TY - JOUR
T1 - Contraception at the time of abortion
T2 - High-risk time or high-risk women?
AU - Bajos, Nathalie
AU - Lamarche-Vadel, Agathe
AU - Gilbert, Fabien
AU - Ferrand, Michèle
AU - Moreau, Caroline
AU - Bouyer, Jean
AU - Ducot, Beatrice
AU - Hassoun, Danielle
AU - Goulard, Helene
AU - Job-Spira, Nadine
AU - Kaminski, Monique
AU - Lelong, Nathalie
AU - Leridon, Henri
AU - Razafindratsima, Nicolas
AU - Rossier, Clementine
AU - Warszawski, Josiane
PY - 2006/11
Y1 - 2006/11
N2 - Background: 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. Method: 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. Results: A total of 46% of women who experienced an aborti on 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. Conclusions: Abortion is a good opportunity for inte rvention, 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.
AB - Background: 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. Method: 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. Results: A total of 46% of women who experienced an aborti on 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. Conclusions: Abortion is a good opportunity for inte rvention, 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.
KW - Abortion
KW - Contraception
KW - Contraceptive failure
KW - Unwanted pregnancy
UR - http://www.scopus.com/inward/record.url?scp=33750007939&partnerID=8YFLogxK
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U2 - 10.1093/humrep/del268
DO - 10.1093/humrep/del268
M3 - Article
C2 - 16845119
AN - SCOPUS:33750007939
SN - 0268-1161
VL - 21
SP - 2862
EP - 2867
JO - Human Reproduction
JF - Human Reproduction
IS - 11
ER -