Contraceptive Counseling Following an Abortion

Study Overview
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Brief Summary
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The purpose of this study is to determine whether contraceptive counseling is effective on acceptance and use of methods in women following an abortion.

Detailed Description
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Contraceptive counseling is considered an essential component of post abortion care (PAC) programmes and it is recommended to prevent unintended pregnancies and unsafe, repeated abortions. Indeed, most maternal deaths related to unsafe abortions could be prevented by expanding and improving family planning provision.

Official Title
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Effectiveness of Contraceptive Counseling of Women Following an Abortion in Recife, Brasil: a Randomized Controlled Intervention Study.

Conditions
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Post Abortion Care

Intervention / Treatment
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* Behavioral: Personalized contraceptive counseling


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Within the first 10 days (plus or minus 5 days) after an abortion Live in Recife or whereabouts in Recife(Brazil) Exclusion Criteria: Clinical diagnosis of Gestational Trophoblastic Disease Women HIV positive Psychiatric pathology

Ages Eligible for Study
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Minimum Age: 15 Years
Maximum Age: 49 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Personalized contraceptive counseling<br>All 123 allocated women for the intervention group received personalized counseling (face-to-face) and the contraceptive method chosen for free by a specialized trained doctor in family planning. | Behavioral: Personalized contraceptive counseling<br>* The intervention comprised a personalized and comprehensive (face-to-face) contraceptive counseling regarding to individual contraceptive history and needs. The counseling intervention was conducted by three trained gynecologists according to standard one day training.<br>* Other names: Control group;|
| No Intervention: Control<br>All 123 women allocated to control group received a standard care available at IMIP.Standard care is comprised of educational group counseling by specialized nursing staff in family planning discussing about contraceptive methods and side effects | Behavioral: Personalized contraceptive counseling<br>* The intervention comprised a personalized and comprehensive (face-to-face) contraceptive counseling regarding to individual contraceptive history and needs. The counseling intervention was conducted by three trained gynecologists according to standard one day training.<br>* Other names: Control group;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Contraceptive Acceptability and Use of Contraceptives During the 6-month Follow-up | The acceptability and the use of contraceptives during the follow-up period was defined as just yes or no | after the contraceptive counseling and during the 6-month follow | 
| Correct Use of the Method | the correct use was considerer by each methods according the prescription. | within the first 6 months after intervention | 
| Chosen Contraceptive Method After Counseling | the type of contraceptive methods chosen by women following after counseling | after the contraceptive counseling | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pregnancies Among All Women |  | within the first six months after intervention | 
| Satisfaction With the Used Contraceptive Method | the satisfaction was measured according a scale ranging in 3 levels: very satisfied, somewhat satisfied and dissastisfied. | During the 6-month Follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Ambulatory Care Facilities, abortion care, contraception, counseling, outpatient clinic