Long Acting Reversible Contraception After Surgical Abortion With High Rate of Continuation and  Patients’ Satisfaction

Paola Algeri; Laura Imbruglia; Laura  Colonna; Vanda Savoldi; Nunzia Mastrocola; Silvia Von Wunster

doi:10.18502/jfrh.v18i2.15931

Paola Algeri Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo Est, Seriate, Bergamo, Italy
Laura Imbruglia Department of Obstetrics and Gynaecology, Pesenti Fenaroli Hospital, ASST Bergamo Est, Alzano Lombardo, Bergamo, Italy
Laura Colonna Department of Obstetrics and Gynaecology, Pesenti Fenaroli Hospital, ASST Bergamo Est, Alzano Lombardo, Bergamo, Italy
Vanda Savoldi Department of Obstetrics and Gynaecology, Pesenti Fenaroli Hospital, ASST Bergamo Est, Alzano Lombardo, Bergamo, Italy
Nunzia Mastrocola Department of Obstetrics and Gynaecology, Bolognini Hospital, ASST Bergamo Est, Seriate, Bergamo, Italy
Silvia Von Wunster Department of Obstetrics and Gynaecology, Pesenti Fenaroli Hospital, ASST Bergamo Est, Alzano Lombardo, Bergamo, Italy

DOI: https://doi.org/10.18502/jfrh.v18i2.15931

Keywords: Abortion; Contraception; Long-Acting Reversible Contraception

Abstract

Objective: In Italy the percentage of repeated abortions is about 24%. Long-acting reversible contraceptive (LARC) methods are currently considered the most effective mode worldwide and are associated with the highest rate of 12-months continuation, with a potential reported reduction of recurrent abortions. The aim of this study was evaluating LARC continuation and the patients’ satisfaction at two and twelve months in use.

Materials and methods: A longitudinal observational study collected women who underwent surgical abortion and placed a LARC method at the time of abortion in our hospital.

Results: Totally 828 women underwent surgical abortion during the study period from which 434 choose a LARC method. After two months the rate of continuation of 52mg LNG IUD was 100% in women presenting for follow-up. Continuation rate at one year was approximately 70% for all LARC methods. More than 70% of women declared themselves satisfied or very satisfied with all LARC methods.

Conclusion: Despite a high rate of patient loss at follow-up, LARC methods showed a high rate of continuation at two and twelve months, with a high degree of patients' satisfaction.