Article Text

PDF
Postabortion long-acting reversible contraception desire in women counselled using Bedsider.org versus standard counselling: a randomised trial
  1. Sarita Sonalkar1,
  2. Jessica McClusky2,
  3. Rachna Vanjani3,
  4. Olivera Vragovic4,
  5. Mary D Sammel5,
  6. Lynn Borgatta6
  1. 1Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
  2. 2University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
  3. 3Department of Obstetrics and Gynecology, Contra Costa Medical Center, Martinez, California, USA
  4. 4Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston, Massachusetts, USA
  5. 5Department of Biostatics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
  6. 6Quorum Review, Inc., Seattle, Washington, USA
  1. Correspondence to Dr. Sarita Sonalkar, Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA 19104, USA; Sarita.Sonalkar{at}uphs.upenn.edu

Statistics from Altmetric.com

Integrating digital media into counselling may be an effective implementation strategy to improve contraceptive uptake in adolescent and young women.1 2 Most women seeking abortion are in their teens or 20s3 and have high uptake of long-acting reversible contraception (LARC) when offered.4 5 We conducted a study to evaluate if the use of the contraception website Bedsider.org along with routine counselling increased postabortion LARC desire in a population of young women seeking first-trimester abortion.

We enrolled women between September 2012 and November 2013 at an academic hospital clinic. The study was registered with ClinicalTrials.gov (NCT02532946). We included English-speaking women, 18–29 years old (the target audience of Bedsider.org), seeking medical abortion less than or equal to 9 weeks and surgical abortion less than or equal to 12 weeks of gestation. To maximise feasibility and acceptability of the implementation strategy, we obtained verbal informed consent and used a quasi-experimental design. Clinical days were randomised in a 1:1 ratio as ‘routine’ counselling days, in which the clinician …

View Full Text

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.