Research Article
Volume 10 Issue 10 - 2021
Factors Associated with Contraceptive Uptake Following Abortion in Three Different Legal Contexts in Latin America
Liliana León Rogel1*, M Valeria Bahamondes2, Rodolfo Gómez Ponce de León3 and Musa Work Group4
1Escuela de Salud Pública de México, Instituto Nacional de Salud Pública, Cuernavaca, Mexico
2Consultora Internacional, Centro Latinoamericano de Perinatología, Salud de la Mujer y Reproductiva (CLAP/ SMR), Organización Panamericana de la Salud/Organización Mundial de la Salud, Córdoba, Argentina
3Asesor Reginal de Salud Sexual Y Reproductiva, Centro Latinoamericano de Perinatología, Salud de la Mujer y Reproductiva (CLAP/SMR), Organización Panamericana de la Salud/Organización Mundial de la Salud, Montevideo, Uruguay
4Musa Work Group: Messina A, Copello F, Decillis K, Lukin G, Valls MJ, Soler F, Rumante K, Rubio G, Alviar JF, Marroquin O, Guerrero G, Rivillas JC, Betancourt L, Menjivar E, Sorto M, Sorto S, Castro R, Mejia D, Stefan A, Hernandez F
*Corresponding Author: Liliana León Rogel, Escuela de Salud Pública de México, Instituto Nacional de Salud Pública, Cuernavaca, Mexico.
Received: April 12, 2021; Published: September 22, 2021




Abstract

Purpose: Around 3 million abortions/year occur in adolescents aged 15 - 19 years, increasing maternal mortality. Abortion care and post-abortion contraception should be a priority. Our objectives were to describe the factors associated with contraceptive practices prior to and following abortion care in adolescents of 10 to 19 years of age.

Methods: A cross-sectional study using secondary data obtained from the Perinatal Information System (CLAP/SPI-A) on the care offered to 3,827 women in a situation of incomplete abortion or legal abortion. Data from five countries with three distinct profiles regarding access to legal abortion were included: Argentina and Colombia, with less restrictive policies; Chile, where abortion was decriminalized under certain circumstances in 2017; and Honduras and El Salvador where abortion is illegal under any circumstances.

Results: Mean age was 17.5 years (96% being of 15 - 19 years and 4% of 10 - 14 years). Most were single, 56.8% had high-school education and 7.5% were illiterate. Based on data availability, 94% stated that the pregnancy was unplanned, while 84% declared having not used contraception. Most of the women using contraception used a hormonal or barrier method. Following abortion, 89.9% of the adolescents received written counseling.

Discussion: Although these pregnancies were generally unplanned, only 1 in 10 adolescents had used contraception and 1 in 5 had conceived previously. In the most restrictive settings, significantly fewer adolescents initiated contraception following abortion. Good counseling and ensuring the availability of and access to contraception, particularly long-acting reversible contraception, following abortion could reduce the incidence of unplanned pregnancy and unsafe abortion.

Conclusion: To reduce the incidence of unplanned pregnancy and, consequently, the rates of safe and unsafe abortion, work has to be done to improve counseling and increase the availability of and access to contraception. An important element in reversing this trend is to provide access to long-lasting modern contraceptive methods immediately following abortion. In the present sample, it was found that adolescents whose pregnancy was unplanned and who had not been using contraception left the healthcare service using a safe, modern contraceptive method.

Keywords: World Health Organization (WHO); Latin America and the Caribbean (LAC); Contraceptive Uptake

References

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Citation: Liliana León Rogel., et al. “Factors Associated with Contraceptive Uptake Following Abortion in Three Different Legal Contexts in Latin America”. EC Gynaecology 10.10 (2021): 83-91.

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