{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T20:21:19Z","timestamp":1776111679858,"version":"3.50.1"},"reference-count":26,"publisher":"BMJ","issue":"1","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2015,11,8]]},"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Uptake of the most effective long-acting reversible methods of contraception (LARC) immediately after abortion has been shown to reduce a woman's risk of further abortion. We aimed to compare the uptake of LARC at abortion services from a hospital department of obstetrics and gynaecology and a specialist contraceptive setting of a community sexual and reproductive health (SRH) service within the same city.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Retrospective database review of women (<jats:italic>n<\/jats:italic>=2473) requesting abortion who were assessed at either a community SRH service or a hospital department of obstetrics and gynaecology, in the same UK city over a period of 1\u2005year. The main outcome measures were immediate post-abortal uptake of LARC from each site.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A higher proportion of women assessed at the SRH service received LARC after abortion [50.2%; 95% confidence interval (CI) 0.47\u20130.53%] compared to those attending the hospital site (39.2%; 95% CI 0.36\u20130.42%; <jats:italic>p<\/jats:italic>&lt;0.0001). Amongst women having an outpatient early medical abortion, LARC uptake at the SRH was twice that of the hospital setting (48.4% vs 23.3%; <jats:italic>p<\/jats:italic>&lt;0.0001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Higher uptake of immediate post-abortal LARC was observed amongst women who were assessed at the specialist contraceptive service in the community SRH setting compared to the hospital setting. Further research is required to determine the reasons for these observations since all abortion services should provide the same high-quality contraceptive service to women undergoing abortion.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2015-101216","type":"journal-article","created":{"date-parts":[[2016,4,13]],"date-time":"2016-04-13T18:19:32Z","timestamp":1460571572000},"page":"31-36","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of uptake of long-acting reversible contraception after abortion from a hospital or a community sexual and reproductive healthcare setting: an observational study"],"prefix":"10.1136","volume":"43","author":[{"given":"Sharon T","family":"Cameron","sequence":"first","affiliation":[{"name":"Consultant Chalmers Sexual Health Clinic, Edinburgh, and Department of Obstetrics and Gynaecology, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Glasier","sequence":"additional","affiliation":[{"name":"Professor, Department of Obstetrics and Gynaecology, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Johnstone","sequence":"additional","affiliation":[{"name":"Research Nurse, Department of Obstetrics and Gynaecology, University of Edinburgh, Royal Infirmary of Edinburgh, Edinburgh, UK\u00a0"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2015,12,8]]},"reference":[{"key":"2025090510202005000_43.1.31.1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2012.03407.x"},{"key":"2025090510202005000_43.1.31.2","unstructured":"Royal College of Obstetricians and Gynaecologists. The Care of Women Requesting Induced Abortion (Evidence-based Clinical Guideline No. 7). 2011. http:\/\/www.rcog.org.uk\/en\/guidelines-research-services\/guidelines\/the-care-of-women-requesting-induced-abortion\/ [accessed 22 September 2015]."},{"key":"2025090510202005000_43.1.31.3","unstructured":"World Health Organization. Safe Abortion: Technical and Policy Guidelines for Health Systems (2nd edn). 2012. http:\/\/apps.who.int\/iris\/bitstream\/10665\/70914\/1\/9789241548434_eng.pdf [accessed 2 November 2015]."},{"key":"2025090510202005000_43.1.31.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.003"},{"key":"2025090510202005000_43.1.31.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.03.013"},{"key":"2025090510202005000_43.1.31.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2010.03.003"},{"key":"2025090510202005000_43.1.31.7","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/j.ajog.2011.06.102","article-title":"Impact of long-acting reversible contraception on return for repeat abortion","volume":"206","author":"Rose","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"2025090510202005000_43.1.31.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2011.05.002"},{"key":"2025090510202005000_43.1.31.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.10.014"},{"key":"2025090510202005000_43.1.31.10","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.09.003"},{"key":"2025090510202005000_43.1.31.11","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2011-100166"},{"key":"2025090510202005000_43.1.31.12","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1011600"},{"key":"2025090510202005000_43.1.31.13","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/dev233"},{"key":"2025090510202005000_43.1.31.14","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2012-100563"},{"key":"2025090510202005000_43.1.31.15","unstructured":"Department of Health. Evaluation of Early Medical Abortion Pilot Sites. May 2008. http:\/\/eprints.soton.ac.uk\/185967\/1\/dh_084617.pdf [accessed 2 November 2015]."},{"key":"2025090510202005000_43.1.31.16","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2015-101177"},{"key":"2025090510202005000_43.1.31.17","doi-asserted-by":"publisher","DOI":"10.1783\/147118910793048719"},{"key":"2025090510202005000_43.1.31.18","unstructured":"McLoone P . Carstairs scores for Scottish postcode sectors from the 2001 census. https:\/\/www.sphsu.mrc.ac.uk\/library\/other%20reports\/Carstairs_report.pdf [accessed 24 November 2015]."},{"key":"2025090510202005000_43.1.31.19","first-page":"215","article-title":"Attitudes of Scottish abortion care providers towards provision of abortion after 16 weeks\u2019 gestation within Scotland","volume":"18","author":"Cochrane","year":"2013","journal-title":"Eur J Contra Reprod Health Care"},{"key":"2025090510202005000_43.1.31.20","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1363\/46e1214","article-title":"Access to and experience of later abortion: accounts from women in Scotland","volume":"46","author":"Purcell","year":"2014","journal-title":"Perspect Sex Reprod Health"},{"key":"2025090510202005000_43.1.31.21","doi-asserted-by":"crossref","unstructured":"Purcell C , Cameron S , Lawton J , et al . Contraceptive care at the time of medical abortion: experiences of women and health professionals in a hospital or community sexual and reproductive health context. 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March 2014. https:\/\/www.nice.org.uk\/guidance\/ph51 [accessed 2 November 2015]."},{"key":"2025090510202005000_43.1.31.26","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/j.contraception.2013.02.006","article-title":"The benefits of family planning training: a 10-year review of the Ryan Residency Training Program","volume":"88","author":"Steinauer","year":"2013","journal-title":"Contraception"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2015-101216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T17:34:27Z","timestamp":1757093667000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2015-101216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,12,8]]},"references-count":26,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2016,12,22]]},"published-print":{"date-parts":[[2017,1]]}},"alternative-id":["10.1136\/jfprhc-2015-101216"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2015-101216","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"value":"1471-1893","type":"print"},{"value":"2045-2098","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,12,8]]}}}