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Likelihood of repeat abortion in a Swedish cohort according to the choice of post-abortion contraception: a longitudinal study
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Department Obstet and Gynecol, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences.
Vrinnevis Hospital, Sweden.
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2016 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 95, no 5, 565-571 p.Article in journal (Refereed) PublishedText
Abstract [en]

IntroductionDespite high access to contraceptive services, 42% of the women who seek an abortion in Sweden have a history of previous abortion(s). The reasons for this high repeat abortion rate remain obscure. The objective of this study was to study the choice of contraceptive method after abortion and related odds of repeat abortions within 3-4 years. Material and methodsThis is a retrospective cohort study based on a medical record review at three hospitals in Sweden. We included 987 women who had an abortion during 2009. We reviewed medical records from the date of the index abortion until the end of 2012 to establish the choice of contraception following the index abortion and the occurrence of repeat abortions. We calculated odds ratios (OR) with 95% CI. ResultsWhile 46% of the women chose oral contraceptives, 34% chose long-acting reversible contraceptives (LARC). LARC was chosen more commonly by women with a previous pregnancy, childbirth and/or abortion. During the follow-up period, 24% of the study population requested one or more repeat abortion(s). Choosing LARC at the time of the index abortion was associated with fewer repeat abortions compared with choosing oral contraceptives (13% vs. 26%, OR 0.36; 95% CI 0.24-0.52). Subdermal implant was as effective as intrauterine device in preventing repeat abortions beyond 3 years. ConclusionsChoosing LARC was associated with fewer repeat abortions over more than 3 years of follow up.

Place, publisher, year, edition, pages
WILEY-BLACKWELL , 2016. Vol. 95, no 5, 565-571 p.
Keyword [en]
Long-acting reversible contraception; post-abortion contraception; repeat abortion; subdermal implant; termination of pregnancy
National Category
Clinical Medicine
Identifiers
URN: urn:nbn:se:liu:diva-128136DOI: 10.1111/aogs.12874ISI: 000374349400012PubMedID: 26871269OAI: oai:DiVA.org:liu-128136DiVA: diva2:929614
Note

Funding Agencies|Futurum - the academy for healthcare; Jonkoping County Council; Medical Research Council of Southeast Sweden (FORSS)

Available from: 2016-05-19 Created: 2016-05-19 Last updated: 2016-06-07

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The full text will be freely available from 2017-03-14 00:00
Available from 2017-03-14 00:00

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Kilander, HelenaAlehagen, SiwBrynhildsen, Jan
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Department of Medical and Health SciencesFaculty of Medicine and Health SciencesDivision of Nursing ScienceDivision of Clinical SciencesDepartment of Gynaecology and Obstetrics in Linköping
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Acta Obstetricia et Gynecologica Scandinavica
Clinical Medicine

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