Instituto de Medicina Integral Prof Fernando Figueira (IMIP) - Research Department - Rua dos Coelhos, 300 Boa Vista 50,070-550, Recife, Brazil.
Reprod Health. 2010 May 10;7:5. doi: 10.1186/1742-4755-7-5.
In Brazil, a Ministry of Health report revealed women who underwent an abortion were predominantly in the use of contraceptive methods, but mentioned inconsistent or erroneously contraceptive use. Promoting the use of contraceptive methods to prevent unwanted pregnancies is one of the most effective strategies to reduce abortion rates and maternal morbidity and mortality. Therefore, providing post-abortion family planning services that include structured contraceptive counseling with free and easy access to contraceptive methods can be suitable. So the objective of this study is to determine the acceptance and selection of contraceptive methods followed by a post-abortion family planning counseling.
A cross-sectional study was carried out from July to October 2008, enrolling 150 low income women to receive post-abortion care at a family planning clinic in a public hospital located in Recife, Brazil. The subjects were invited to take part of the study before receiving hospital leave from five different public maternities. An appointment was made for them at a family planning clinic at IMIP from the 8th to the 15th day after they had undergone an abortion. Every woman received information on contraceptive methods, side effects and fertility. Counseling was individualized and addressed them about feelings, expectations and motivations regarding contraception as well as pregnancy intention.
Of all women enrolled in this study, 97.4% accepted at least one contraceptive method. Most of them (73.4%) had no previous abortion history. Forty of the women who had undergone a previous abortion, 47.5% reported undergoing unsafe abortion. Slightly more than half of the pregnancies (52%) were unwanted. All women had knowledge of the use of condoms, oral contraceptives and injectables. The most chosen method was injectables, followed by oral contraceptives and condoms. Only one woman chose an intrauterine device.
The acceptance rate of post-abortion contraceptive methods was greater and the most chosen method was the best-known one. Implementing a specialized family planning post abortion service may promote an acceptance, regardless of the chosen method. Most important is they do receive contraception if they do not wish for an immediate pregnancy.
在巴西，卫生部的一份报告显示，接受人工流产的女性大多使用了避孕方法，但提到避孕方法的使用不一致或不正确。推广使用避孕方法来预防意外怀孕是降低人工流产率和母婴发病率和死亡率的最有效策略之一。因此，提供包括结构化避孕咨询在内的人工流产后计划生育服务，并免费且方便地获得避孕方法，可能是合适的。因此，本研究的目的是确定接受和选择人工流产后计划生育咨询后的避孕方法。
这是一项 2008 年 7 月至 10 月进行的横断面研究，共纳入 150 名低收入女性，她们在巴西累西腓的一家公立医院计划生育诊所接受人工流产后护理。在从五家不同的公立医院获得医院休假之前，邀请这些女性参加这项研究。在她们接受人工流产后第 8 至 15 天，为她们在 IMIP 的计划生育诊所预约。每位女性都收到了关于避孕方法、副作用和生育能力的信息。咨询是个性化的，涉及她们对避孕的感受、期望和动机，以及怀孕的意图。
在这项研究中，所有纳入的女性中，97.4%的人至少接受了一种避孕方法。她们大多数（73.4%）没有人工流产史。在经历过人工流产的 40 名女性中，47.5%的人报告进行了不安全的人工流产。略多于一半的怀孕（52%）是不想要的。所有女性都知道使用避孕套、口服避孕药和注射剂。选择最多的方法是注射剂，其次是口服避孕药和避孕套。只有一名女性选择了宫内节育器。
人工流产后避孕方法的接受率较高，选择最多的方法是最知名的方法。实施专门的人工流产后计划生育服务可能会促进接受度，无论选择哪种方法。最重要的是，如果她们不希望立即怀孕，她们确实会获得避孕措施。
