{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T03:26:43Z","timestamp":1788406003966,"version":"build-2803163510"},"reference-count":33,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T00:00:00Z","timestamp":1690329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004817","name":"Lund University Medical Faculty Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004817","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>In spite of societal efforts to strengthen women's sexual and reproductive health in Sweden, many women have unmet contraceptive needs and the abortion rate remains high. The aim of this study was to investigate contraceptive use among abortion\u2010seeking women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Swedish\u2010speaking women seeking an induced abortion up to the end of gestational week 12 at seven hospitals filled out an anonymous paper questionnaire between January and June 2021. Data were analyzed using frequencies and cross\u2010tabulations, and the Chi\u2010square test was used to compare age\u2010groups. Valid percentages are presented.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 623 women participated. Median age was 29\u2009years and 13% were born outside the Nordic countries. In the year preceding the abortion, condoms (37%, <jats:italic>n<\/jats:italic>\u2009=\u2009228) were the most commonly used contraceptive method, followed by short\u2010acting reversible contraception (SARC) (35%, <jats:italic>n<\/jats:italic>\u2009=\u2009213) and withdrawal (25%, <jats:italic>n<\/jats:italic>\u2009=\u2009152). Around one in five (<jats:italic>n<\/jats:italic>\u2009=\u2009113) had not used any method in the year preceding the abortion. Sixteen percent (<jats:italic>n<\/jats:italic>\u2009=\u200996) had changed contraceptive method in the last year. At the time around conception, 15% (<jats:italic>n<\/jats:italic>\u2009=\u200990) reported use of SARC and 2% (<jats:italic>n<\/jats:italic>\u2009=\u200912) of long\u2010acting reversible contraception (LARC). Four out of 10 women (<jats:italic>n<\/jats:italic>\u2009=\u2009268) reported non\u2010use of contraception at the time around conception, with a higher proportion among adolescents (70%, <jats:italic>n<\/jats:italic>\u2009=\u200930, <jats:italic>P<\/jats:italic>\u2009=\u20090.001). Among the women who responded to why they had not used any method (<jats:italic>n<\/jats:italic>\u2009=\u2009387), the main reasons were that they did not believe they could become pregnant at that time (37%, <jats:italic>n<\/jats:italic>\u2009=\u2009144) or had negative experiences from using contraceptives (32%, <jats:italic>n<\/jats:italic>\u2009=\u2009123). A majority (88%, <jats:italic>n<\/jats:italic>\u2009=\u2009527) planned to use contraception after the abortion. Of the women who had decided on method, 55% (<jats:italic>n<\/jats:italic>\u2009=\u2009271) planned to use LARC, and 38% (<jats:italic>n<\/jats:italic>\u2009=\u2009188) planned to use SARC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The unmet need for contraception appears to be high among abortion\u2010seeking women in Sweden. Many had discontinued contraception use during the last year, and the main reasons for avoidance were beliefs that one could not become pregnant and negative experiences of contraceptives. The underestimation of pregnancy risk indicates limited fertility awareness, thus our recommendation would be to strengthen the sexual and reproductive knowledge among this group.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14630","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T11:31:35Z","timestamp":1690371095000},"page":"1496-1504","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Contraceptive use among women seeking an early induced abortion in Sweden"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2304-2006","authenticated-orcid":false,"given":"Jenny","family":"Niemeyer\u00a0Hultstrand","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elin","family":"T\u00f6rnroos","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2172-6527","authenticated-orcid":false,"given":"Tanja","family":"Tyd\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8050-621X","authenticated-orcid":false,"given":"Margareta","family":"Larsson","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6014-6296","authenticated-orcid":false,"given":"Marlene","family":"Makenzius","sequence":"additional","affiliation":[{"name":"Department of Global Public Health Karolinska Institutet  Stockholm Sweden"},{"name":"Department of Health Sciences Mid Sweden University  \u00d6stersund Sweden"},{"name":"Department of Women's and Children's Health Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6516-1444","authenticated-orcid":false,"given":"Kristina","family":"Gemzell\u2010Danielsson","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Karolinska Institutet  Stockholm Sweden"},{"name":"WHO Center Karolinska University Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2491-2042","authenticated-orcid":false,"given":"Inger","family":"Sundstr\u00f6m\u2010Poromaa","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4735-6162","authenticated-orcid":false,"given":"Maria","family":"Ekstrand\u00a0Ragnar","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University  Uppsala Sweden"},{"name":"Department of Health Sciences Lund University  Lund Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,7,26]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(20)30315-6"},{"key":"e_1_2_12_3_1","unstructured":"United Nations.Population division. 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