Contraceptive Provision after Medication and Surgical Abortion

Laursen, L. C.; Stumbras, Katrina; Lewnard, Irene; Haider, Sadia

doi:10.1016/j.whi.2017.03.012

Cited by 6 publications

(5 citation statements)

References 13 publications

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“…Os estudos incluídos apresentaram um elevado nível de qualidade (Tabela 1), score superior ou igual a 7 (seis com score 10, dois com 9, um com 8 e dois com 7). Dos artigos elegíveis para análise verificou-se que os estudos pretenderam: descrever as caraterísticas da população (Tomnay et al, 2018); os resultados de intervenções em aconselhamento contracetivo no pós-aborto (Benson et al, 2018;Tomnay et al, 2018;Wendot et al, 2018); compará-los com as taxas de gravidezes não desejadas (Madden et al, 2019); as estratégias para o melhor aconselhamento contracetivo (Stembile, Kassouta, Sebikali, Lundstrom, & Saade, 2016;Che et al, 2017); aconselhamento realizado pelos profissionais de saúde em torno da contraceção e dos métodos contracetivos (Merki-Feld, Caetano, Porz, & Bitzer, 2018); a sua avaliação no pós-IVG (Tang et al, 2017); descrever a taxa de adesão à contraceção após aborto e os fatores que condicionam essa adesão (Pearson et al, 2017); relação entre o fornecimento de contracetivos após a IVG e a sua adesão (Laursen, Stumbras, Lewnard, Haider, & Laursen, 2017); diferenças no aconselhamento contracetivo e as escolhas de um método no pós-IVG (Rocca et al, 2018).…”

Section: Resultsunclassified

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Aconselhamento Contracetivo Na Interrupção Voluntária De Gravidez: Revisão Sistemática

Palma

Taborda

Nunes

et al. 2020

New Trends in Qualitative Research

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Em 2018 realizaram-se 14928 interrupções voluntárias de gravidez (IVG) em Portugal, 95,8% por opção da mulher. A principal causa invocada foi a toma incorreta e a descontinuidade do método contracetivo. A evidência científica sugere que a altura ideal para aderir a um contracetivo é durante a experiência vivida da IVG. Objetivos: Conhecer o impacto do aconselhamento contracetivo na escolha dos contracetivos pelas mulheres em processo de IVG. Método: Revisão da literatura realizada de 1 a 31 de janeiro de 2020, segundo as orientações do Joanna Briggs Institute e a questão "Qual o impacto do aconselhamento contracetivo realizado às mulheres em processo de IVG na escolha do método?". Recorreu-se à plataforma EBSCO e bases de dados CINAHL, MedicLatina e Cochrane Central Register of Controlled Trials, incluíram-se estudos em português, inglês ou espanhol em mulheres com idade igual ou superior a 16 anos. Resultados: Elegeram-se 11 estudos, entre 2014 e 2020. Todos na língua inglesa e nenhum realizado em Portugal. O aconselhamento favorece a escolha e a adesão aos métodos contracetivos, sendo influenciada pela qualificação dos profissionais, acessibilidade e disponibilidade gratuita de contracetivos. A análise qualitativa dos estudos, permitiram uma melhor compreensão dos aspetos psicossociais das mulheres em processo de IVG.

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Section: Resultsunclassified

“…As mulheres que realizaram uma IVG cirúrgica mostraram maior adesão à contraceção do que as que realizaram uma IVG pelo método medicamentoso (83% versus 64.6%). O mesmo acontece com a escolha de um LARC (41.9% versus 23.3%) (Laursen et al, 2017).…”

Section: Discussionunclassified

Aconselhamento Contracetivo Na Interrupção Voluntária De Gravidez: Revisão Sistemática

Palma

Taborda

Nunes

et al. 2020

New Trends in Qualitative Research

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“…[18][19][20][21] Therefore, strategies to ensure adolescents have access to preferred methods for preventing a subsequent pregnancy are needed. Improving low rates of postpartum and postabortion care attendance, [22][23][24] and subsequent use of contraception, has been the emphasis of a number of RRP-focused interventions.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, strategies to ensure adolescents have access to preferred methods for preventing a subsequent pregnancy are needed. Improving low rates of postpartum and post‐abortion care attendance, 22‐24 and subsequent use of contraception, has been the emphasis of a number of RRP‐focused interventions. Programs involving comprehensive follow‐up, home visits, education and family planning are the most effective for preventing repeat pregnancy and improving clinic attendance, 25,26 as these address social inequalities and improve poor health literacy and access to services 27‐29 …”

