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Contraceptive use a...
Contraceptive use among women seeking an early induced abortion in Sweden
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- Niemeyer Hultstrand, Jenny (author)
- Uppsala University,Uppsala universitet,Reproduktiv hälsa
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- Törnroos, E. (author)
- Uppsala University,Uppsala universitet,Institutionen för kvinnors och barns hälsa
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- Tydén, Tanja, 1949- (author)
- Uppsala University,Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning
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- Larsson, Margareta, 1950- (author)
- Uppsala University,Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning
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- Makenzius, Marlene (author)
- Karolinska Institute,Mittuniversitetet,Institutionen för hälsovetenskaper (HOV),Karolinska Inst, Dept Global Publ Hlth, Stockholm, Sweden.;Mid Sweden Univ, Dept Hlth Sci, Östersund, Sweden.;Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.,Mid Sweden University, Östersund
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- Gemzell-Danielsson, K. (author)
- Karolinska Institute,Karolinska University Hospital
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- Sundström-Poromaa, Inger, 1964- (author)
- Uppsala University,Uppsala universitet,Reproduktiv hälsa
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- Ekstrand Ragnar, Maria (author)
- Uppsala University,Lund University,Lunds universitet,Uppsala universitet,Obstetrisk och reproduktiv hälsoforskning,Lund Univ, Dept Hlth Sci, Lund, Sweden,Barnmorskans forskningsområde - reproduktiv, perinatal och sexuell hälsa,Forskargrupper vid Lunds universitet,Midwifery research - reproductive, perinatal and sexual health,Lund University Research Groups
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(creator_code:org_t)
- Wiley, 2023
- 2023
- English.
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In: Acta Obstetricia et Gynecologica Scandinavica. - : Wiley. - 0001-6349 .- 1600-0412. ; 102:11, s. 1496-1504
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Abstract
Subject headings
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- Introduction: 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-seeking women. Material and methods: Swedish-speaking 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-tabulations, and the Chi-square test was used to compare age-groups. Valid percentages are presented. Results: In total, 623 women participated. Median age was 29 years and 13% were born outside the Nordic countries. In the year preceding the abortion, condoms (37%, n = 228) were the most commonly used contraceptive method, followed by short-acting reversible contraception (SARC) (35%, n = 213) and withdrawal (25%, n = 152). Around one in five (n = 113) had not used any method in the year preceding the abortion. Sixteen percent (n = 96) had changed contraceptive method in the last year. At the time around conception, 15% (n = 90) reported use of SARC and 2% (n = 12) of long-acting reversible contraception (LARC). Four out of 10 women (n = 268) reported non-use of contraception at the time around conception, with a higher proportion among adolescents (70%, n = 30, P = 0.001). Among the women who responded to why they had not used any method (n = 387), the main reasons were that they did not believe they could become pregnant at that time (37%, n = 144) or had negative experiences from using contraceptives (32%, n = 123). A majority (88%, n = 527) planned to use contraception after the abortion. Of the women who had decided on method, 55% (n = 271) planned to use LARC, and 38% (n = 188) planned to use SARC. Conclusion: The unmet need for contraception appears to be high among abortion-seeking 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Reproduktionsmedicin och gynekologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Obstetrics, Gynaecology and Reproductive Medicine (hsv//eng)
Keyword
- abortion
- contraception
- counseling
- Covid-19
- family planning
- abortion
- contraception
- counseling
- Covid-19
- family planning
Publication and Content Type
- ref (subject category)
- art (subject category)
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