Women's reports on postabortion family-planning services provided by the public-sector legal abortion program in Mexico City

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• 作者：Davida Becker^a ; ^{davidab@usc.edu} ; Claudia Dí ; az Olavarrieta^b ; Sandra G. Garcia^c ; Cynthia C. Harper^d
• 关键词：Abortion services ; Intrauterine device ; Mexico City ; Postabortion contraception ; Postabortion family-planning services
• 刊名：International Journal of Gynecology and Obstetrics
• 出版年：2013
• 出版时间：May, 2013
• 年：2013
• 卷：121
• 期：2
• 页码：149-153
• 全文大小：131 K

文摘

Objective

To investigate patients¡¯ views of family-planning services provided in Mexico City during abortion care at public facilities and their acceptance of postabortion contraception.

Methods

In total, 402 women seeking first-trimester abortion care in Mexico City were surveyed. Logistic regression was used to test whether postabortion contraception varied according to abortion visit characteristics or patient sociodemographics.

Results

Most participants (328 [81.6 % ]) reported being offered contraception at their visit and 359/401 (89.5 % ) selected a contraceptive method for postabortion use, with 236/401 (58.9 % ) selecting an intrauterine device. Women who underwent surgical abortion were more likely than those who underwent medical abortion to report being offered contraception (P < 0.001); women attended by a female physician were more likely than those attended by a male physician to report being offered contraception (P < 0.05). Women who attended the general hospital were less likely to report being offered contraception (P < 0.001).

Conclusion

Public-sector facilities in Mexico City provide a high level of postabortion family-planning care, and uptake of postabortion contraception is high.