Effectiveness of peri-abortion counselling in preventing subsequent unplanned pregnancy: a systematic review of randomised controlled trials

The Journal of Family Planning and Reproductive Health Care
Hannah StewartSohinee Bhattacharya

Abstract

This systematic review and meta-analysis assessed whether enhanced peri-abortion contraceptive counselling had an effect on subsequent unplanned pregnancies and the uptake and continuation of contraceptive methods. A systematic review of English-language articles published prior to May 2014 was conducted, using MEDLINE, EMBASE and the Cochrane Library. Only randomised controlled trials (RCTs) involving enhanced pre- and post-abortion contraceptive counselling were included. The authors independently applied the inclusion and exclusion criteria to the identified records, and extracted data from each included paper using a predefined extraction form. Risk of bias was assessed using the Cochrane Collaboration's tool. Meta-analyses were undertaken where appropriate and based on random effects models. Six RCTs met the inclusion criteria. Three RCTs investigated the effect of enhanced counselling on subsequent unplanned pregnancy. The results of the meta-analysis were non-significant [pooled odds ratio (OR) 0.47; 95% confidence interval (95% CI) 0.12-1.90]. Four RCTs reported results relating to the uptake of long-acting reversible contraception (LARC) and continuation of chosen method of contraception at 3 months. Findings were non-...Continue Reading

References

Jun 5, 2003·International Journal of Epidemiology·Yuelian SunWeijin Zhou
May 26, 2004·Contraception·Sóley S Bender, Reynir T Geirsson
Nov 28, 2006·Patient Education and Counseling·Maria Patrizia NobiliEgidio Aldo Moja
May 9, 2008·Clinical Obstetrics and Gynecology·Amy K Whitaker, Melissa Gilliam
Feb 26, 2009·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Ana Laura Carneiro Gomes FerreiraAriani Impieri de Souza
Feb 26, 2009·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Jin Liang ZhuMarleen Temmerman
Mar 3, 2009·Acta Obstetricia Et Gynecologica Scandinavica·Anne EskildSiri Vangen
Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Sep 28, 2010·Patient Education and Counseling·Aileen M LangstonCarolyn L Westhoff
Sep 17, 2011·Contraception·Ana Laura Carneiro Gomes FerreiraCynthia Braga
Oct 20, 2011·BMJ : British Medical Journal·Julian P T HigginsUNKNOWN Cochrane Statistical Methods Group
Mar 20, 2012·American Journal of Obstetrics and Gynecology·Angela R DempseyJeffrey E Korte
May 25, 2012·The New England Journal of Medicine·Brooke WinnerGina M Secura
Jun 19, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·S T CameronR Heller
Aug 12, 2014·The Lancet Global Health·Lale SayLeontine Alkema

❮ Previous
Next ❯

Citations

Aug 9, 2016·The European Journal of Contraception & Reproductive Health Care : the Official Journal of the European Society of Contraception·Susan F WilsonCourtney A Schreiber
Sep 1, 2018·Health & Social Work·Heidi PreisOrit Bershtling
Apr 20, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Anna GlasierUNKNOWN Annual Capri Workshop Group
Jun 17, 2020·The Pan African Medical Journal·Luchuo Engelbert Bain
Jun 21, 2018·BMJ Sexual & Reproductive Health·Patricia A LohrJames Trussell

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.