Comparison of uptake of long-acting reversible contraception after abortion from a hospital or a community sexual and reproductive healthcare setting: an observational study

Abstract

Higher uptake of immediate post-abortal LARC was observed amongst women who were assessed at the specialist contraceptive service in the community SRH setting compared to the hospital setting. Further research is required to determine the reasons for these observations since all abortion services should provide the same high-quality contraceptive service to women undergoing abortion.

Self‐management of first trimester medical termination of pregnancy: a qualitative study of women's experiences

“…Research suggests that women self‐managing first trimester TOP have varied experiences but are no more likely to re‐attend with complications than those treated in hospital . Although a growing body of literature suggests that self‐management is acceptable to women, there is a need to monitor and understand women's needs around this model of provision, to facilitate provision of the best possible support.…”

“…Women are also commonly given the option vaginally to self‐administer misoprostol at the clinic. This paper draws on data from one Scottish NHS health board area, where women are typically treated over two clinic visits, and in which around 77% of TOP ≤63 days (55% of all terminations) are completed at home . The first visit involves counselling and administering mifepristone; and the second, provision of misoprostol and post‐TOP contraception .…”

“…Research suggests that women self-managing first trimester TOP have varied experiences [2][3][4] but are no more likely to re-attend with complications than those treated in hospital. 5 Although a growing body of literature suggests that self-management is acceptable to women, 2,[6][7][8][9][10][11][12][13][14][15][16][17] there is a need to monitor and understand women's needs around this model of provision, to facilitate provision of the best possible support. Our research contributes to this understanding, by examining details of women's experiences of self-management ≤63 days, of which to date, relatively little is known.…”

Reforming abortion services in the UK: less hypocrisy, more acknowledgment of complexity

“…While two articles in this journal issue highlight specific areas in which UK abortion care could improve – cervical preparation before,10 and contraceptive provision after,8 abortion – a systematic review highlights a much broader problem with agreement over care quality indicators 3. A linked commentary calls for valid quality criteria to be set in the UK 4.…”

Initiating intramuscular depot medroxyprogesterone acetate 24–48 hours after mifepristone administration does not affect success of early medical abortion

“…Women receive advice about contraception at their initial assessment visit, and those having an EMA receive a method of contraception (pills, patches, rings, IM DMPA, IMP or condoms) on the day of administration of misoprostol, which is 24–48 hours after mifepristone administration. For women choosing intrauterine contraception (IUC), a ‘fast-track’ appointment is made for this to be inserted at a specialist clinic within 2 weeks of the procedure 11. All DMPA used in this study was nurse-administered and was the intramuscular 150 mg preparation (IM DMPA).…”