<h5>Objectives</h5> To qualitatively explore the contraceptive experience of women with an unintended and unwanted pregnancy.</P><h5>Methods</h5> From an abortion clinic in the interior of British Columbia, 108 women were recruited at the time of abortion. Participants completed a standardized contraception satisfaction questionnaire indicating demographic information and overall satisfaction with their contraceptive choices.</P><h5>Results</h5> Among women presenting for abortion, 42% reported not using any form of contraception at the time of conception including 25% of women presenting for a repeat abortion. Thirty-one percent of women had been using oral contraceptive pills; 24%, condoms; 8%, withdrawal; 5%, vaginal ring; 4%, depot medroxyprogesterone acetate; 3%, copper intrauterine device (IUD); and 1%, combined hormonal patch. No women used a levonorgestrel IUD or sterilization. Fifteen percent of women used two or more methods of contraception. Overall, 34% of women reported satisfaction with their previously chosen contraception.</P><h5>Conclusions</h5> There was a higher than expected rate of satisfaction with the form of contraception used at the time of conceiving an unplanned and unwanted pregnancy. Overall, there was a low rate of women using an IUD and no women were using a levonorgestrel IUD or sterilization for contraception. A large number of women who had a previous abortion were not using any form of contraception at the time of the unwanted conception. Assuming these women were counseled on contraceptive choices, which is standard at the time of an abortion in this province, this suggests that knowledge is not the only barrier to contraceptive use.</P>
Contraception – Elsevier
Published: Sep 1, 2011
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