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Women's reports on postabortion family‐planning services provided by the public‐sector legal abortion program in Mexico City
Author(s) -
Becker Davida,
Díaz Olavarrieta Claudia,
Garcia Sandra G.,
Harper Cynthia C.
Publication year - 2013
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/j.ijgo.2012.11.018
Subject(s) - abortion , family planning , medicine , family medicine , medical abortion , logistic regression , population , gynecology , obstetrics , pregnancy , environmental health , research methodology , misoprostol , genetics , biology
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.