Peri-abortion contraception: a qualitative study of users' experiences.
BACKGROUND
Contraceptive counselling is an essential element of induced abortion services but concerns remain about its effectiveness.


OBJECTIVE
The issues that influence peri-abortion contraception were explored as part of a study on the experiences of women undergoing induced abortion.


METHODS
In-depth interviews with 21 women of varying ages, gestations and ethnicity, 3-9 weeks after termination of their pregnancy, with qualitative analysis of data.


RESULTS
Contraceptive risk-taking was high both before and after abortion. After abortion, only a few women had changed either to using some method, or moving to more reliable methods. Health professionals had not explored the issues around contraception with sufficient clarity or detail to be effective. Discussion of contraception was often deferred to the post-abortion follow-up visit, which only 12 respondents had attended at the time of interview.


CONCLUSIONS
The effectiveness of peri-abortion contraception counselling was disappointing. We suggest that a family planning-trained outreach nurse attached to abortion providers with specific responsibility for contraception could improve uptake post-abortion.
Department of Sexual and Reproductive Health, Southwark Primary Care Trust, St. Giles Hospital, St. Giles Road, London SE5 7RN, UK. akumar5902@aol.com
Usha
U
Kumar
Paula
P
Baraitser
Sheila
S
Morton
Helen
H
Massil
D000028:Abortion, Induced; D003268:Contraception Behavior / Q000523:psychology*; D003271:Contraceptive Agents, Female; D003376:Counseling / Q000592:standards; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D010349:Patient Compliance; D011247:Pregnancy; D011369:Professional-Patient Relations; D036301:Qualitative Research; D034121:Reproductive Health Services / Q000592:standards / Q000706:statistics & numerical data*; D012309:Risk-Taking
D003271:Contraceptive Agents, Female