title: Impact of the French 3rd and 4th generation pill scare in women seeking termination of pregnancy.
abstract: BACKGROUND
  The aim of this study was to evaluate changes in the contraceptive profile of women seeking termination of pregnancy following the debate on 3rd and 4th generation pills in France in 2012.
  
  
  METHODS
  Single-center case-control study comparing the attitude to contraception before (between 02/15/2012 and 07/16/2012) and after the debate (between 02/25/2013 and 06/24/2013).
  
  
  RESULTS
  A total of 291 patients consulted before and 601 after the debate. We showed that there were more students (+9.5%), more single women (+8.3%) and fewer working women (-7.7%) in the cohort after the debate. After the termination procedure, prescriptions for long-acting reversible contraceptive (LARC) methods increased (+7.8%, P=0.03), in particular in patients aged 25 or younger, including nulliparous (+12.6%, P=0.02).
  
  
  CONCLUSIONS
  The media alert about the pill led to a change in the contraceptive standard in the post-abortion period and altered patient profiles. An increase was notably observed in certain vulnerable populations (high school students, unemployed and single women). It remains to be seen whether these changes are transient or permanent.
authors.affiliation: Rennes University Hospital, Department of Gynecology, hôpital Sud, 16, boulevard de Bulgarie, 35700 Rennes, France; University of Rennes 1, Faculty of Medicine, 35043 Rennes, France.
authors.forename: O
authors.initials: O
authors.lastname: Caillot
authors.affiliation: University of Rennes 1, UEB, UMS 3480 Biosit, Faculty of Medicine, 35043 Rennes, France; Environmental and Human Genomics Facility, University of Rennes 1, 35043 Rennes, France.
authors.forename: M
authors.initials: M
authors.lastname: Aubry
authors.affiliation: Rennes University Hospital, Department of Gynecology, hôpital Sud, 16, boulevard de Bulgarie, 35700 Rennes, France; University of Rennes 1, Faculty of Medicine, 35043 Rennes, France.
authors.forename: S
authors.initials: S
authors.lastname: Duros
authors.affiliation: Rennes University Hospital, Department of Gynecology, hôpital Sud, 16, boulevard de Bulgarie, 35700 Rennes, France.
authors.forename: L
authors.initials: L
authors.lastname: Boyer
authors.affiliation: Rennes University Hospital, Department of Gynecology, hôpital Sud, 16, boulevard de Bulgarie, 35700 Rennes, France.
authors.forename: C
authors.initials: C
authors.lastname: Van Valenberg
authors.affiliation: Rennes University Hospital, Department of Gynecology, hôpital Sud, 16, boulevard de Bulgarie, 35700 Rennes, France; University of Rennes 1, Faculty of Medicine, 35043 Rennes, France; ER 440, OSS, Inserm, 35000 Rennes, France.
authors.forename: J
authors.initials: J
authors.lastname: Levêque
authors.affiliation: Rennes University Hospital, Department of Gynecology, hôpital Sud, 16, boulevard de Bulgarie, 35700 Rennes, France; University of Rennes 1, Faculty of Medicine, 35043 Rennes, France; ER 440, OSS, Inserm, 35000 Rennes, France. Electronic address: Vincent.lavoue@chu-rennes.fr.
authors.forename: V
authors.initials: V
authors.lastname: Lavoué
mesh_terms: D000028:Abortion, Induced / Q000706:statistics & numerical data*; D000328:Adult; D001294:Attitude to Health; D016022:Case-Control Studies; D003271:Contraceptive Agents, Female; D003278:Contraceptives, Oral, Hormonal / Q000008:administration & dosage / Q000009:adverse effects*; D011307:Drug Prescriptions / Q000706:statistics & numerical data; D005260:Female; D005602:France / Q000453:epidemiology; D020073:Gravidity; D006306:Health Surveys; D006801:Humans; D000075523:Long-Acting Reversible Contraception / Q000706:statistics & numerical data; D011247:Pregnancy; D012847:Single Person / Q000706:statistics & numerical data; D013334:Students / Q000706:statistics & numerical data; D014931:Women, Working / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D003271:Contraceptive Agents, Female; D003278:Contraceptives, Oral, Hormonal
keywords: Abortion; Contraception; Long-acting reversible contraception; Pill; Pill scare