Journal of Capital Medical University ›› 2013, Vol. 34 ›› Issue (5): 746-751.doi: 10.3969/j.issn.1006-7795.2013.05.022

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Oral contraceptive use among women after abortion

LUO Lanrong, LI Jian   

  1. Department offamily planning, Beijing Obstetrics and Gynecology Hospital, Capital Medical Universit, Beijing 100006, China
  • Received:2013-03-05 Online:2013-10-21 Published:2013-10-22

Abstract:

Objective PAFPS (post abortion family planning service) is absolutely important for women who have just undergone abortion. We are trying to help women use effective contraceptive methods such as COC (combined oral contraceptives) immediately after abortion. This study was designed to study oral contraceptive use among women after abortion.Methods Forty eight women taking COC who had induced abortion between Aug. and Oct. 2011 in Beijing Obstetrics and Gynecology Hospital were followed up at 3 months and 12 months respectively. Questions would be asked about the use of COC. Counseling would be taken too. Forty-eight women who received two follow-ups were taken as the objects of research. Results 1.Use of two cycles COC. 14.6%(7/48)didn't finished the first cycle pills, the main influencing factor was about the security of pills; 58.3%(28/48)stopped after the first cycle, the main influencing factor was failing the management of pills. 16.7%(8/48)stopped after the second cycle mainly due to the concern about the safety of COC. Only 10.4%(5/48) continued to use pills after two cycles. 2. Use of contraceptive method. About 43.7%(21/48) women didn't used any contraceptive methods before abortion verse 100% women who had sexual life all used contraceptive methods after abortion. Compare to the ratio of use of efficient contraceptive method including COC and IUD(Intrauterine device)of 3 months after the abortion, the second follow-up showed the ratio has significantly increased. But the ratio of COC didn't increased significantly. 3. Side effect. Only 4.2% (2/48) women had felt nausea during taking pills. But almost 39.6% (19/48) women stopped taking pills because of anxious about adverse reactions. 4. Others. 10.4% (5/48) women who felt their skin of face were improved during they were taking pills.Conclusion 1PAFPS should be effective and efficient. What we did could promote the use of contraceptive methods. Oral contraceptives act as an efficient, safe, method of contraception are very suitable for women using immediately after abortion. According to our study, there were different main influencing factors in the different stage of taking pills after abortion. As a result, focused consultation including the main influencing factors as well as the non-contraception benefit, various forms of follow-up can ensure the efficient and long-term of consultation which can help women insist on using efficient methods of contraception such as COC.

Key words: post abortion family planning service, contraceptive methods, combined oral contraceptive

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