Contraception After Surgical Abortion

Publication Date: September 1, 2018
Last Updated: March 14, 2022

Recommendations

All reversible hormonal contraceptive methods can be started immediately after first- or second-trimester surgical abortion. (1A)
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Women who desire an IUD or implant should be offered placement at the time of abortion. (1A)
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Adolescents can safely initiate any reversible contraceptive, including IUDs and implants, at the time of abortion. (1A)
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Dedicated contraceptive counseling at the time of abortion can improve contraceptive use. Patient-centered approaches, such as MI, may be the most successful approach. (1B)
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Staff training in contraceptive counseling and IUD placement and simplified STI screening protocols are associated with increased access to IUDs after abortion. (1B)
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Permanent contraception via laparoscopy or minilaparotomy can be provided immediately after abortion. (1C)
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IUD insertion should be deferred in the setting of septic abortion or such abortion complications as hemorrhage or perforation. (2C)
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Recommendation Grading

Overview

Title

Contraception After Surgical Abortion

Authoring Organization

Publication Month/Year

September 1, 2018

Last Updated Month/Year

January 23, 2024

Document Type

Guideline

External Publication Status

Published

Country of Publication

US

Document Objectives

These recommendations will address clinical considerations for postabortion contraceptive provision and recommend interventions to improve contraceptive access following uterine evacuation.

Target Patient Population

Post abortion patients

Inclusion Criteria

Female, Adolescent, Adult

Health Care Settings

Ambulatory, Hospital, Long term care

Intended Users

Nurse, nurse practitioner, physician, physician assistant

Scope

Assessment and screening, Management

Diseases/Conditions (MeSH)

D000080066 - Contraceptive Agents, Hormonal, D003267 - Contraception, D003270 - Contraceptive Agents, D003273 - Contraceptive Devices, D003276 - Contraceptives, Oral, D000023 - Abortion Applicants, D000075523 - Long-Acting Reversible Contraception

Keywords

oral contraceptive, contraceptive agents, abortion, postabortion contraception