Department of obstetrics and gynaecology, Pesenti Fenaroli, Piario and Bolognini Hospital - ASST Bergamo est., Italy.
Department of obstetrics and gynaecology, Pesenti Fenaroli, Piario and Bolognini Hospital - ASST Bergamo est., Italy.
J Gynecol Obstet Hum Reprod. 2024 Sep;53(7):102786. doi: 10.1016/j.jogoh.2024.102786. Epub 2024 Apr 9.
24 % of abortion in Italy are repeated procedure. The cause of repeated abortion can be traced back to the inadequacy of the contraceptive counseling during the previous admission or to the adoption of an ineffective contraception method. This study aims to evaluate the Italian situation on the perceived quality of contraceptive counselling by patients undergoing abortion. The second aim is to verify if the chosen methods were available for immediate start.
Multicentric, prospective, non-interventional, non-randomized, non-pharmacological clinical observational study. We analyzed anonymous questionnaires on contraceptive counseling and LARC (Long Acting Reversable Contraceptives) availability and SARC (Short Acting Reversable Contraceptives) prescription at hospital discharge, distributed to women who requested abortion.
1074 participants on 15 hospitals through Italy. 82 % of the interviewees reported that they had received correct information regarding contraception. 74 % of the patients who chose LARC methods reported to have them inserted at the time of abortion. 73 % of women who had chosen a SARC method stated that they had received the prescription before discharge. After contraceptive counselling, we reported a significative reduction of "none or natural methods use" and a significant increase of SARC and LARC use compared to before the abortion.
Contraceptive counselling could allow a better contraceptive choice in patient who required abortion and we hope that future strategies will implement LARC choice. We think that a greater availability of LARC at an affordable price at the time of abortion could improve LARC choice. In case of SARC choice, we have to implement the prescription at hospital discharged.
意大利有 24%的堕胎是重复进行的。重复堕胎的原因可以追溯到前次就诊时避孕咨询的不足，或者采用了无效的避孕方法。本研究旨在评估意大利患者对堕胎前避孕咨询的感知质量。第二个目的是验证所选择的方法是否可以立即使用。
多中心、前瞻性、非干预性、非随机、非药物临床观察研究。我们分析了匿名的避孕咨询和 LARC（长效可逆避孕）可用性以及 SARC（短期可逆避孕）出院时处方问卷，这些问卷分发给要求堕胎的妇女。
通过意大利的 15 家医院共纳入 1074 名参与者。82%的受访者表示，他们已获得正确的避孕信息。74%选择 LARC 方法的患者表示，他们在堕胎时已将其插入。73%选择 SARC 方法的女性表示，她们在出院前已收到处方。避孕咨询后，与堕胎前相比，我们报告了“不使用或自然方法使用”的显著减少，以及 SARC 和 LARC 使用的显著增加。
避孕咨询可以让要求堕胎的患者做出更好的避孕选择，我们希望未来的策略将优先选择 LARC。我们认为，在堕胎时以负担得起的价格提供更多的 LARC 选择可以改善 LARC 的选择。如果选择 SARC，我们必须在出院时开具处方。
