ArticleActa obstetricia et gynecologica Scandinavica2023
Contraceptive use among women seeking an early induced abortion in Sweden.
Article in Acta obstetricia et gynecologica Scandinavica, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 9 citations in OpenAlex.
- Effects of structured contraceptive counseling in young women: Secondary analyses of a cluster randomized controlled trial (the LOWE trial).Acta obstetricia et gynecologica Scandinavica · 2024Trial
- Contraceptive uptake and compliance after structured contraceptive counseling - secondary outcomes of the LOWE trial.Acta obstetricia et gynecologica Scandinavica · 2024Trial
- 'For my own safety and peace of mind': views on contraception among young emergency contraception users: a qualitative study in Swedish pharmacies.Reproduction & fertility · 2026Article
- A qualitative study of sexuality and contraceptive choice among women using withdrawal.International journal of impotence research · 2026Article
- Personal and work-related factors that impact the decision to have the first and recurrent abortion among women in Serbia.The Libyan journal of medicine · 2025Article
- Pregnancy Termination Among Women of Reproductive Age: Evidence from the Indonesian Demographic and Health Survey.International journal of environmental research and public health · 2025Article
- Lifetime Practice and Intention to Use Contraception After Induced Abortion Among Serbian Women in Belgrade.Medicina (Kaunas, Lithuania) · 2024Article
- Contraceptive use among women seeking an early induced abortion in Sweden.Acta obstetricia et gynecologica Scandinavica · 2023Article
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Authors and funding
8 authors at 3 institutions in 1 country.
Funding
Abstract
introductionIn spite of societal efforts to strengthen women's sexual and reproductive health in Sweden, many women have unmet contraceptive needs and the abortion rate remains high. The aim of this study was to investigate contraceptive use among abortion-seeking women. MATERIAL AND
methodsSwedish-speaking women seeking an induced abortion up to the end of gestational week 12 at seven hospitals filled out an anonymous paper questionnaire between January and June 2021. Data were analyzed using frequencies and cross-tabulations, and the Chi-square test was used to compare age-groups. Valid percentages are presented.
resultsIn total, 623 women participated. Median age was 29 years and 13% were born outside the Nordic countries. In the year preceding the abortion, condoms (37%, n = 228) were the most commonly used contraceptive method, followed by short-acting reversible contraception (SARC) (35%, n = 213) and withdrawal (25%, n = 152). Around one in five (n = 113) had not used any method in the year preceding the abortion. Sixteen percent (n = 96) had changed contraceptive method in the last year. At the time around conception, 15% (n = 90) reported use of SARC and 2% (n = 12) of long-acting reversible contraception (LARC). Four out of 10 women (n = 268) reported non-use of contraception at the time around conception, with a higher proportion among adolescents (70%, n = 30, P = 0.001). Among the women who responded to why they had not used any method (n = 387), the main reasons were that they did not believe they could become pregnant at that time (37%, n = 144) or had negative experiences from using contraceptives (32%, n = 123). A majority (88%, n = 527) planned to use contraception after the abortion. Of the women who had decided on method, 55% (n = 271) planned to use LARC, and 38% (n = 188) planned to use SARC.
conclusionThe unmet need for contraception appears to be high among abortion-seeking women in Sweden. Many had discontinued contraception use during the last year, and the main reasons for avoidance were beliefs that one could not become pregnant and negative experiences of contraceptives. The underestimation of pregnancy risk indicates limited fertility awareness, thus our recommendation would be to strengthen the sexual and reproductive knowledge among this group.
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