METHODS OF CONTRACEPTION CHOSEN AND COMPLICATIONS EXPERIENCED AFTER FIRST TRIMESTER ABORTION
Aim: We aimed to evaluate methods of contraception chosen after first trimester abortion.
Material and Methods: Two-hundred and fifty-three patients who applied to HNH and were offered first trimester abortions between March 1st 2002 – February 28th 2003 constituted the material of the study. Methods of contraception chosen and complications experienced after the first trimester abortion were recorded.
Results: Family planning counselling was offered to all patients (n=253) before first trimester abortions. All patients chose a modern method of contraception. 90.1% of patients came to their scheduled follow up visit. Reevacuation was performed in 1.3% of patients because of incomplete evacuation of the uterus. Pelvic infection was seen in 1.7%; no cases of perforation were experienced. Methods chosen after abortion were IUD’s (48.2% / n=122), combined oral contraceptives (22.1%, n=56), combined monthly injectables (Mesigyna) (9.5% / n=24), DMPA (7.9% / n=20), tubal ligation (5.5% / n=14), condoms (3.6% / n=9), Implanon implant system (2.8% / n=7) and vasectomy (0.4% / n=1) in order of preference.
Conclusion: It was gratifying to see that 100% of the patients chase a modern contraceptive method. This points out the fact that the post abortive period where the motivation to select an effective contraceptive method is highest, is very suitable for counseling.