RT Journal Article
SR Electronic
T1 Peri-abortion contraception: a qualitative study of users' experiences
JF Journal of Family Planning and Reproductive Health Care
JO J Fam Plann Reprod Health Care
FD British Medical Journal Publishing Group
SP 55
OP 56
DO 10.1783/147118904322702018
VO 30
IS 1
A1 Usha Kumar
A1 Paula Baraitser
A1 Sheila Morton
A1 Helen Massil
YR 2004
UL http://jfprhc.bmj.com/content/30/1/55.abstract
AB Background Contraceptive counselling is an essential element of induced abortion services but concerns remain about its effectiveness. Objective The issues that influence peri-abortion contraception were explored as part of a study on the experiences of women undergoing induced abortion. Method In-depth interviews with 21 women of varying ages, gestations and ethnicity, 3-9 weeks after termination of their pregnancy, with qualitative analysis of data. Results Contraceptive risk-taking was high both before and after abortion. After abortion, only a few women had changed either to using some method, or moving to more reliable methods. Health professionals had not explored the issues around contraception with sufficient clarity or detail to be effective. Discussion of contraception was often deferred to the post-abortion follow-up visit, which only 12 respondents had attended at the time of interview. Conclusions The effectiveness of peri-abortion contraception counselling was disappointing. We suggest that a family planning-trained outreach nurse attached to abortion providers with specific responsibility for contraception could improve uptake post-abortion.