Section: Introductionmentioning

confidence: 99%

Acceptability of immediate postpartum and post‐abortion long‐acting reversible contraception provision to adolescents: A systematic review

Buckingham

Moulton

Subasinghe

et al. 2021

Acta Obstet Gynecol Scand

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Introduction Long‐acting reversible contraception (LARC) methods are safe for adolescents and provide the greatest assurance against rapid repeated pregnancy when inserted during the immediate postpartum (IPP) and immediate post‐abortion (IPA) period. Despite increasing enthusiasm for IPP/IPA LARC insertion, adolescents’ preferences and experiences have seldom been examined. The objective of this review was to examine the attitudes of adolescents (aged 10–19 years) towards IPP/IPA LARC, their experiences and perceptions around having an LARC device fitted IPP/IPA and the factors involved in decision‐making to use, not use or discontinue IPP/IPA LARC. Material and methods In January 2021, we searched seven bibliographic databases for original research articles published in English, from the year 2000. Studies of any design focused on IPP/IPA LARC were eligible for inclusion. Three of the authors assessed articles for eligibility and extracted data relevant to the outcomes of the review. Joanna Briggs Institute Critical Appraisal Tools were used to assess methodological quality. Key themes emerging from the data were synthesized and reported narratively. Results We identified 10 relevant articles, four of which were entirely adolescent‐focused. Only three addressed IPA LARC. IPP availability was important for ensuring access to LARC postpartum. Attitudes towards LARC IPP were associated with adolescents’ sociodemographic characteristics and positive perceptions related to the long duration of action. Determinants of discontinuation and nonuse included poor‐quality contraceptive counseling, intolerable side effects and subsequent distress, misconceptions about LARC safety IPP and the influence of partners and community on autonomy. No factors involved in IPA LARC decision‐making were available. Limited evidence demonstrated that adolescents may favor contraceptive implants over intrauterine devices, and in certain contexts may face greater barriers to IPA LARC access than adult women do. Conclusions Immediate insertion of LARC postpartum appears acceptable to adolescents who do not experience side effects and those with the opportunity to make autonomous contraception decisions. This important topic has been addressed in few studies involving an entirely adolescent population. Very limited evidence is available on IPA LARC. Further research on adolescents’ lived experiences of IPP/IPA LARC access and use is necessary to inform the provision of person‐centered care when assisting adolescents’ contraceptive choice following pregnancy.

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“…17,18 Recent very large studies strongly suggest that both surgical and medical methods are almost equally effective and safe. 19 The only important disadvantage of medical abortion is that it is not possible to administer a long acting contraceptive, such as an intrauterine device (IUD), immediately after the uterine evacuation, 20 as it occurs at home and the exact moment is unpredictable.…”

Section: Introductionmentioning

confidence: 99%

Advantages and Disadvantages of Medical Abortion, According to Brazilian Residents in Obstetrics and Gynaecology

Bento

Pádua

Pacagnella

et al. 2020

Rev Bras Ginecol Obstet

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Objective To find out which was the opinion of residents in obstetrics and gynecology about the advantages and disadvantages of medical abortion as compared with surgical procedures. Method Cross-sectional multicenter study among residents in obstetrics and gynecology from 21 maternity hospitals located in 4 different geographical regions of Brazil, using a self-responded questionnaire with 31 questions related to their opinion and experience on providing abortion services. Results Most residents agreed that “being less invasive” (94.7%), “does not require anesthesia” (89.7%), “can be accompanied during the process” (89.1%), “prevents physical trauma” (84.4%) were the main advantages of medical abortion. Conclusion Residents perceived both clinical and personal issues as advantages of medical abortion.

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Contraceptive Provision after Medication and Surgical Abortion

Cited by 6 publications

References 13 publications

Aconselhamento Contracetivo Na Interrupção Voluntária De Gravidez: Revisão Sistemática

Aconselhamento Contracetivo Na Interrupção Voluntária De Gravidez: Revisão Sistemática

Acceptability of immediate postpartum and post‐abortion long‐acting reversible contraception provision to adolescents: A systematic review

Advantages and Disadvantages of Medical Abortion, According to Brazilian Residents in Obstetrics and Gynaecology

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