{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:40:53Z","timestamp":1777916453056,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"9","license":[{"start":{"date-parts":[[2019,9,1]],"date-time":"2019-09-01T00:00:00Z","timestamp":1567296000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To determine the proportion of women undergoing multiple abortions within 1 year at an urban, public hospital and the association with desired contraception after the index abortion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective analysis of all women undergoing abortion up to 13 weeks and 6 days gestation at Stroger Hospital from June 1, 2012 to May 31, 2014. We examined the proportion of women with additional abortions up to 1 year after the index abortion and contraception desired at the index abortion. We also collected data about\n                      <jats:italic toggle=\"yes\">Chlamydia trachomatis<\/jats:italic>\n                      (CT) and\n                      <jats:italic toggle=\"yes\">Neisseria gonorrhea<\/jats:italic>\n                      (GC) infection in surgical abortion patients, to assess suitability for intrauterine device insertion immediately postabortion.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the 5,104 women with an abortion in the study period, 720 (14.1%) had at least one additional abortion within 1 year. Among women with multiple abortions, 153 (21.3%) selected Tier 1 contraception, 359 (49.8%) Tier 2, 103 (14.3%) Tier 3, and 105 (14.6%) were undecided or desired no method. The contraception desired at the index abortion did not differ significantly between women with and without subsequent abortions (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.107). CT\/GC coinfection and CT infection alone were associated with having multiple abortions over the 1-year period (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.020 and\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009=\u20090.006).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Among women presenting for abortion at an urban, public hospital, desired contraception did not differ significantly between women with multiple abortions versus one abortion within 1 year, but prevalence of CT\/GC did. Women at high risk for multiple abortions may benefit from immediate postabortion IUD insertion to avoid unintended pregnancy, provided risk of infection is carefully evaluated.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2018.6944","type":"journal-article","created":{"date-parts":[[2018,11,5]],"date-time":"2018-11-05T10:00:55Z","timestamp":1541412055000},"page":"1266-1271","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["The Association Between Multiple Abortions Within 1 Year and Previous Postabortal Desired Contraception at an Urban, Public Hospital"],"prefix":"10.1177","volume":"28","author":[{"given":"Lindsay P.","family":"Zimmerman","sequence":"first","affiliation":[{"name":"Feinberg School of Medicine, Northwestern University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica M.","family":"Madrigal","sequence":"additional","affiliation":[{"name":"Division of Family Planning, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois."},{"name":"School of Public Health, University of Illinois at Chicago, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lauren M.","family":"Jordan","sequence":"additional","affiliation":[{"name":"Division of Family Planning, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ashlesha","family":"Patel","sequence":"additional","affiliation":[{"name":"Division of Family Planning, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois."},{"name":"Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,9,6]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12015"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2017.6410"},{"key":"e_1_3_2_4_2","volume-title":"Repeat Abortion in the United States","author":"Jones RS","year":"2006","unstructured":"Jones RS, , Singh S, , Finer L, , Frohwirth L. Repeat Abortion in the United States. 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