ArticleBJOG : an international journal of obstetrics and gynaecology2017
Contraceptive method preferences and provision after termination of pregnancy: a population-based analysis of women obtaining care with the British Pregnancy Advisory Service.
Article in BJOG : an international journal of obstetrics and gynaecology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Abortion care pathways and service provision for adolescents in high-income countries: A qualitative synthesis of the evidence.PloS one · 2020Pooled it
- Trial
- How Do We Measure Contraceptive Method Preferences? Evidence From a Scoping Review.Studies in family planning · 2025Article
- Factors Associated with the Choice of Contraceptive Method following an Induced Abortion after Receiving PFPS Counseling among Women Aged 20-49 Years in Hunan Province, China.Healthcare (Basel, Switzerland) · 2023Article
- Provision of long-acting reversible contraception at surgical abortion-A cross-sectional nationwide register study.Acta obstetricia et gynecologica Scandinavica · 2022Article
- Telephone or integrated contraception counselling before abortion: impact on method choice and receipt.BMJ sexual & reproductive health · 2018Article
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5 authors.
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Abstract
objectiveTo examine contraceptive choices among women seeking termination of pregnancy (TOP) and the provision of the chosen methods.
designPopulation-based study.
settingBritish Pregnancy Advisory Service (BPAS) clinics in England and Wales. POPULATION: Between 1 January 2011 and 31 December 2014, 211 215 women had a TOP at BPAS, were offered contraceptive counselling, and were eligible to obtain contraception at no cost.
methodsWe examined electronic records from BPAS and assessed the proportions of women who accepted contraceptive counselling and chose a contraceptive method, as well as the distributions of methods chosen, analysed by provider and by TOP type. We calculated the proportions receiving their chosen method and the methods chosen by women using no method at conception. We used logistic regression to examine the factors associated with choice of an intrauterine contraceptive (IUC) or implant.
main outcome measuresPost-TOP contraceptive method choice. Receipt of chosen method post-TOP.
resultsEighty-five per cent of women accepted contraceptive counselling and 51% chose to obtain a method from BPAS rather than from a GP or contraception and sexual health clinic post-TOP. [correction added on 25 November 2016 after first online publication: 51% has been inserted in the preceding sentence.] Among those who wanted to receive contraception from BPAS, 51% chose an IUC or implant and 19% chose oral contraceptives. Ninety-one per cent of women who obtained contraception from BPAS received their chosen method. Women were more likely to choose an IUC or implant if they obtained contraception from BPAS, had a surgical TOP, were parous, young, white, or had one or more previous TOPs.
conclusionsThe standards set for patient-centred TOP care should emphasise the need for a full range of contraceptive options to be offered and provided post-TOP. TWEETABLE ABSTRACT: Uptake targets for long-acting reversible methods do not reflect women's post-TOP contraceptive preferences.
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