Post abortion family planning counseling as a tool to increase contraception use.
BACKGROUND
To describe the impact of the post-abortion family planning counseling in bringing about the contraceptive usage in women who had induced abortion in a family planning clinic.


METHODS
The Diyarbakir Office of Turkish Family Planning Association (DTFPA) is a nonprofit and nongovernmental organization which runs a family planning clinic to serve the lower socio-economic populations, in Diyarbakir-Turkey. Post abortion counseling is introduced by using proper communication skills and with using appropriate methods to women. In this study we introduced contraceptive usage of women who had induced abortion one year ago and followed by DTFPA's clinic.


RESULTS
55.3% of our clients were not using contraceptive methods before abortion. At the end of the one year, 75.9% of our followed-up clients revealed that they were using one of the modern contraceptive methods. There was no woman with IUD before induced abortion. At the end of one year 124 (52.3%) women had IUD. "A modern method was introduced immediately after abortion" was the most important factor increasing modern method usage.


CONCLUSIONS
Our results advocate that post-abortion counseling may be an effective tool to increase the usage of contraceptives. Improved and more qualified post-abortion family planning counseling should be an integral part of abortion services.
Ceylan
Ali
A
Department of Public Health, Medical Faculty of Dicle University, Diyarbakir, Turkey. alic@dicle.edu.tr
Ertem
Meliksah
M
Saka
Gunay
G
Akdeniz
Nurten
N
D000028:Abortion, Induced / Q000009:adverse effects / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000359:Aftercare / Q000458:organization & administration*; D015331:Cohort Studies; D016001:Confidence Intervals; D003268:Contraception Behavior / Q000706:statistics & numerical data*; D003376:Counseling / Q000379:methods*; D005193:Family Planning Services / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016015:Logistic Models; D016017:Odds Ratio; D010349:Patient Compliance; D011247:Pregnancy; D015397:Program Evaluation; D018570:Risk Assessment; D013997:Time Factors; D014421:Turkey; D055815:Young Adult