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Legal termination of pregnancy as an opportunity for expanding postabortion contraception: Experience at the Pereira Rossell Hospital, Montevideo, Uruguay
Author(s) -
Nozar Fernanda,
Greif Diego,
Coppola Francisco,
Fiol Verónica,
Briozzo Leonel
Publication year - 2016
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.2016.06.009
Subject(s) - medicine , abortion , family planning , abortion law , data collection , developed country , liberalization , pregnancy , family medicine , research methodology , obstetrics , gynecology , demography , population , environmental health , law , social science , genetics , sociology , political science , biology
Objective To determine to what extent women adopted highly effective contraceptive methods after a legal abortion. Methods The data available during a period before and another period after liberalization of the abortion law were reviewed. The data gathering was incomplete and reliable only during certain periods, which were used in the study. Results There was an increase in the proportion of women who returned for contraception and in the proportion who used any method and long‐acting methods; however, no contraception was administered immediately after abortion and only 16% of all women treated started to use a long‐acting method during the period after the law was liberalized. Conclusion The proposed objective was not being achieved, the recommended guidelines were not being followed, and data gathering was incomplete. Good intentions are not enough and it is always necessary to evaluate the performance of a program. The results indicate that immediate reforms are necessary in postabortion contraception services.