Contraceptive discontinuation and repeat unintended pregnancy within 1 year after an abortion |
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Authors: | Upadhyay Ushma D Brown Beth A Sokoloff Abby Raine Tina R |
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Institution: | Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, University of California, San Francisco, CA 94612, USA. upadhyayu@obgyn.ucsf.edu |
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Abstract: | BackgroundWe examined 12-month hormonal contraceptive continuation and pregnancy rates by abortion history.Study DesignWomen who wanted to avoid pregnancy for at least 1 year were recruited at four San Francisco Bay area family planning clinics on regular service days and on abortion care days. Participants completed baseline and follow-up questionnaires. Multivariable Cox models assessed the factors associated with method discontinuation and pregnancy.ResultsWomen who were enrolled into the study on the day of their abortion were 20% more likely to discontinue their contraceptive method than women who never had an abortion adjusted hazard ratio (AHR)=1.21, 95% confidence interval (CI)=1.03–1.42]. Women who had a recent abortion or previous abortion were 60% more likely to have a pregnancy during follow-up than women who never had an abortion (AHR=1.63, 95% CI =1.21-2.20, and AHR=1.66, 95% CI=1.18-2.33, respectively).ConclusionThe experience of having an unintended pregnancy and abortion does not lead to behavioral changes that protect against another unintended pregnancy. |
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