Family Planning Resources
General, Africa, Europe, Latin America
General
Title: Post-abortion family planning: factors in individual choice of contraceptive methods (links to abstract)
Authors: A.H. Leonard, O.A. Ladipo
Organization: Advance in Abortion Care (Publication)
Date: Advances in Abortion Care 1994;4(2):1-4. RH Training Materials
Description: A variety of recommendations are made for improving postabortion counseling about ovulation, safe methods for preventing pregnancy, and accessibility of family planning (FP) services. This article includes an 18 by 24 inch chart of postabortion FP information (clinical conditions, precautions, and recommendations), which is appropriate for providers. "If the woman" situations are given specific solutions. For instance, if the postabortion woman is under stress, in pain, or not prepared to make a decision, then informed, voluntary decisions are not possible. Long-acting, permanent, or provider-dependent methods are, thus, not recommended. Temporary methods and a referral for longer-acting methods are suggested in this "if the woman" situation. Natural FP is not recommended until a regular menstrual period returns. At the Bellagio Conference in 1993 about 25 international experts recommended that contraceptive protocols should be based on the assessment of each woman as an individual (personal characteristics, clinical conditions, and service delivery capabilities in the patient's treatment and residential area). Postabortion FP should use a problem-solving approach tailored to the individual as a means of increasing the likelihood of acceptable and effective care. Clinical conditions are of equal or lesser importance to personal preferences, constraints, and social contexts. Clinicians must be aware of the factors that led to the unwanted pregnancy, as a means of helping the client select an appropriate method. A working group recommends that all modern contraceptives may be used immediately following postabortion care. Women should abstain from intercourse until bleeding stops.
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Africa
Title: Kenya Postabortion Care: Offer Family Planning on Hospital Wards
Authors: OR Summary
Organization: Population Council, Frontiers in Reproductive Health, USAID
Date: 2000
Description: The most effective way to ensure that women being treated for incomplete abortion obtain family planning is to offer information and services in hospital gynecological wards, this study concluded. Having ward staff provide contraceptives on the ward is more convenient than having regular family planning providers visit the ward or having patients go to a separate clinic. Findings from this study have been key in informing the expansion plan for PAC in Kenya.
Also available in French, Spanish
Title: Postabortion Family Planning Training Launched in Zimbabwe
Authors: L. Botsh, S.E. Chitsungo, J.L. Potts
Organization: Ipas
Date: 1999
Description: This Ipas Dialogue reviews lessons learned from a training on postabortion family planning launched in Zimbabwe. This Zimbabwe experience can serve as a guide in preparing counselors to better meet the informational and service delivery needs of abortion patients in a respectful and appropriate manner.
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Europe
Title: Russia: Postabortion Family Planning Counseling and Services Lead to Increased Contraceptive Use
Authors: OR Summaries
Organization: Population Council, Frontiers in Reproductive Health, USAID
Date: 2004
Description: The introduction of postabortion family planning service delivery involving training in counseling skills and job aids for providers led to increased use of modern contraceptive methods at 12 months postabortion. The provision of family planning counseling at a postabortion follow-up visit appears to be an important factor in reducing repeat abortions.
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Latin America
Title: Expansion of Postpartum/ Postabortion Contraception in Honduras
Authors: R. Medina, R. Vernon, I. Mendoza, C. Aguilar
Organization: Population Council, USAID
Date: 2001
Description: When providers at five Honduran hospitals were trained to provide family planning counseling and methods to postpartum and postabortion women, the proportion of women receiving this information doubled, and the proportion who received a method tripled. The number of women who wanted a method but did not receive one before leaving the hospital decreased. The success of the project was attributed to involvement of MOH managers in planning activities and quarterly discussions.
Title: Choices on
contraceptive methods in post-abortion family planning clinic in the northeast
Brazil
Authors: A.L. Ferreira, A. Souza, R.A Lima, and C.Braga
Date: Reproductive Health, 7:5 2010
Description: In Brazil, a Ministry of Health report revealed
women who underwent an abortion were predominantly in the use of contraceptive
methods, but mentioned inconsistent or erroneously contraceptive use. Promoting
the use of contraceptive methods to prevent unwanted pregnancies is one of the
most effective strategies to reduce abortion rates and maternal morbidity and
mortality. Therefore, providing post-abortion family planning services that
include structured contraceptive counseling with free and easy access to
contraceptive methods can be suitable. So the objective of this study is to
determine the acceptance and selection of contraceptive methods followed by a
post-abortion family planning counseling.
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