{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:38:48Z","timestamp":1783489128291,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2016,3,14]],"date-time":"2016-03-14T00:00:00Z","timestamp":1457913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Futurum - the academy for healthcare"},{"name":"J\u00f6nk\u00f6ping County Council"},{"name":"Medical Research Council of Southeast Sweden (FORSS)"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2016,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Despite high access to contraceptive services, 42% of the women who seek an abortion in Sweden have a history of previous abortion(s). The reasons for this high repeat abortion rate remain obscure. The objective of this study was to study the choice of contraceptive method after abortion and related odds of repeat abortions within 3\u20134 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>This is a retrospective cohort study based on a medical record review at three hospitals in Sweden. We included 987 women who had an abortion during 2009. We reviewed medical records from the date of the index abortion until the end of 2012 to establish the choice of contraception following the index abortion and the occurrence of repeat abortions. We calculated odds ratios (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) with 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>While 46% of the women chose oral contraceptives, 34% chose long\u2010acting reversible contraceptives (<jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content>). <jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content> was chosen more commonly by women with a previous pregnancy, childbirth and\/or abortion. During the follow\u2010up period, 24% of the study population requested one or more repeat abortion(s). Choosing <jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content> at the time of the index abortion was associated with fewer repeat abortions compared with choosing oral contraceptives (13% vs. 26%, <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 0.36; 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 0.24\u20130.52). Subdermal implant was as effective as intrauterine device in preventing repeat abortions beyond 3 years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Choosing <jats:styled-content style=\"fixed-case\">LARC<\/jats:styled-content> was associated with fewer repeat abortions over more than 3 years of follow up.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.12874","type":"journal-article","created":{"date-parts":[[2016,2,12]],"date-time":"2016-02-12T15:39:54Z","timestamp":1455291594000},"page":"565-571","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":40,"title":["Likelihood of repeat abortion in a Swedish cohort according to the choice of post\u2010abortion contraception: a longitudinal study"],"prefix":"10.1111","volume":"95","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3597-9004","authenticated-orcid":false,"given":"Helena","family":"Kilander","sequence":"first","affiliation":[{"name":"Department of Medical and Health Sciences Link\u00f6ping University Link\u00f6ping Sweden"},{"name":"Department of Obstetrics and Gynecology Region J\u00f6nk\u00f6ping County J\u00f6nk\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0248-7441","authenticated-orcid":false,"given":"Siw","family":"Alehagen","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2038-6337","authenticated-orcid":false,"given":"Linnea","family":"Svedlund","sequence":"additional","affiliation":[{"name":"Department of Medical and Health Sciences Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5365-2796","authenticated-orcid":false,"given":"Karin","family":"Westlund","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Vrinnevis Hospital Norrk\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1814-4478","authenticated-orcid":false,"given":"Johan","family":"Thor","sequence":"additional","affiliation":[{"name":"J\u00f6nk\u00f6ping Academy for Improvement of Health and Welfare J\u00f6nk\u00f6ping University J\u00f6nk\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0071-4383","authenticated-orcid":false,"given":"Jan","family":"Brynhildsen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology and Department of Clinical and Experimental Medicine Link\u00f6ping University Link\u00f6ping Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,3,14]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.01.021"},{"key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.ajog.2012.04.012","article-title":"Knowledge of contraceptive effectiveness","volume":"206","author":"Eisenberg DL","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.03.011"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2008.11.008"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.07.016"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dei187"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2009.06.005"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.013"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.06.102"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1110855"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03407.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2011.01256.x"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.3109\/13625180903171815"},{"key":"e_1_2_9_15_1","doi-asserted-by":"crossref","first-page":"e1","DOI":"10.1016\/j.ajog.2010.04.017","article-title":"The Contraceptive CHOICE Project: reducing barriers to long\u2010acting reversible contraception","volume":"203","author":"Secura GM","year":"2010","journal-title":"Am J Obstet Gynecol"},{"key":"e_1_2_9_16_1","unstructured":"Socialstyrelsen [The National Board for Health and Welfare].Statistics on induced abortions 2014. 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