Current contraceptive use in women with a history of unintended pregnancies: Insights from the Australian Contraceptive ChOice pRoject (ACCORd) trial.


Journal

Australian journal of general practice
ISSN: 2208-7958
Titre abrégé: Aust J Gen Pract
Pays: Australia
ID NLM: 101718099

Informations de publication

Date de publication:
06 2021
Historique:
entrez: 1 6 2021
pubmed: 2 6 2021
medline: 25 11 2021
Statut: ppublish

Résumé

Clinical guidelines advocate using long-acting reversible contraceptives (LARC) to reduce unintended pregnancy, but LARC use in Australia is poor. Additionally, little is known about contraceptive practices of women with a history of unintended pregnancy. The aim of this study was to describe current contraception use according to a history of unintended pregnancy. Data were analysed from women recruited into The Australian Contraceptive ChOice pRoject (ACCORd) trial. Approximately 47% (128/275) of women aged 16-45 years reported unintended pregnancies, and 30% had an abortion (83/275). Contraceptive data available from 117 women showed that condoms (24%, n = 28/117) and the oral contraceptive pill (22%, n = 26/117) were most commonly used among women reporting one unintended pregnancy or more. These findings support implementing interventions to increase the uptake of effective contraception, as successfully demonstrated in the ACCORd trial, in general practice.

Sections du résumé

BACKGROUND AND OBJECTIVES
Clinical guidelines advocate using long-acting reversible contraceptives (LARC) to reduce unintended pregnancy, but LARC use in Australia is poor. Additionally, little is known about contraceptive practices of women with a history of unintended pregnancy. The aim of this study was to describe current contraception use according to a history of unintended pregnancy.
METHOD
Data were analysed from women recruited into The Australian Contraceptive ChOice pRoject (ACCORd) trial.
RESULTS
Approximately 47% (128/275) of women aged 16-45 years reported unintended pregnancies, and 30% had an abortion (83/275). Contraceptive data available from 117 women showed that condoms (24%, n = 28/117) and the oral contraceptive pill (22%, n = 26/117) were most commonly used among women reporting one unintended pregnancy or more.
DISCUSSION
These findings support implementing interventions to increase the uptake of effective contraception, as successfully demonstrated in the ACCORd trial, in general practice.

Identifiants

pubmed: 34059848
doi: 10.31128/AJGP-06-20-5464
doi:

Substances chimiques

Contraceptive Agents 0

Banques de données

ANZCTR
['ACTRN12615001346561']

Types de publication

Clinical Trial Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

422-425

Auteurs

Asvini K Subasinghe (AK)

BA/BSc (Hons), PhD, Research Fellow of SPHERE (National Health and Medical Research Council [NHMRC] Centre of Excellence in Sexual and Reproductive Health for Women in Primary Care), Department of General Practice, Monash University, Vic.

Cathy J Watson (CJ)

PhD, Research Fellow, Department of@General Practice, Monash University, Vic.

Kirsten I Black (KI)

MBBS, MMed, FRANZCOG, FFSRH, DDU, Professor, Speciality of Obstetrics and Gynaecology, Faculty of Medicine and Health, University of Sydney, NSW.

Angela Taft (A)

PhD, Professor and Principal Research Fellow, Judith Lumley Centre, La Trobe University, Vic.

Jayne Lucke (J)

PhD, Professor, School of Psychology and Public Health, La Trobe University, Vic.

Kevin McGeechan (K)

PhD, Associate Professor, University of Technology, Centre for Health Economics Research and Evaluation, NSW.

Marion Haas (M)

PhD, Professor of Health Economics, Centre for Health Economics Research and Evaluation, University of Technology Sydney, Haymarket, NSW.

Kathleen McNamee (K)

MBBS, MEpi, Medical Director, Family Planning, Vic.

J F Peipert (JF)

PhD, Chair of Obstetrics and Gynecology, Department of Obstetrics @ Gynecology, Indiana University School of Medicine, IN, USA.

Danielle Mazza (D)

MD, MBBS, FRACGP, DRANZCOG, Grad Dip Women@s Health, GAICD, Head, Department of General Practice, Monash University, Vic.

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