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Likelihood of repeat abortion in a Swedish cohort according to the choice of post-abortion contraception: a longitudinal study

Acta obstetricia et gynecologica Scandinavica, 2016-05, Vol.95 (5), p.565-571 [Peer Reviewed Journal]

2016 Nordic Federation of Societies of Obstetrics and Gynecology ;2016 Nordic Federation of Societies of Obstetrics and Gynecology. ;Acta Obstetricia et Gynecologica Scandinavica © 2016 Nordic Federation of Societies of Obstetrics and Gynecology ;ISSN: 0001-6349 ;ISSN: 1600-0412 ;EISSN: 1600-0412 ;DOI: 10.1111/aogs.12874 ;PMID: 26871269 ;CODEN: AOGSAE

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Title:
Likelihood of repeat abortion in a Swedish cohort according to the choice of post-abortion contraception: a longitudinal study
Author: Kilander, Helena ; Alehagen, Siw ; Svedlund, Linnea ; Westlund, Karin ; Thor, Johan ; Brynhildsen, Jan
Subjects: Abortion ; Abortion, Habitual - epidemiology ; Abortion, Habitual - etiology ; Abortion, Habitual - prevention & control ; Abortion, Induced - adverse effects ; Abortion, Induced - statistics & numerical data ; Adult ; Birth control ; Cohort Studies ; Contraception - adverse effects ; Contraception - statistics & numerical data ; Contraceptive Agents, Female - administration & dosage ; Contraceptive Agents, Female - adverse effects ; Female ; Health risk assessment ; Humans ; Intrauterine Devices - adverse effects ; Intrauterine Devices - statistics & numerical data ; Long-acting reversible contraception ; Longitudinal Studies ; Medical records ; post-abortion contraception ; Pregnancy ; repeat abortion ; Reproductive History ; subdermal implant ; Sweden - epidemiology ; termination of pregnancy ; Womens health
Is Part Of: Acta obstetricia et gynecologica Scandinavica, 2016-05, Vol.95 (5), p.565-571
Description: Introduction Despite 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 methods This 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. Results While 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. Conclusions Choosing LARC was associated with fewer repeat abortions over more than 3 years of follow up.
Publisher: United States: Blackwell Publishing Ltd
Language: English;French;German
Identifier: ISSN: 0001-6349
ISSN: 1600-0412
EISSN: 1600-0412
DOI: 10.1111/aogs.12874
PMID: 26871269
CODEN: AOGSAE
Source: Journals@Ovid Open Access Journal Collection Rolling
MEDLINE
Alma/SFX Local Collection
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Likelihood of repeat abortion in a Swedish cohort according to the choice of post-abortion contraception: a longitudinal study

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