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  • Title: Post-abortion family planning: factors in individual choice of contraceptive methods.
    Author: Leonard AH, Ladipo OA.
    Journal: Adv Abort Care; 1994; 4(2):1-4. PubMed ID: 12289990.
    Abstract:
    A variety of recommendations are made for improving postabortion counseling about ovulation, safe methods for preventing pregnancy, and accessibility of family planning (FP) services. This article includes an 18 by 24 inch chart of postabortion FP information (clinical conditions, precautions, and recommendations), which is appropriate for providers. "If the woman" situations are given specific solutions. For instance, if the postabortion woman is under stress, in pain, or not prepared to make a decision, then informed, voluntary decisions are not possible. Long-acting, permanent, or provider-dependent methods are, thus, not recommended. Temporary methods and a referral for longer-acting methods are suggested in this "if the woman" situation. Natural FP is not recommended until a regular menstrual period returns. At the Bellagio Conference in 1993 about 25 international experts recommended that contraceptive protocols should be based on the assessment of each woman as an individual (personal characteristics, clinical conditions, and service delivery capabilities in the patient's treatment and residential area). Postabortion FP should use a problem-solving approach tailored to the individual as a means of increasing the likelihood of acceptable and effective care. Clinical conditions are of equal or lesser importance to personal preferences, constraints, and social contexts. Clinicians must be aware of the factors that led to the unwanted pregnancy, as a means of helping the client select an appropriate method. A working group recommends that all modern contraceptives may be used immediately following postabortion care. Women should abstain from intercourse until bleeding stops.
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