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Hum. Reprod. Advance Access published online on July 14, 2006
Human Reproduction, doi:10.1093/humrep/del268
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© The Author 2006. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org
Received January 13, 2006
Revised April 1, 2006
Accepted June 5, 2006

Article

Contraception at the time of abortion: high-risk time or high-risk women?

Nathalie Bajos 1 *, Agathe Lamarche-Vadel 1, Fabien Gilbert 1, and Michèle Ferrand 2, COCON Group 1, and Caroline Moreau 3

1 INSERM INED U569, Hôpital de Bicêtre, Kremlin Bicêtre, France
2 CNRS, Paris, France
3 INSERM INED U569, Hôpital de Bicêtre, Kremlin Bicêtre; Office of Population Research, Princeton University, Princeton, NJ, USA

* To whom correspondence should be addressed.
Nathalie Bajos, E-mail: bajos{at}vjf.inserm.fr


  Abstract

BACKGROUND: Despite the widespread use of highly effective contraception in France, the incidence of abortion is high. A retrospective population-based cohort study was designed to analyse women’s contraceptive history. METHOD: We compared the contraceptive use of 163 women, whose last pregnancy ended in abortion, 6 months before, at the time of, 1 month and 6 months after the event with that of 1787 women who had never had an abortion. RESULTS: A total of 46% of women who experienced an abortion used a highly effective form of contraception 6 months before the event (versus 76% among women who had never had an abortion, P < 0.001). This proportion dropped to 33% at the time of the abortion and increased to 71%, 1 month after. In addition, 50% of women who had an abortion had changed their contraceptive method in the 6 months before the event (compared with 16% in the 6 months before the interview in women who had not had an abortion, P < 0.001). Women with socially deprived backgrounds were less likely to use a highly effective contraception after an abortion. CONCLUSIONS: Abortion is a good opportunity for intervention, but especially so for socially disadvantaged women. It is essential to draw the attention of prescribers and women to the higher risk of contraceptive failure at the start of use of a method.

Keywords: abortion/contraception/contraceptive failure/unwanted pregnancy.
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C. Moreau, J. Bouyer, N. Bajos, G. Rodriguez, and J. Trussell
Frequency of discontinuation of contraceptive use: results from a French population-based cohort
Hum. Reprod., June 1, 2009; 24(6): 1387 - 1392.
[Abstract] [Full Text] [PDF]


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