Tsunechiro MA Osis MJ Duarte GA Bahamondese L de Sousa MH Knowledge adequacy on contraceptives among women in Campinas, Brazil Rev Saude Publica 2003 37 5 583 90 10.1590/S0034-89102003000500006 14569333 · DOI
- Addo VN Tagoe-Darko ED Knowledge, practices, and attitudes regarding emergency contraception among students at a university in Ghana Int J Gynaecol Obstet 2009 105 3 206 9 10.1016/j.ijgo.2009.01.008 19232600 · DOI
- Ferreira AL Lemos A Figueiroa JN de Souza AI Effectiveness of contraceptive counselling of women following an abortion: a systematic review and meta-analysis Eur J Contracept Reprod Health Care 2009 14 1 1 9 10.1080/13625180802549970 19241296 · DOI
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Unsafe abortion and postabortion care - an overview
RASCH, V. (2011) · Acta Obstetricia et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01165.x · Cited by 94 · see citing works
- Authors
- Ferreira, A. L. C., Souza, A. I., Lima, R. A., & Braga, C.
- Affiliations
- Instituto de Medicina Integral Professor Fernando Figueira (BR)
- Corresponding author
- Ferreira, Ana Laura CG
- Venue
- Reproductive Health
- Published
- 2010-05-10
- Volume
- 7
- Issue
- 1
- Pages
- 5-5
- ISSN
- 1742-4755 (ISSN-L)
- PMC
- PMC2883537
- OpenAlex
- W2171929543
- Cited by
- 54
- References
- 0
- Citations by year
- 2025: 3 · 2024: 2 · 2023: 4 · 2022: 5 · 2021: 6 · 2020: 1 · 2019: 2 · 2018: 6 · 2017: 1 · 2016: 2 · 2015: 4 · 2014: 8 · 2013: 3 · 2012: 4
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Reproductive Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Health Sciences › Health Professions › General Health Professions › Male Reproductive Health Studies
- Social Sciences › Political Science and International Relations › International Human Rights and Reproductive Law
- Keywords
- post-abortion care, contraceptive choice, contraceptive counseling, family planning services, contraceptive acceptability, injectable contraceptives, oral contraceptives, condoms, intrauterine devices, unwanted pregnancy, unsafe abortion, low-income women, Recife
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