Abstract
BackgroundTo determine whether use of intrauterine device (IUD) is influenced by a history of induced abortion and the type of contraceptives used until costs are covered.MethodsWe analyzed data from 301 female residents in Mecklenburg-West Pomerania, an economically challenged community. The women, aged between 20 and 35 years, were entitled to receive unemployment benefits, and had access to free-of-charge oral contraceptives, ring or IUD. Cross-sectional data were analyzed using logistic regression.ResultsThere were 112 (37.2%) women with a history of induced abortion, and 46 (15.3%) reported exclusively using less effective contraceptives (e.g. condoms). In a univariate logistic regression, use of an IUD was associated with a history of having had an induced abortion. Furthermore, uptake of an IUD was associated with women who had, until costs were covered, exclusively choice to use less effective contraceptives (OR = 3.281, 95% CI: 1.717; 6.273). Both associations remained significant in a multivariate model.ConclusionsFree contraceptives provided to women receiving unemployment benefits may increase the use of IUDs, especially among those with a history of an induced abortion and those using less effective contraceptives.
Highlights
To determine whether use of intrauterine device (IUD) is influenced by a history of induced abortion and the type of contraceptives used until costs are covered
Based on the univariate logistic regression analysis, this change was associated with a history of an induced abortion (1 abortion: Odds ratio (OR) = 3.430 [95% Confidence interval (CI): 1.743; 6.753], > 1 abortion: OR = 1.663 [95% CI: 0.935; 2.954], Reference category: no past abortion)
Women who exclusively used less effective contraceptives until costs were covered and who were currently receiving unemployment benefits were more likely to choose IUD placement (OR = 3.281 [95% CI: 1.717; 6.273], Reference category: use of effective contraceptives, e.g. oral contraceptive pill)
Summary
To determine whether use of intrauterine device (IUD) is influenced by a history of induced abortion and the type of contraceptives used until costs are covered. Unintended pregnancies are defined as those that are unwanted (because childbearing has been completed or no child is desired) or mistimed (those that have come earlier than desired) [1]. Unintended pregnancies account for 40% of pregnancies worldwide, resulting in 34 million unintended births and 42 million induced abortions per year [2]. Data indicate that the number of unintended pregnancies. The most effective methods are long-acting contraceptives, including intrauterine devices (IUDs) [7]. The use of IUDs after an abortion has the potential to decrease the number of subsequent unintended pregnancies and the attendant risks of induced abortions [9,10,11]
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