Comparison of contraceptive method chosen by women with and without a recent history of induced abortion

Contraception. 2011 Dec;84(6):571-7. doi: 10.1016/j.contraception.2011.03.018. Epub 2011 May 4.

Abstract

Background: Women undergoing induced abortion may be more motivated to choose long-acting reversible contraception (LARC), including the intrauterine device (IUD) and implant, than women without a history of abortion. Our objective was to determine whether the contraceptive method chosen is influenced by a recent history of induced abortion and access to immediate postabortion contraception.

Study design: This was a subanalysis of the Contraceptive CHOICE Project. We compared contraception chosen by women with a recent history of abortion to women without a recent history. Participants with a recent history of abortion were divided into immediate postabortion contraception and delayed-start contraception groups.

Results: Data were available for 5083 women: 3410 women without a recent abortion history, 937 women who received immediate postabortion contraception and 736 women who received delayed-start postabortion contraception. Women offered immediate postabortion contraception were more than three times as likely to choose an IUD [adjusted relative risk (RR(adj)) 3.30, 95% confidence interval (CI) 2.67-4.85] and 50% more likely to choose the implant (RR(adj) 1.51, 95%CI 1.12-2.03) compared to women without a recent abortion. There was no difference in contraceptive method selected among women offered delayed-start postabortion contraception compared to women without a recent abortion.

Conclusion: Women offered immediate postabortion contraception are more likely to choose the IUD and implant than women without a recent abortion history. Increasing access to immediate postabortion LARC is essential to preventing repeat unintended pregnancies.

Publication types

  • Comparative Study
  • Multicenter Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abortion, Induced / psychology*
  • Adolescent
  • Adult
  • Cohort Studies
  • Contraception / methods
  • Contraception / psychology*
  • Contraception Behavior*
  • Contraceptive Agents, Female / administration & dosage
  • Drug Implants
  • Female
  • Follow-Up Studies
  • Humans
  • Intrauterine Devices
  • Middle Aged
  • Missouri
  • Postoperative Period
  • Pregnancy
  • Pregnancy, Unwanted / psychology*
  • Prospective Studies
  • Surveys and Questionnaires
  • Young Adult

Substances

  • Contraceptive Agents, Female
  • Drug Implants