Contraception after medical abortion.
OBJECTIVE
This study's objectives were to examine current evidence on contraception after abortion and to formulate guidelines for the use of different contraceptives after medical abortion based on current evidence.


METHODS
This study was based on review of published literature and guidelines on postabortion use of contraception.


RESULTS
Contraception needs to be initiated early following a first-trimester abortion. Postabortion family planning is an integral part of comprehensive abortion care. Concurrent contraception with surgical abortion has been found to be practical and effective, with high contraception usage following abortion. Most methods can be safely used following medical abortion and can be initiated either on the day of misoprostol administration (oral pills, condoms and injectable contraceptives) or after the next menstrual cycle (intrauterine device and sterilization).


CONCLUSIONS
With proper precautions, almost all contraceptive methods can be effectively used following medical abortion.
Mittal
Suneeta
S
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110029, India. suneeta@ndf.vsnl.net.in
D000028:Abortion, Induced; D017280:Condoms; D003267:Contraception; D003271:Contraceptive Agents, Female; D003274:Contraceptive Devices, Female; D003276:Contraceptives, Oral; D005260:Female; D006801:Humans; D007434:Intrauterine Devices; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D013245:Sterilization, Reproductive; D013997:Time Factors
D003271:Contraceptive Agents, Female; D003276:Contraceptives, Oral