Predicting poor compliance with follow-up and intrauterine contraception services after medical termination of pregnancy

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Pohjoranta , E , Mentula , M , Suhonen , S P & Heikinheimo , O 2018 , ' Predicting poor compliance with follow-up and intrauterine contraception services after medical termination of pregnancy ' , Bmj sexual & reproductive health , vol. 44 , no. 4 , pp. 278-285 . https://doi.org/10.1136/bmjsrh-2018-200098

Title: Predicting poor compliance with follow-up and intrauterine contraception services after medical termination of pregnancy
Author: Pohjoranta, Elina; Mentula, Maarit; Suhonen, Satu P.; Heikinheimo, Oskari
Contributor: University of Helsinki, Department of Obstetrics and Gynecology
University of Helsinki, Department of Obstetrics and Gynecology
University of Helsinki, Department of Obstetrics and Gynecology
Date: 2018-10
Language: eng
Number of pages: 8
Belongs to series: Bmj sexual & reproductive health
ISSN: 2515-1991
URI: http://hdl.handle.net/10138/309860
Abstract: Background Attendance at post-abortion follow-up visits is poor, but little is known about factors affecting it. Objective To assess the factors associated with non-compliance with post-abortion services and to evaluate differences in rates of attendance and intrauterine device (IUD) insertion according to the type of service provision. Methods 605 women undergoing a first trimester medical termination of pregnancy (MTOP) and planning to use intrauterine contraception were randomised into two groups. Women in the intervention group (n=306) were booked to have IUD insertion 1-4 weeks after the MTOP at the hospital providing the abortion, while women in the control group (n=299) were advised to contact their primary healthcare (PHC) centre for follow-up and IUD insertion. Results In the intervention group, 21 (6.9%) women failed to attend the fol low-up visit, whereas in the control group 67 (22.4%) women did not contact the PHC to schedule a follow-up (p Conclusions Factors predicting low compliance with post-MTOP fol low-up are few. Comprehensive provision of abortion care and post-abortion services seems beneficial for minimising the loss to fol low-up and delay in initiation of effective contraception.
Subject: RANDOMIZED CONTROLLED-TRIAL
DELAYED INSERTION
INDUCED-ABORTION
REPEAT ABORTION
IMMEDIATE
ANXIETY
INITIATION
3123 Gynaecology and paediatrics
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