{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T18:45:03Z","timestamp":1757616303941,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2000,6,26]]},"published-print":{"date-parts":[[2001,4]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>It is of great importance for repeat unwanted pregnancies to be prevented rather than aborted. We therefore sought to: determine the reasons for contraceptive failure in women seeking repeat abortions; audit the peri-abortion contraception services offered at our hospital, and make recommendations regarding peri-abortion contraception services based on the above findings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>A self-administered questionnaire was used to determine the contraceptive practices and details of peri-abortion contraceptive counselling received by 50 women undergoing a repeat, and 83 women undergoing a first-time, abortion.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Ninety-eight percent of women undergoing a repeat abortion reported using contraception at the time of conception, as compared to 83% of women undergoing a first-time abortion. This difference was significant (p = 0.009). Condoms were the main method used by 57% of women undergoing a repeat and 70% of women undergoing a first-time abortion. The oral contraceptive pill (OCP), including both combined oral contraceptive and progestogen-only pill, was the main method used by 37% of women undergoing a repeat and 25% undergoing a first-time abortion. Both these methods were found to be ineffective because of user-dependent failures. All women received peri-abortion contraceptive counselling, but the perceived contents varied. Follow-up contraceptive appointments were made in less than half of women. Although most women chose an optimal contraceptive method as a result of the counselling, compliance with the chosen method in women undergoing repeat abortions was poor.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Standards of audit were met with regards to receipt of contraceptive counselling and agreeing a contraceptive method before discharge. The content of this counselling needs to be improved. The ineffectiveness of the OCP and barrier methods of contraception needs to be highlighted during counselling. Adequate follow-up arrangements need to be provided to ensure compliance of the chosen method of contraception.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1783\/147118901101195290","type":"journal-article","created":{"date-parts":[[2005,3,5]],"date-time":"2005-03-05T01:30:57Z","timestamp":1109986257000},"page":"77-80","source":"Crossref","is-referenced-by-count":32,"title":["Peri-abortion contraceptive care: Can we reduce the incidence of repeat abortions?"],"prefix":"10.1136","volume":"27","author":[{"given":"Malini","family":"Garg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madan","family":"Singh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diana","family":"Mansour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2001,4,1]]},"reference":[{"key":"ref_1","article-title":"Guidelines for Induced Abortions","author":"of Obstetrics, Royal College; UK, Gynaecologists","year":"2000","unstructured":"Royal College of Obstetrics and Gynaecologists UK. Guidelines for Induced Abortions. London: RCOG, 2000."},{"issue":"4","key":"ref_2","doi-asserted-by":"crossref","first-page":"162","DOI":"10.2307\/2136261","article-title":"Repeat abortion and use of primary care health services","volume":"27","author":"Westfall, J.; Kallail, K.","year":"1995","unstructured":"Westfall J, Kallail K. Repeat abortion and use of primary care health services. Family Planning Perspectives 1995; 27(4): 162\u2013165.","journal-title":"Family Planning Perspectives"},{"issue":"2","key":"ref_3","doi-asserted-by":"crossref","first-page":"70","DOI":"10.2307\/2134932","article-title":"Repeat abortion: is it a problem?","volume":"16","author":"Berger, C.; Gold, D.; Andres, D.","year":"1984","unstructured":"Berger C, Gold D, Andres D, et al. Repeat abortion: is it a problem? Family Planning Perspectives 1984; 16(2): 70\u201375.","journal-title":"Family Planning Perspectives"},{"issue":"1","key":"ref_4","first-page":"281","article-title":"Acceptance of effective contraceptive methods after induced abortion","volume":"15","author":"Bulut, A.","year":"1984","unstructured":"Bulut A. Acceptance of effective contraceptive methods after induced abortion. Studies in Family Planning 1984; 15(1): 281\u2013284.","journal-title":"Studies in Family Planning"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1159\/000292572","article-title":"Repeat abortion and contraceptive use","volume":"37","author":"Holmgren, K.","year":"1994","unstructured":"Holmgren K. Repeat abortion and contraceptive use. Gynaecol Obstet Invest 1994; 37: 254\u2013259.","journal-title":"Gynaecol Obstet Invest"},{"key":"ref_6","first-page":"16","article-title":"Unplanned pregnancy: is contraception failure predictable?","volume":"22","author":"Lewis, C.; Wood, C.; Randall, S.","year":"1996","unstructured":"Lewis C, Wood C, Randall S. Unplanned pregnancy: is contraception failure predictable? The British Journal of Family Planning 1996; 22: 16\u201319.","journal-title":"The British Journal of Family Planning"},{"key":"ref_7","first-page":"89","article-title":"Repeat abortion in Denmark","volume":"39","author":"Osler, M.; Morgall, J.; Jensen, B.","year":"1992","unstructured":"Osler M, Morgall J, Jensen B, et al. Repeat abortion in Denmark. Dan Med Bull 1992; 39: 89\u201391.","journal-title":"Dan Med Bull"},{"key":"ref_8","first-page":"10","article-title":"Introduction: the population explosion and the importance of fertility control. Contraceptionyour questions answered","author":"Guillebaud, J.","year":"1993","unstructured":"Guillebaud J. Introduction: the population explosion and the importance of fertility control. Contraceptionyour questions answered. 2nd ed. Singapore: Churchill Livingstone, 1993: 10\u201311.","edition":"2nd ed"},{"key":"ref_9","first-page":"451","article-title":"Women\u2019s knowledge of emergency contraception","volume":"44","author":"George, J.; Turner, J.; Cooke, E.","year":"1994","unstructured":"George J, Turner J, Cooke E, et al. Women\u2019s knowledge of emergency contraception. Br J Gen Pract 1994; 44: 451\u2013454.","journal-title":"Br J Gen Pract"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1136\/bmj.290.6474.1040-a","article-title":"Potential use of postcoital contraception to prevent unwanted pregnancy","volume":"290","author":"Johnston, T.; Howie, P.","year":"1985","unstructured":"Johnston T, Howie P. Potential use of postcoital contraception to prevent unwanted pregnancy. Br Med J 1985; 290: 1040\u201341.","journal-title":"Br Med J"},{"key":"ref_11","first-page":"1","article-title":"Model Service Specification: Services for women requesting abortion","author":"Birth Control Trust","year":"1991","unstructured":"Birth Control Trust. Model Service Specification: Services for women requesting abortion. London: Birth Control Trust, May 1991: 1\u201310."}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1783\/147118901101195290","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,5]],"date-time":"2025-09-05T18:04:01Z","timestamp":1757095441000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1783\/147118901101195290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,4]]},"references-count":11,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2001,4,1]]},"published-print":{"date-parts":[[2001,4]]}},"alternative-id":["10.1783\/147118901101195290"],"URL":"https:\/\/doi.org\/10.1783\/147118901101195290","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"type":"print","value":"1471-1893"},{"type":"electronic","value":"2045-2098"}],"subject":[],"published":{"date-parts":[[2001,4]]}}}