Details

Autor(en) / Beteiligte

• Meurice, Marielle E.
• Lovio, Marissa
• Chang, Jenny J.
• Perry, Rachel

Titel

Contraception Choice Among Those Seeking Abortion for Fetal Indication or Management of Pregnancy Loss

Ist Teil von

• Obstetrics and gynecology (New York. 1953), 2021-04, Vol.137 (4), p.606-611

Erscheinungsjahr

2021

Beschreibungen/Notizen

• OBJECTIVE: To compare contraception choices of those who are undergoing abortion procedures for fetal indications or surgical management of pregnancy loss with those who are having abortions for another indication. METHODS: We conducted a cross-sectional study at University of California, Irvine, from December 1, 2017, through December 31, 2018, and included gestational ages up to 24 0/7 weeks. We abstracted data from electronic medical records and analyzed them using descriptive statistics, χ 2 , Fisher exact tests, and a multivariate logistic regression model for primary outcome (whether a contraception method was chosen) and secondary outcome (whether a long-active reversible contraception was chosen). RESULTS: Those with fetal indication were less likely to choose contraception than those with other indication (68/134, 50.7% vs 142/158, 89.9%, P <.001), and among those choosing contraception those with fetal indication were less likely to choose long-acting reversible contraception (LARC) (19/68, 27.9% vs 94/142, 66.2%, P <.001). Differences remained significant in multivariable analysis that controlled for age, gestational age in weeks, race, parity, procedure type, and comorbidities (among those with fetal indication for choosing any contraception: adjusted odds ratio [aOR] 0.11, 95% CI 0.05–0.23; choosing LARC: aOR 0.17, 95% CI 0.07–0.39). CONCLUSION: Only half of those seeking abortion for a fetal indication or surgical management of pregnancy loss were interested in contraception.