Little is known about women's contraceptive use and sexual activity in the immediate post-abortion period although effective contraceptive use is paramount during this time because fertility returns almost immediately. This study sought to learn more about women's contraceptive use and sexual behaviors to inform abortion providers and help them serve their clients better, potentially leading to a decline in the rates of unintended pregnancy and repeat abortion. Abortion clients of an Atlanta, GA clinic were surveyed over the telephone 3-5 weeks post-abortion. Background information was collected from clinic medical charts. Simple and stratified frequencies and logistic regression were used to describe women's sexual activity and contraceptive use in the immediate post-abortion period and to determine if variables known at the time of the abortion could predict contraceptive use 3-5 weeks post-abortion. 54.2% (n = 39) of women had engaged in sexual intercourse in the immediate post-abortion period. Of these, 30.8% (n = 12) were not using a contraceptive method or were not using it effectively. Women who said they did not want or need information about birth control on their medical history form were less likely to be using contraception 3-5 weeks post abortion. Emphasizing the rapid return of fertility and risk of conception in pre-abortion counseling sessions could prevent future unintended pregnancies among abortion clients. Further research could explore the interaction between a willingness to talk about contraceptive methods at the time of abortion and method use post-abortion.

译文

对妇女在流产后立即使用避孕药具和性行为知之甚少,尽管在此期间有效使用避孕药具至关重要,因为生育力几乎立即恢复。这项研究试图更多地了解妇女的避孕药具使用和性行为,以告知堕胎提供者并帮助她们更好地为客户服务,从而可能导致意外怀孕和重复流产的发生率下降。堕胎后3-5周,通过电话对佐治亚州亚特兰大诊所的堕胎客户进行了调查。背景信息是从诊所医疗图表中收集的。使用简单和分层的频率以及逻辑回归来描述妇女在流产后立即进行的性活动和避孕药具的使用,并确定流产时已知的变量是否可以预测流产后3-5周的避孕药具的使用。54.2% (n = 39) 的妇女在流产后立即进行性交。其中,30.8% (n = 12) 没有使用避孕方法或没有有效使用避孕方法。表示自己不希望或不需要病史表格上有关节育信息的妇女在流产后3-5周使用避孕措施的可能性较小。在流产前咨询会议中强调生育能力的迅速恢复和受孕的风险,可以防止流产客户将来意外怀孕。进一步的研究可以探索在流产时谈论避孕方法的意愿与流产后使用方法之间的相互作用。

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