Could the contraceptive counselling improve contraceptive choice after abortion? A multicentric study to evaluate patients' perception.

Autor: von Wunster S; Department of obstetrics and gynaecology, Pesenti Fenaroli, Piario and Bolognini Hospital - ASST Bergamo est., Italy., Algeri P; Department of obstetrics and gynaecology, Pesenti Fenaroli, Piario and Bolognini Hospital - ASST Bergamo est., Italy. Electronic address: dottoressa.algeri.p@gmail.com., Scassellati G; Department of obstetrics and gynaecology, San Camillo Hospital, Roma, Italy., Agatone S; Department of obstetrics and gynaecology, Pertini Hospital, Roma, Italy., Spazzini D; Department of obstetrics and gynaecology, Treviaglio Hospital, ASST Bergamo ovest, Treviglio, Italy., Peppi G; Department of obstetrics and gynaecology, Giovanni Paolo II Hospital, Olbia, Italy., Cicchitti A; Department of obstetrics and gynaecology, Floraspe-Renzetti Hospital, Chieti, Italy., Di Leo S; Department of obstetrics and gynaecology, AO per l'Emergenza Cannizzaro, Catania, Italy., Ermio C; Department of obstetrics and gynaecology, Giovanni Paolo II Hospital, Lamezia Terme, Italy., Pati M; Department of obstetrics and gynaecology, Ramazzini Hospital, Carpi, Italy., Mastrocola N; Department of obstetrics and gynaecology, Pesenti Fenaroli, Piario and Bolognini Hospital - ASST Bergamo est., Italy., Granata D; Department of obstetrics and gynaecology, Pesenti Fenaroli, Piario and Bolognini Hospital - ASST Bergamo est., Italy., Silvestri M; Department of obstetrics and gynaecology, San Matteo degli Infermi Hospital, Spoleto, Italy., Pinton R; Department of obstetrics and gynaecology, Mellino Mellini Hospital, Chiari, Italy., Giambanco L; Department of obstetrics and gynaecology, S. Antonio Abate Hospital, Trapani, Italy., Grandi S; Department of obstetrics and gynaecology, Novus Doma, Ravenna Hospital, Ravenna, Italy., Molinari MA; Department of obstetrics and gynaecology, Saronno Hospital, Saronno, Italy., Imbruglia L; Department of obstetrics and gynaecology, Pesenti Fenaroli, Piario and Bolognini Hospital - ASST Bergamo est., Italy., Chiantera A; AOGOI - Italian association of Gynaecologist and Obstetrics, Italy., Trojano V; SIGO - Italian Society of Gynaecology and Obstetrics, Italy., Viora E; AOGOI - Italian association of Gynaecologist and Obstetrics, Italy., Stigliano CM; Department of obstetrics and gynaecology, Preventive Gynaecology, Health Center, Cosenza. Italy., Parazzini F; Department of Clinical Science and Community medicine, University of Milan, Italy.
Jazyk: angličtina
Zdroj: Journal of gynecology obstetrics and human reproduction [J Gynecol Obstet Hum Reprod] 2024 Sep; Vol. 53 (7), pp. 102786. Date of Electronic Publication: 2024 Apr 09.
DOI: 10.1016/j.jogoh.2024.102786
Abstrakt: Introduction: 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.
Study Design: 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.
Results: 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.
Conclusion: 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.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024. Published by Elsevier Masson SAS.)
Databáze: MEDLINE
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