INTRODUCTION: Elective termination of pregnancy (TOP) is an option for unwanted pregnancy. Effective contraception can prevent these unplanned pregnancies and terminations. The purpose of this study was to identify differences in post-abortion contraception among women who underwent surgical and medical abortion. Contraceptive choices were reviewed based on patient demographics. METHODS: A retrospective cohort study was conducted on 330 patients receiving abortions from January 1st through 15th, 2014 by review of electronic medical records from a private outpatient family planning clinic specializing in abortion services. Data analysis was conducted using Chi Square test. RESULTS: The 330 reviewed procedures were 53 medical TOPs, 219 1st trimester, and 58 2nd trimester surgical abortions. Of all patients 4.2% desired LARC, 78.2% desired other methods, 17.6% declined contraception. Patients with a medical TOP were most likely to have received a LARC method (22.6%) followed by those having first trimester procedures (10.5%) and second trimester procedures (8.6%), p=0.003. Significant loss of follow up was observed with medical TOPs (38.2%), 1st trimester surgical TOPs (68.0%) and 2nd trimester surgical TOPs (82.8%). Other factors influencing these choices are age, parity, prior abortion, insurance, and education. 18.2% of all patients returned pregnant within 18 months. CONCLUSION: Differences are seen in contraceptive choice and type of abortion. Age, parity, and a history of prior abortions may influence these choices. High follow-up failure and return pregnancy rates may suggest immediate contraception at time of procedure should be considered. Comparing these demographics with multivariate analysis could provide further understanding about these influencing factors.

INTRODUCTION: To determine the outcomes including complications that occur when an emergency code, “Condition Pink” is used on labor and delivery for either maternal or fetal reasons. METHODS: Retrospective chart review was conducted on all patients who delivered at New York University – Lutheran Medical Center between January 2014 and December 2015. Fifty – eight patients had a “Condition Pink” called. Mode of delivery, neonatal Apgar scores and maternal complications such as infection, hemorrhage, and bladder injury were reported. Also reviewed were readmissions to the hospital. Because majority of these women had cesarean deliveries, they were compared to women who underwent cesarean deliveries during that same time period. Statistical significance was assessed using the chi-squared test. RESULTS: All 56 emergent cesarean deliveries and a random sample of 96 non-emergent cesarean deliveries were selected. Patients requiring an emergent cesarean delivery were found to have a 16% (9/56) chance of overall maternal complications while non-emergent cesarean deliveries had only a 5% (5/96) chance (P=0.039). Risk of individual maternal complications, including postpartum hemorrhage, bowel or bladder injury, and postoperative infection were also evaluated, but these individual outcomes were relatively rare and differences between groups were not statistically significant. CONCLUSION: Emergent Cesarean sections (where a maternal or fetal emergency warrants immediate delivery of the fetus) carry an increased risk of overall maternal complications.