Analysis of the influencing factors of abandoning long-acting reversible contraception of women with unwanted pregnancy within one year after induced abortion
Objective:To investigate the situation and the influencing factors of abandoning long-acting reversible con-traception(LARC)of women with unwanted pregnancy within one year after induced abortion.Methods:From January 2022 to December 2022,1035 women with induced abortion were treated with LARC and were followed up for 1 year,and the situation of the abandoning LARC of the women was observed.These women were divided in group A(189 ca-ses with the abandonment of LARC)and group B(846 cases with LARC continuing used).The reasons of the abando-ning LARC of the women after abortion were investigated.The risk factors of the abandonment of LARC of the women with abortion were analyzed by univariate analysis and multivariate logistic regression.Results:In 1 year of follow-up after induced abortion,there were 189(18.4％)women with the abandonment of LARC,and the reasons of the aban-donment of LARC included the adverse reactions(83 cases),the psychosocial factors(100 cases)and other reasons(6 cases).Multivariate logistic analysis showed that the younger age,the no childbearing history,the no repeated abor-tion and the lower education level of high school of the women were the risk factors for their abandoning LARC(OR=1.657,1.669,2.442,1.790,P＜0.05).Conclusion:The women with LARC after induced abortion because of unwant-ed pregnancy still have a certain percentage of abandoning LARC,and which are influenced by many factors.The pre-abortion consult and the post-abortion management for the women should be strengthen in clinic,and the targeted in-tervention measures should be conducted to improve the implementation rate of LARC of the women after abortion.
Post abortion contraceptionIntra uterine deviceDiscontinuation of useInfluence factor
NETL
NSTL
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