Sophia Magalona is a PhD student, Meagan Byrne is PMA Survey Operations Lead, Caroline Moreau is Associate Professor, and Suzanne O. Bell is Assistant Professor, Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Funmilola M. OlaOlorun is Senior Lecturer, Department of Community Medicine, University of Ibadan, Ibadan, Oyo, Nigeria.
Stud Fam Plann. 2022 Sep;53(3):433-453. doi: 10.1111/sifp.12208. Epub 2022 Jul 20.
Post-abortion contraception enables women to effectively manage their fertility to prevent unintended pregnancies. Using data from population-based surveys of women aged 15-49 in Nigeria and Côte d'Ivoire, we examined contraceptive dynamics immediately before and after an abortion and examined factors associated with these changes using multivariable logistic regressions. Covariates included sociodemographic characteristics, abortion source, post-abortion contraceptive communication (wanting to and actually talking to someone about contraception after abortion), and perceived contraceptive autonomy. We observed higher contraceptive use after abortion than before abortion. In Nigeria, wanting to talk to someone about contraception post-abortion was associated with increased adoption and decreased discontinuation, whereas talking to someone about contraception post-abortion was associated with increased adoption. Obtaining care from a clinical abortion source was associated with increased adoption and decreased discontinuation. Both post-abortion contraceptive communication variables were associated with post-abortion contraceptive use in both countries, whereas clinical source was only associated with post-abortion contraceptive use in Nigeria. Our findings suggest that ensuring that women have access to safe abortion as part of the formal health care system and receive comprehensive, high-quality post-abortion care services that include contraceptive counseling enables them to make informed decisions about their fertility that align with their reproductive goals.
流产后避孕措施使妇女能够有效地管理其生育能力，以避免意外怀孕。本研究利用来自尼日利亚和科特迪瓦的 15-49 岁妇女的基于人群的调查数据，研究了流产前后的避孕动态，并使用多变量逻辑回归分析了与这些变化相关的因素。协变量包括社会人口特征、流产来源、流产后避孕沟通（流产后是否想要并实际与他人谈论避孕措施）以及感知避孕自主权。我们观察到流产后避孕措施的使用高于流产前。在尼日利亚，流产后想要与他人谈论避孕措施与增加采用和减少停药有关，而与他人谈论避孕措施与增加采用有关。从临床流产来源获得护理与增加采用和减少停药有关。这两个流产后避孕沟通变量在两个国家都与流产后避孕措施的使用有关，而临床来源仅与尼日利亚的流产后避孕措施的使用有关。我们的研究结果表明，确保妇女能够在正规的医疗保健系统中获得安全的流产服务，并获得包括避孕咨询在内的全面、高质量的流产后护理服务，使她们能够就其生育能力做出知情决策，这些决策符合其生殖目标。
