{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T14:08:46Z","timestamp":1773324526597,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T00:00:00Z","timestamp":1343260800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2012,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study was carried out to explore whether the rates of postabortion adoption of a contraceptive method, and continuation of contraception over 6 months, differ among women undergoing medical abortion (MA) or surgical abortion by manual vacuum aspiration (MVA).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was conducted in Bihar and Jharkhand, 2 of the least\u2010developed states of India. The analysis focused on 679 married women who were followed up 6 months after they underwent MA (n = 308) or MVA (n = 371) at clinics run by <jats:italic>Janani<\/jats:italic>, a nonprofit organization.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The rates of adoption and continuation of contraception were similar in the 2 groups, although with some notable distinctions in the timing of adoption of contraception and the method of contraception adopted. While the women who underwent MA were significantly less likely to adopt contraception in the month following abortion (58% vs 86%), this difference had narrowed considerably by the end of the second month (82% vs 91%); and by the end of the sixth month (89% vs 94%), respectively. There were no significant differences between the MA and the MVA groups with respect to the continuation of reversible contraception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings indicate that, in a setting that offers comprehensive counseling and a range of contraceptive methods, and where adoption of contraception is voluntary, a large majority of women will adopt and continue to use a method of contraception after an abortion even in these less developed parts of India.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2012.05.010","type":"journal-article","created":{"date-parts":[[2012,7,26]],"date-time":"2012-07-26T07:13:00Z","timestamp":1343286780000},"source":"Crossref","is-referenced-by-count":16,"title":["Adoption and continuation of contraception following medical or surgical abortion in Bihar and Jharkhand, India"],"prefix":"10.1002","volume":"118","author":[{"given":"Shveta","family":"Kalyanwala","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajib","family":"Acharya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.J.","family":"Francis Zavier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,7,26]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"World Health Organization.Safe Abortion: Technical and Policy Guidance for Health Systems.http:\/\/whqlibdoc.who.int\/publications\/2003\/9241590343.pdf.2003 Accessed April 7 2012"},{"key":"e_1_2_6_3_2","volume-title":"Guidelines for Medical Officers for Medical termination of Pregnancy up to 8 Weeks Using Manual Vacuum Aspiration Technique","author":"Government of India, Maternal Health Division, Ministry of Health and Family Welfare","year":"2001"},{"key":"e_1_2_6_4_2","volume-title":"RU 486: Use of RU 486 With Misoprostol for Early Abortion in India: Guidelines for Medical Officers","author":"World Health Organization\u2013Collaborating Center for Research in Human Reproduction","year":"2003"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2006.03.006"},{"key":"e_1_2_6_6_2","volume-title":"Comprehensive Abortion Care: Training and Service Delivery Guidelines","author":"Government of India, Ministry of Health and Family Welfare","year":"2010"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0968-8080(97)90008-2"},{"key":"e_1_2_6_8_2","volume-title":"Women's Reproductive Health in India","author":"Ganatra B.","year":"2000"},{"key":"e_1_2_6_9_2","volume-title":"Improving Quality of Care in India's Family Welfare programme: The Challenge Ahead","author":"Gupte M.","year":"1999"},{"issue":"11","key":"e_1_2_6_10_2","first-page":"478","article-title":"Induced abortion and concurrent adoption of contraception in the rural areas of India (An ICMR task force study)","volume":"58","author":"Dhillon B.S.","year":"2004","journal-title":"Indian J Med Sci"},{"key":"e_1_2_6_11_2","volume-title":"Reproductive Health in India: New Evidence","author":"Ganatra B.","year":"2008"},{"key":"e_1_2_6_12_2","volume-title":"Family Welfare Statistics in India \u2013 2009","author":"Government of India, Ministry of Health and Family Welfare","year":"2009"},{"key":"e_1_2_6_13_2","doi-asserted-by":"crossref","DOI":"10.31899\/pgy2.1064","volume-title":"Assessing abortion\u2010related experiences and needs in four districts of Maharashtra and Rajasthan, 2006","author":"Jejeebhoy S.J.","year":"2010"},{"issue":"3","key":"e_1_2_6_14_2","first-page":"70","article-title":"Study of MTP acceptors and their subsequent contraceptive use","volume":"36","author":"Khan M.E.","year":"1990","journal-title":"J Fam Welf"},{"key":"e_1_2_6_15_2","volume-title":"Abortion in India: Ground realities","author":"Prakasamma M.","year":"2007"},{"key":"e_1_2_6_16_2","unstructured":"International Institute for Population Sciences (IIPS) Macro International.India: National Family Health Survey (NFHS\u20103) 2005\u201306.http:\/\/www.measuredhs.com\/pubs\/pdf\/SR128\/SR128.pdf.2007 Accessed April 7 2012"},{"key":"e_1_2_6_17_2","volume-title":"Provisional Population Totals. 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