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  • Postabortion long-acting reversible contraception desire in women counselled using Bedsider.org versus standard counselling: a randomised trial

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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. 1 Department of Obstetrics and Gynecology, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
  2. 2 University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
  3. 3 Department of Obstetrics and Gynecology, Contra Costa Medical Center, Martinez, California, USA
  4. 4 Department of Obstetrics and Gynecology, Boston University School of Medicine, Boston, Massachusetts, USA
  5. 5 Department of Biostatics and Epidemiology, Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA
  6. 6 Quorum 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

https://doi.org/10.1136/bmjsrh-2017-200047

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    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 …

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    Footnotes

    • Funding This research was funded by a grant from the American College of Obstetricians and Gynecologists and, in part, by a career development award in Women’s Reproductive Health Research: K12-HD001265-18.

    • Disclaimer The funding body had no role in the design of the study and collection, analysis and interpretation of data, or in writing the manuscript.

    • Competing interests None declared.

    • Patient consent Not required.

    • Ethics approval The Boston University Institutional Review Board approved this study.

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

    • Presented at Portions of this work were presented at the American College of Obstetricians and Gynecologists Annual Clinical Meeting on 4 May 2015, in San Francisco, California, USA.