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Does dedicated pre-abortion contraception counselling help to improve post-abortion contraception uptake?
  1. Ahmed S Yassin, DFFP, MRCOG, Specialist Registrar in Obstetrics and Gynaecology and Instructor in Family Planning and
  2. Diane Cordwell, RGN, RSCN, Family Planning Nurse
  1. The Women's Unit, Stepping Hill Hospital, Stockport, UK
  1. Correspondence to Dr Ahmed S Yassin, Women's Health Unit, Burnley General Hospital, Casterton Avenue, Burnley BB10 2PQ, UK. E-mail: ASAY5960{at}aol.com

Abstract

Objective Many studies have shown a disappointing periabortion contraceptive uptake. This study investigated whether the provision of dedicated and targeted contraception counselling at the pre-abortion assessment visit can improve the post-abortion contraception uptake.

Methods The study comprised a 3-month prospective reaudit of the abortion clinic.

Results Of the 104 women seen during the re-audit period, 96% received post-abortion contraception. The majority (73%) of the women chose and received one of the less user-dependent contraceptive methods such as intrauterine contraceptive devices, the intrauterine contraceptive system, the progestogen injectable and subdermal implants.

Conclusion It was found that the provision of targeted contraception counselling by a dedicated team during the pre-abortion assessment visit can dramatically improve post-abortion contraception uptake.

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  • Accepted November 22, 2005.

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