These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: Contraceptive practice before and after therapeutic abortion. II. Use-effectiveness of oral contraceptives and intrauterine devices.
    Author: Fylling P, Svendsby T.
    Journal: Fertil Steril; 1979 Jul; 32(1):24-7. PubMed ID: 456627.
    Abstract:
    Of 180 women who underwent therapeutic abortion in a certain period in 1977, 71.7% were unmarried and 63.9% were unmarried primigravidas. At the first follow-up visit 3 to 6 weeks postabortion 55.0% of the unmarried primigravidas chose oral contraceptives and 43.2% chose intrauterine devices (IUDs). Of the unmarried women, 25.7% chose oral contraceptives and 65.7% chose IUDs. For unmarried primigravidas the 1-year continuation rates for oral contraceptives and IUDs were 83.6% and 93.8%, respectively. For married women the figures were 55.6% for oral contraceptives and 91.3% for IUDs. The differences between use of oral contraceptives and use of IUDs in the two groups of women was not statistically significant. We recorded no contraceptive failure, but three episodes of pelvic inflammatory disease occurred among unmarried primigravidas. The results indicate a high motivation for reliable methods and a high continuation rate following therapeutic abortion. The results may also indicate that oral contraceptives and IUDs represent equivalent methods for both parous and nulliparous women. 195 women undergoing therapeutic abortion in a clinic were included in this study of the efficacy of various forms of contraception postabortion. 180 women were followed for the complete study; of these, 71.7% were unmarried and 63.9% were unmarried primigravidas. 3-6 weeks postabortion, the patients were offered a choice of contraception; 55% of the unmarried primas chose oral contraceptives, whereas 43.2% chose IUDs. Among the married population, 25.7% chose oral contraceptives, and 65.7% requested IUDs. Continuation rates for 1 year were calculated. Unmarried primas had continuation rates of 83.6% for oral contraceptives and 93.8% for IUDs. Married women had continuation rates of 55.6% and 91.3%, respectively, for oral contraceptives and IUDs. None of these rates showed statistical significance. Motivation for reliable contraception postabortion is very high, as judged by these continuation rates. There were no contraceptive failures; however, 3 cases of acute pelvic inflammatory disease were reported among the unmarried primas. The results indicate that either method is efficacious for both parous and ulliparous clients.
    [Abstract] [Full Text] [Related] [New Search]