Medico-economical aspects of post-abortion contraception Elena Grigorjeva, MD, Ph.D Regional Department Mother& Child Health, Altay Kray.

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Presentation transcript:

Medico-economical aspects of post-abortion contraception Elena Grigorjeva, MD, Ph.D Regional Department Mother& Child Health, Altay Kray

Abortion rate in Barnaul and Altay Kray ( years)

Abortions in different health care facilities

Age Women Having Abortions

Rate of rural and urban women having abortion in health care facilities

Number rural women (%) having abortion in city health care facilities

Ministry of Health Regulated Documents in Reducing Rate of Abortion - -Order №155 «Activities in improving of Family Planning service» «Programme for Crisis Output of Abortion in Barnaul» Order №206 «Improving quality services in Family Planning in Barnaul» Order №239 «Medical Abortions Regulation and statistics of abortion and contraception in Barnaul»

400 abortion clients were interviewed for studying contraceptive behavior More then half women didn’t use contraception before last pregnancy

Contraception methods using before current abortion

Women’s Choice of the Contraception methods after current abortion

Factors influencing on method’s choice ► Reproductive health ► Extragenital pathology ► Some constitutional –extragenital sings ► Number of sex partners and frequency sex ► Side effects of contraceptive supplies ► Woman’s Wishes

Contraceptive method’s choice

Hormonal and Intrauterine post-abortion contraception in Barnaul ( гг.)

Financial Resources for post-abortion contraception

- clinical effects - present, frequent and severity of side effects and complications - supplies fees Economic feasibility post-abortion contraception connected with:

Efficacy of the different methods of contraception within 2 years no effect - no effect

Repeat abortions (12 months and less) years

Side effects of the hormonal contraception using after abortion Symptoms Novinet (n=124) Regulon (n=585) Abs.number%Abs.number% Vomiting75,6427,2 Headache10,8142,4 Bleeding75,6274,6 Breast tenderness 1411,3162,7

Post-abortion IUD insertion and post-abortion complications ( years)

Analysis of “fees minimization” of the hormonal contraceptives Novynette and Regulon