RATIONALE FOR SELECTION OF PLANNED CONTRACEPTIVE METHOD INTEGRATED WITH MEDICAL ASSISTANCE IN TERMINATING AN UNWANTED PREGNANCY
The purpose of the study was to assess the quality of health care for women regarding the choice of planned method of contraception due to unwanted pregnancy and abortion in the early stages in outpatient settings and identify ways to optimize the organizational measures and methodological approaches to its improvement. Outcomes of 760 cases of termination of pregnancy for up to 6 weeks of gestation performed in single outpatient clinic in Kurgan city in 2015 in women aged 20 to 45 years, and the choice of method of contraception for them were evaluated. The group of vacuum aspiration group consisted of 186 women; medication-induced abortion group included 574 women. Hormonal contraception, which was started immediately after vacuum aspiration and medication-induced abortion, was selected as a planned contraceptive method in 80.1% (149/186) and 79.9% (459/574) of cases in the respective groups. lUDs have been used only in 1.1% (2/186) and 1.2% (7/574) of the cases in the respective groups during the next menstrual period. Thus, the use of combined oral contraceptives was preferential (80%) planned method of contraception, but the choice was made doctor’s orders, not on the basis of the preferences and expectations of women, which increases the risk of refusal over time. The frequency of use of lUDs after an abortion seems unreasonably low - only 1%, and their deployment is performed in delayed terms after abortion, which increases the risk of unwanted pregnancy in «unprotected» period.