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PubMed1984

[A comparison of the psychosocial status of 125 abortion patients before and after the termination of pregnancy].

We described in a former study (Volume 3, 1982) the cases of 228 abortion patients, their psychosocial data and the conflicts from which the unwanted pregnancies, which are interrupted, arise. A follow-up study took place 18 to 24 months after the abortion. The crucial point of the follow-up investigation was the development of the relationship, newly wanted or unwanted pregnancies, the practice of contraception, the psychological coming to terms with the abortion as well as the re-evaluation of the conflict situations described in the earlier study. With these results we tried to understand the consequences of an abortion and to determine important parameters for the obligatory consultation prior to the abortion.

Abortion, Induced↗
PubMedDate not supplied

Contraceptive failure, method-related discontinuation and resumption of use: results from the 1995 National Survey of Family Growth.

CONTEXT: Half of all pregnancies in the United States are unintended. Of these, half occur to women who were practicing contraception in the month they conceived, and others occur when couples stop use because they find their method difficult or inconvenient to use. METHODS: Data from the 1995 National Survey of Family Growth were used to compute life-table probabilities of contraceptive failure for reversible methods of contraception, discontinuation of use for a method-related reason and resumption of contraceptive use. RESULTS: Within one year of starting to use a reversible method of contraception, 9% of women experience a contraceptive failure--7% of those using the pill, 9% of those relying on the male condom and 19% of those practicing withdrawal. During a lifetime of use of reversible methods, the typical woman will experience 1.8 contraceptive failures. Overall, 31% of women discontinue use of a reversible contraceptive for a method-related reason within six months of starting use, and 44% do so within 12 months; however, 68% resume use of a method within one month and 76% do so within three months. Multivariate analyses show that the risk of contraceptive failure is elevated among low-income women and Hispanic women. Low-income women are also less likely than other women to resume contraceptive use after discontinuation. CONCLUSIONS: The risks of pregnancy during typical use of reversible methods of contraception are considerably higher than risks of failure during clinical trials, reflecting imperfect use of these methods rather than lack of inherent efficacy. High rates of method-related discontinuation probably reflect dissatisfaction with available methods.

Adult↗