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Contraceptive use following spontaneous and induced abortion and its association with family planning services in primary health care: results from a Brazilian longitudinal study (2015)

  • Authors:
  • USP affiliated authors: BORGES, ANA LUIZA VILELA - EE ; FUJIMORI, ELIZABETH - EE ; HOGA, LUIZA AKIKO KOMURA - EE
  • USP Schools: EE; EE; EE
  • Sigla do Departamento: ENS
  • DOI: 10.1186/s12978-015-0087-7
  • Subjects: PLANEJAMENTO FAMILIAR; ANTICONCEPÇÃO; DISPOSITIVOS ANTICONCEPCIONAIS; ABORTO
  • Language: Inglês
  • Abstract: Background: Although it is well known that post-abortion contraceptive use is high when family planning services are provided following spontaneous or induced abortions, this relationship remains unclear in Brazil and similar settings with restrictive abortion laws. Our study aims to assess whether contraceptive use is associated with access to family planning services in the six-month period post-abortion, in a setting where laws towards abortion are highly restrictive. Methods: This prospective cohort study recruited 147 women hospitalized for emergency treatment following spontaneous or induced abortion in Brazil. These women were then followed up for six months (761 observations). Women responded to monthly telephone interviews about contraceptive use and the utilization of family planning services (measured by the utilization of medical consultation and receipt of contraceptive counseling). Generalized Estimating Equations were used to analyze the effect of family planning services and other covariates on contraceptive use over the six-month period post-abortion. Results: Women who reported utilization of both medical consultation and contraceptive counseling in the same month had higher odds of reporting contraceptive use during the six-month period post-abortion, when compared with those who did not use these family planning services [adjusted aOR = 1.93, 95 % Confidence Interval: 1.13 – 3.30]. Accessing either service alone did not contribute to contraceptive use. Age (25 – 34 vs. 15 – 24 years) was also statistically associated with contraceptive use. Pregnancy planning status, desire to have more children and education did not contribute to contraceptive use. Conclusions: In restrictive abortion settings, family planning services offered in the six-month post-abortion period contribute to contraceptive use, if not restrict ed to simple counseling. Medical consultation, in the absence of contraceptive.
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    Título do periódico: Reproductive Health

    ISSN: 1742-4755

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    Informações sobre o Citescore
  • Título: Reproductive Health

    ISSN: 1742-4755

    Citescore - 2017: 2.42

    SJR - 2017: 1.228

    SNIP - 2017: 1.26


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    EE2754682-10BORGES, A. L. V. doc 90e
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    • ABNT

      BORGES, Ana Luiza Vilela; OLAOLORUN, Funmilola; FUJIMORI, Elizabeth; HOGA, Luiza Akiko Komura; TSUI, Amy Ong. Contraceptive use following spontaneous and induced abortion and its association with family planning services in primary health care: results from a Brazilian longitudinal study. Reproductive Health, London, BioMed Central, v. 12, n. 94, 2015. Disponível em: < 10.1186/s12978-015-0087-7 > DOI: 10.1186/s12978-015-0087-7.
    • APA

      Borges, A. L. V., OlaOlorun, F., Fujimori, E., Hoga, L. A. K., & Tsui, A. O. (2015). Contraceptive use following spontaneous and induced abortion and its association with family planning services in primary health care: results from a Brazilian longitudinal study. Reproductive Health, 12( 94). doi:10.1186/s12978-015-0087-7
    • NLM

      Borges ALV, OlaOlorun F, Fujimori E, Hoga LAK, Tsui AO. Contraceptive use following spontaneous and induced abortion and its association with family planning services in primary health care: results from a Brazilian longitudinal study [Internet]. Reproductive Health. 2015 ; 12( 94):Available from: 10.1186/s12978-015-0087-7
    • Vancouver

      Borges ALV, OlaOlorun F, Fujimori E, Hoga LAK, Tsui AO. Contraceptive use following spontaneous and induced abortion and its association with family planning services in primary health care: results from a Brazilian longitudinal study [Internet]. Reproductive Health. 2015 ; 12( 94):Available from: 10.1186/s12978-015-0087-7

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