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Advance notice of contraceptive availability at surgical abortion: a pilot randomised controlled trial
  1. Andrea H Roe1,2,3,
  2. Jennifer Fortin3,
  3. Danielle Gelfand3,
  4. Elizabeth Janiak1,2,3,
  5. Rie Maurer4,
  6. Alisa Goldberg1,2,3
  1. 1 Department of Obstetrics and Gynecology, Penn Medicine, Philadelphia, Pennsylvania, USA
  2. 2 Harvard Medical School, Boston, Massachusetts, USA
  3. 3 Planned Parenthood League of Massachusetts, Boston, Massachusetts, USA
  4. 4 Center for Clinical Investigation, Brigham and Women’s Hospital, Boston, Massachusetts, USA
  1. Correspondence to Dr Andrea H Roe, Department of Obstetrics and Gynecology, Penn Medicine, Philadelphia, PA 19104, USA; andrea.roe{at}


Background With advance notice about the availability and effectiveness of contraceptive methods, abortion patients have more time and information for decision-making. We assessed the impact of an informational telephone call prior to the surgical abortion visit on patient contraceptive knowledge.

Methods This was a pilot randomised controlled trial. Prior to their abortion visit, participants were randomised to the intervention message, a standardised notification about the availability, effectiveness and safety of long-acting (LARC) and short-acting reversible contraception (SARC) on the day of the abortion, or to the control message, a reiteration of appointment logistics without information about contraception. At the visit, participants completed a pre-procedure survey to assess contraceptive knowledge and usefulness of the intervention. The primary outcome was knowledge of LARC availability immediately after surgical abortion. A secondary outcome was contraceptive method uptake.

Results We enrolled 234 subjects. The pre-visit telephone notification improved knowledge that LARC is available immediately after surgical abortion (71.3% vs 50.9%, P<0.01). Participants in both study arms found the telephone notifications useful. Post-abortion contraceptive method choice did not differ between study arms.

Conclusions Advance notice about contraception was acceptable to surgical abortion patients and improved their contraceptive knowledge.

Trial registration number NCT02836561.

  • Post-abortion contraception
  • long-acting reversible contraception
  • contraception counselling
  • contraceptive knowledge
  • contraceptive autonomy
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  • Funding This work was supported by the Society of Family Planning Research Fund [grant number SFPRF16-8]. The trial is registered at [NCT02836561].

  • Competing interests None declared.

  • Patient consent Not required.

  • Ethics approval Partners Institutional Review Board.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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