Search

Abstract: Objective: To investigate patients’ views of family-planning services provided in Mexico City during abortion care at public facilities and their acceptance of postabortion contraception. Methods: In total, 402 women seeking first-trimester abortion care in Mexico City were surveyed. Logistic regression was used to test whether postabortion contraception varied according to abortion visit characteristics or patient sociodemographics. Results: Most participants (328 [81.6%]) reported being offered contraception at their visit and 359/401 (89.5%) selected a contraceptive method for postabortion use, with 236/401 (58.9%) selecting an intrauterine device. Women who underwent surgical abortion were more likely than those who underwent medical abortion to report being offered contraception (P <0.001); women attended by a female physician were more likely than those attended by a male physician to report being offered contraception (P <0.05). Women who attended the general hospital were less likely to report being offered contraception (P <0.001). Conclusion: Public-sector facilities in Mexico City provide a high level of postabortion family-planning care, and uptake of postabortion contraception is high. [Copyright &y& Elsevier]

Emergency contraceptives (ECs) are an important option for young women in Jamaica, where rates of unplanned pregnancy are high. Few previous studies of EC exist in Jamaica. We surveyed a random sample of 205 students living on campus at the University of the West Indies in Kingston, Jamaica, to learn more about students’ knowledge and opinions of EC pills (ECPs). General awareness of ECPs was high (84%), although many students were unaware of specific details regarding the method’s appropriate use, such as the time frame. Twenty students (10%) had used ECPs themselves or had a partner who had used them. Most had used ECPs for the first time because they lacked contraception or because of contraceptive failure. Following their first use of ECPs, 55% adopted an ongoing method of contraception. Most students felt ECPs were an important option for women in Jamaica; however, some feared ECPs might be overused. Future educational campaigns should provide Jamaican university students with detailed information about this method. [Copyright &y& Elsevier]