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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. 1Department of Obstetrics and Gynecology, Penn Medicine, Philadelphia, Pennsylvania, USA
  2. 2Harvard Medical School, Boston, Massachusetts, USA
  3. 3Planned Parenthood League of Massachusetts, Boston, Massachusetts, USA
  4. 4Center 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}uphs.upenn.edu

Abstract

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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Footnotes

  • Funding This work was supported by the Society of Family Planning Research Fund [grant number SFPRF16-8]. The trial is registered at http://clinicaltrials.gov [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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