Only one-fifth of the study population reported a prior history of abortion. This study found a high acceptance rate of post-abortion contraceptive methods by the assisted women indicating benefits to offer specialized family planning services to them after abortion. This study was approved by the Internal Review Board Institution.
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The participants received the chosen method with no cost.ĭata were used on Epi Info, version 3.3.4 software and an informed consent was obtained from all the subjects. Counseling was individualized and addressed them about feelings, expectations and motivations regarding contraception as well as pregnancy intention. To assess the subject contraception knowledge, the referred question was: "Which contraceptive methods do you know of?"Įvery woman received information on contraceptive methods, side effects and fertility. Interviews on socio-economic information, previous knowledge of contraceptive methods and desire to become pregnant were conducted at consultation time. The social workers from five public maternities in the city of Recife, Northeast of Brazil, were asked to invite the women to participate in a post abortion contraceptive counseling survey at the Instituto de Medicina Integral Professor Fernando Figueira (IMIP), a public hospital.Ī visit for follow up was arranged by social workers for 186 women with a gynecologist at a family planning clinic at IMIP from the 8 th to the 15 th day after they had undergone an abortion. So, the objective of this present study is to describe the acceptance and the choice of contraceptive method in post abortion in the Northeast region of Brazil.Ī cross-sectional study was carried out among low income post abortion women from July to October 2008. Despite the evidences on the effectiveness of family planning services to increase the acceptability of contraceptive methods of women who had recently had an abortion, even though contraceptive counseling remains one of the least inquired components in post-abortion care program.
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Therefore, providing post-abortion family planning services that include structured contraceptive counseling with free and easy access to all kinds of contraceptive methods can be suitable Ĭontraceptive counseling could result in an increase of method compliance as well as encouragement and provide emotional support for women to feel more secure and satisfied with the service and motivate the use of family planning methods. Promoting the use of contraceptive methods to prevent unwanted pregnancies is one of the most effective strategies to reduce abortion rates and maternal morbidity and mortality. As a consequence, unsafe abortion is a leading cause of maternal mortality in Brazil. Therefore, many Brazilian women who decide to end an unwanted pregnancy are obliged to resort to clandestinely. In Brazil, abortion is only legal in cases as rape or a risk to the mother's life. Unsafe abortion was one of its consequences, especially in Latin America and the Caribbean Islands where induced abortion is illegal. Ī medical, social and economic impact of unwanted pregnancy was significant. In Brazil, a Ministry of Health report based on a 20 year abortion research data revealed women who underwent an abortion were predominantly in the use of contraceptive methods, but mentioned inconsistent or erroneously contraceptive use. In most of the developing countries, unwanted pregnancies are mainly consequence of restricted access to family planning services. In developed countries, the contraceptive methods are accessible and most of the women who had undergone an abortion are in the lesser use of consistent contraception methods, such as condoms, coitus interruptus and the rhythm method. Annually around 80 million unwanted pregnancies occur worldwide, and most of them were due to the non-use or the inconsistent use of contraceptive methods.
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