Evidence map›Paper›PMID 26470703›Full record

ArticleReproductive health2015

Contraceptive use following spontaneous and induced abortion and its association with family planning services in primary health care: results from a Brazilian longitudinal study.

Ana Luiza Vilela Borges, Funmilola OlaOlorun, Elizabeth Fujimori, Luiza Akiko Komura Hoga, Amy Ong Tsui

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 3 countries.

Ana Luiza Vilela BorgesDepartment of Public Health Nursing, University of São Paulo School of Nursing, São Paulo, Brazil. alvilela@usp.br.
Funmilola OlaOlorunDepartment of Preventive Medicine and Primary Care, University of Ibadan, Ibadan, Nigeria. fmolaolorun@gmail.com.
Elizabeth FujimoriDepartment of Public Health Nursing, University of São Paulo School of Nursing, São Paulo, Brazil. efujimor@usp.br.
Luiza Akiko Komura HogaDepartment of Maternal, Child and Psychiatric Care, University of São Paulo School of Nursing, São Paulo, Brazil. kikatuca@usp.br.
Amy Ong TsuiDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA. atsui1@jhu.edu.
Universidade de São Paulo · BRJohns Hopkins University · USUniversity of Ibadan · NG

Funding

Research Infrastructure for the Hopkins Population CenterR24HD042854 · NICHD · JOHNS HOPKINS UNIVERSITY · PI CHERLIN, ANDREW J · 2003 to 2017
$5.1M
NICHD NIH HHS R24 HD042854
6 · The paper itself

Abstract

backgroundAlthough it is well known that post-abortion contraceptive use is high when family planning services are provided following spontaneous or induced abortions, this relationship remains unclear in Brazil and similar settings with restrictive abortion laws. Our study aims to assess whether contraceptive use is associated with access to family planning services in the six-month period post-abortion, in a setting where laws towards abortion are highly restrictive.

methodsThis prospective cohort study recruited 147 women hospitalized for emergency treatment following spontaneous or induced abortion in Brazil. These women were then followed up for six months (761 observations). Women responded to monthly telephone interviews about contraceptive use and the utilization of family planning services (measured by the utilization of medical consultation and receipt of contraceptive counseling). Generalized Estimating Equations were used to analyze the effect of family planning services and other covariates on contraceptive use over the six-month period post-abortion.

resultsWomen who reported utilization of both medical consultation and contraceptive counseling in the same month had higher odds of reporting contraceptive use during the six-month period post-abortion, when compared with those who did not use these family planning services [adjusted aOR = 1.93, 95 % Confidence Interval: 1.13-3.30]. Accessing either service alone did not contribute to contraceptive use. Age (25-34 vs. 15-24 years) was also statistically associated with contraceptive use. Pregnancy planning status, desire to have more children and education did not contribute to contraceptive use.

conclusionsIn restrictive abortion settings, family planning services offered in the six-month post-abortion period contribute to contraceptive use, if not restricted to simple counseling. Medical consultation, in the absence of contraceptive counseling, makes no difference. Immediate initiation of a contraceptive that suits women's pregnancy intention following an abortion is recommended, as well as a wide range of contraceptive methods, including long-acting reversible methods, even in restrictive abortion laws contexts.

Indexed as

Abortion, InducedAbortion, SpontaneousFamily Planning ServicesAdultBrazilContraceptionContraception BehaviorCounselingFemaleHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansLongitudinal StudiesPregnancyProspective StudiesSexual Behavior

Identifiers

PMID26470703
PMCPMC4606494
OpenAlexW2110084295

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.