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Contraception at the time of abortion: high-risk time or high-risk women?

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Title: Contraception at the time of abortion: high-risk time or high-risk women?
Authors: Nathalie, Bajos, Agathe, Lamarche-Vadel, Fabien, Gilbert, Michèle, Ferrand, Caroline, Moreau, Jean, Bouyer, Beatrice, Ducot, Danielle, Hassoun, Helene, Goulard, Nadine, Job-Spira, Monique, Kaminski, Nathalie, Lelong, Henri, Leridon, Nicolas, Razafindratsima, Clementine, Rossier, Josiane, Warszawski
Contributors: Moreau, Caroline, Epidémiologie, Démographie et Sciences Sociales : santé reproductive, sexualité et infection à VIH (Inserm U569), Epidémiologie, sciences sociales, santé publique (IFR 69), Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Université Paris 1 Panthéon-Sorbonne (UP1)-Université Paris-Sud - Paris 11 (UP11)-École des hautes études en sciences sociales (EHESS)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Paris Descartes - Paris 5 (UPD5)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Centre National de la Recherche Scientifique (CNRS)-Institut national d'études démographiques (INED)-Institut National de la Santé et de la Recherche Médicale (INSERM), IRESCO (IRESCO), Institut national d'études démographiques (INED)-Centre National de la Recherche Scientifique (CNRS), Office of Population Research, Princeton University, The COCON Group also includes: Jean Bouyer, PhD, Beatrice Ducot, MD, Danielle Hassoun, MD, Helene Goulard, M, Nadine Job-Spira, MD, Monique Kaminski, PhD, Nathalie Lelong, M, Henri Leridon, PhD, Nicolas Razafindratsima, M, Clementine Rossier, PhD and Josiane Warszawski, MD, PhD
Source: Human Reproduction. 21:2862-2867
Publisher Information: Oxford University Press (OUP), 2006.
Publication Year: 2006
Subject Terms: MESH: Contraception, Adult, MESH: Socioeconomic Factors, Adolescent, MESH: Risk Assessment, Risk Assessment, Cohort Studies, 03 medical and health sciences, MESH: Pregnancy, 0302 clinical medicine, 5. Gender equality, Pregnancy, Humans, MESH: Incidence, contraceptive failure, MESH: Cohort Studies, Retrospective Studies, MESH: Adolescent, MESH: Humans, MESH: Middle Aged, Spontaneous, Incidence, MESH: Retrospective Studies, MESH: Adult, Middle Aged, 16. Peace & justice, abortion, 3. Good health, MESH: France, Abortion, Spontaneous, Contraception, contraception, Socioeconomic Factors, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, unwanted pregnancy, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Female, France, 0305 other medical science, MESH: Female, MESH: Abortion
Description: Despite the widespread use of highly effective contraception in France, the incidence of abortion is high. A retrospective population-based cohort study was designed to analyse women's contraceptive history.We compared the contraceptive use of 163 women, whose last pregnancy ended in abortion, 6 months before, at the time of, 1 month and 6 months after the event with that of 1787 women who had never had an abortion.A total of 46% of women who experienced an abortion used a highly effective form of contraception 6 months before the event (versus 76% among women who had never had an abortion, P < 0.001). This proportion dropped to 33% at the time of the abortion and increased to 71%, 1 month after. In addition, 50% of women who had an abortion had changed their contraceptive method in the 6 months before the event (compared with 16% in the 6 months before the interview in women who had not had an abortion, P < 0.001). Women with socially deprived backgrounds were less likely to use a highly effective contraception after an abortion.Abortion is a good opportunity for intervention, but especially so for socially disadvantaged women. It is essential to draw the attention of prescribers and women to the higher risk of contraceptive failure at the start of use of a method.
Document Type: Article
Language: English
ISSN: 1460-2350
0268-1161
DOI: 10.1093/humrep/del268
Access URL: https://academic.oup.com/humrep/article-pdf/21/11/2862/9683678/del268.pdf
https://pubmed.ncbi.nlm.nih.gov/16845119
https://academic.oup.com/humrep/article/21/11/2862/2939464
https://www.hal.inserm.fr/inserm-00167939
https://jhu.pure.elsevier.com/en/publications/contraception-at-the-time-of-abortion-high-risk-time-or-high-risk-4
https://hal.univ-angers.fr/hal-03445146
http://humrep.oxfordjournals.org/content/21/11/2862.full.pdf
https://paperity.org/p/58849852/contraception-at-the-time-of-abortion-high-risk-time-or-high-risk-women
Accession Number: edsair.doi.dedup.....8dcae52459903394bcbbd21e352fb1ec
Database: OpenAIRE
Description
Abstract:Despite the widespread use of highly effective contraception in France, the incidence of abortion is high. A retrospective population-based cohort study was designed to analyse women's contraceptive history.We compared the contraceptive use of 163 women, whose last pregnancy ended in abortion, 6 months before, at the time of, 1 month and 6 months after the event with that of 1787 women who had never had an abortion.A total of 46% of women who experienced an abortion used a highly effective form of contraception 6 months before the event (versus 76% among women who had never had an abortion, P < 0.001). This proportion dropped to 33% at the time of the abortion and increased to 71%, 1 month after. In addition, 50% of women who had an abortion had changed their contraceptive method in the 6 months before the event (compared with 16% in the 6 months before the interview in women who had not had an abortion, P < 0.001). Women with socially deprived backgrounds were less likely to use a highly effective contraception after an abortion.Abortion is a good opportunity for intervention, but especially so for socially disadvantaged women. It is essential to draw the attention of prescribers and women to the higher risk of contraceptive failure at the start of use of a method.
ISSN:14602350
02681161
DOI:10.1093/humrep/del268