Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo est, Seriate, Bergamo, Italy.
Department of Obstetrics and Gynaecology, Pesenti Fenaroli Hospital, ASST bergamo est, Alzano Lombardo, Bergamo, Italy.
Eur J Contracept Reprod Health Care. 2023 Oct;28(5):263-267. doi: 10.1080/13625187.2023.2245095. Epub 2023 Aug 17.
The percentage of repeat abortion in Italy is about 25%. It is therefore important to implement the strategies that can facilitate the adoption of the most effective contraceptive methods. Long-acting reversible contraceptive methods are currently considered the most effective and with the highest rates of 12-months continuation, with a reported reduction of recurrent abortion. Our study has the aim to evaluate the contraceptive choice of women requesting abortion, when an accurate and dedicate counselling is offered and the availability of a LARC method is given immediately after pregnancy termination, both in case of surgical and medical abortion. LARC methods were chosen both in case of surgical and medical abortion, by an high percentage of patients. We reported no differences between the surgical and pharmacological groups on the choice of LARC and SARC. Our observational study shows the feasibility to perform an accurate, dedicate, and personalised counselling on contraception at time of abortion. This approach has enabled a high number of women to have a LARC method inserted at the time of abortion, as a valid strategy to prevent the risk unplanned pregnancy.
意大利重复堕胎的比例约为 25%。因此，实施能够促进采用最有效避孕方法的策略非常重要。长效可逆避孕方法目前被认为是最有效的，12 个月的续用率最高，据报道可降低反复堕胎。我们的研究旨在评估要求堕胎的女性在提供准确和专门的咨询以及在终止妊娠后立即提供长效可逆避孕方法（LARC）时的避孕选择，无论采用手术流产还是药物流产。LARC 方法在手术和药物流产中均被大量患者选择。我们报告称，在 LARC 和 SARC 的选择上，手术组和药物组之间没有差异。我们的观察性研究表明，在堕胎时进行准确、专门和个性化的避孕咨询是可行的。这种方法使大量女性能够在堕胎时插入 LARC 方法，作为预防意外怀孕风险的有效策略。
