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Contraceptive counselling of women seeking abortion - a qualitative interview study of health professionals experiences
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences. Eksjo Nassjo Hospital, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
Jönköping University, Sweden.
Linköping University, Department of Clinical and Experimental Medicine, Division of Children's and Women's health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Center of Paediatrics and Gynaecology and Obstetrics, Department of Gynaecology and Obstetrics in Linköping.
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2017 (English)In: European journal of contraception & reproductive health care, ISSN 1362-5187, E-ISSN 1473-0782, Vol. 22, no 1Article in journal (Refereed) Published
Abstract [en]

Objectives: A substantial proportion of women who undergo an abortion continue afterwards without switching to more effective contraceptive use. Many subsequently have repeat unintended pregnancies. This study, therefore, aimed to identify and describe health professionalg experiences of providing contraceptive counselling to women seeking an abortion. Methods: We interviewed 21 health professionals (HPs), involved in contraceptive counselling of women seeking abortion at three differently sized hospitals in Sweden. The interviews were recorded and transcribed verbatim and analysed using conventional qualitative content analysis. Results: Three clusters were identified: Complex counselling, Elements of counselling and Finding a method. HPs often experienced consultations including contraceptive counselling at the time of an abortion as complex, covering both pregnancy termination and contraceptive counselling. Women with vulnerabilities placed even greater demands on the HPs providing counselling. The HPs varied in their approaches when providing contraceptive counselling but also in their knowledge about certain contraception methods. HPs described challenges in finding out if women had found an effective method and in the practicalities of arranging intrauterine device (IUD) insertion post-abortion, when a woman asked for this method. Conclusions: HPs found it challenging to provide contraceptive counselling at the time of an abortion and to arrange access to IUDs post-abortion. There is a need to improve their counselling, their skills and their knowledge to prevent repeat unintended pregnancies.

Place, publisher, year, edition, pages
TAYLOR & FRANCIS LTD , 2017. Vol. 22, no 1
Keyword [en]
Contraception; decision-making; family planning; pregnancy termination; prevention; providers perspective; repeat abortion
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:liu:diva-136329DOI: 10.1080/13625187.2016.1238892ISI: 000394925200002PubMedID: 27689407OAI: oai:DiVA.org:liu-136329DiVA: diva2:1087913
Note

Funding Agencies|Futurum - the academy for healthcare, in the Jonkoping County Council [306501]; Medical Research Council of Southeast Sweden (FORSS) [467241]

Available from: 2017-04-10 Created: 2017-04-10 Last updated: 2017-04-26

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The full text will be freely available from 2017-09-30 16:36
Available from 2017-09-30 16:36

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Kilander, HelenaSalomonsson, BirgittaBrynhildsen, JanAlehagen, Siw
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Division of Nursing ScienceFaculty of Medicine and Health SciencesDivision of Children's and Women's healthDepartment of Gynaecology and Obstetrics in Linköping
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European journal of contraception & reproductive health care
Obstetrics, Gynecology and Reproductive Medicine

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CiteExportLink to record
Permanent link

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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
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  • en-US
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  • Other locale
More languages
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