Abstract
Objectives: To estimate the contraceptive use rate, pregnancy and abortion rate two years after post abortion counselling. Methods: In this current paper we conducted a cross-sectional study from September to December 2011 among women who participated of original randomized trial. In this study 118 women who had been allocated in the group that received the personalized contraceptive counselling and 103 women who had been allocated in the group that received standard counselling service were contacted by phone. The analyzed variables were the use of contraceptive methods, reasons for not using them, satisfaction in used method, and occurrence of pregnancy and abortion. Results: The pregnancy rate was lower in the personalized counselling group (p = 0.022), whereas abortion (p = 0.543) and contraceptive use rate (p = 0.270) had no difference between groups. The overall contraceptive use rate was high in both groups and the injectable method use rate was higher in personalized counselling group (p = 0.004). Conclusions: Two years after the intervention the pregnancy rate was lower in personalized counselling group. The contraceptive use rate had no difference between the groups, except for the injectable which the use rate was higher in the personalized counselling group. These results could be encouraging because the intervention improved the uptake of one of the long-acting methods of contraception.
Highlights
Unsafe abortion continues to be a serious public health problem worldwide, in developing countries, where abortion laws are restrictive and severe [1]-[3]
The pregnancy rate in standard counselling group was higher than personalized counselling group (p = 0.022), whereas abortion (p = 0.543) and contraceptive use rate (p = 0.270) had no difference between groups (Table 2)
To assess the contraceptive use rate by method, we observed that women in personalized counselling group had almost three times more chances to use quarterly injectable when compared with standard counselling group (p = 0.004)
Summary
Unsafe abortion continues to be a serious public health problem worldwide, in developing countries, where abortion laws are restrictive and severe [1]-[3]. There is no doubt that addressing the unmet need for post-abortion family planning counselling and services will contribute to the reduction of maternal morbidity and mortality [4] [5]. According to the dossier about the reality of unsafe abortion in Pernambuco, Brazil, in the period between 2003 and 2007, abortion was responsible for 9.7% of maternal deaths. The post-abortion moment is a unique opportunity for contraceptive advice returning to health service, the women seek guidance on their health and are more motivated for compliance [7]. At this moment, counselling should be emphasized on education and information, enriching contraceptive need for each woman. The provision of contraceptive method is another factor that contributes to the adherence [7] [8]
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