1. ESC seminar 12.09.2003 CHARACTERISTICS AND HISTORY OF WOMEN HAVING REPEAT ABORTIONS ESC seminar September 12 -13, 2003 Budapest, Hungary Irina Savelieva, MD, PhD, Research Center of Obstetrics and Gynecology

2. ESC seminar 12.09.2003 Abortions in Russia Goskomstat, Russia, Moscow, 2001

3. ESC seminar 12.09.2003 AIM OF THE STUDY To determinate who do repeat abortion and why MATERIALS AND METHODS 1517 women were interviewed after abortion 1517 women were interviewed after abortion The SPSS program was used for statistical analysisThe SPSS program was used for statistical analysis

4. ESC seminar 12.09.2003 Socio-Demographic Profile Median age of 25-26 (range 18 to 45) Over 95% had completed secondary education ¾ married 2/3 employed Mean number of children 1 – 1,4 (range 0 to 6) - 14% had a child under 1 year of age

5. ESC seminar 12.09.2003 Percentage of women who had previous abortions among women who had more than one pregnancy - 84,6% Mean number of previous abortions 2,6 - 3,1 29,6% have had an abortion in the past 12 months 7 out of 10 (72%) of these pregnancies were either mistimed or unintended Socio-Demographic Profile (continued)

6. ESC seminar 12.09.2003 9 out of 10 had ever used contraception 2 out of 5 were using contraception at the time of last pregnancy 39% using condoms 20% using natural family planning 12% using spermicides 11% using pills Socio-Demographic Profile (continued)

7. ESC seminar 12.09.2003 Reproductive Health Intentions Among Study Cohort 54.6 - 60.0% of women are planning to have a child in the future The average waiting time for their (next) child is 2,6 - 3.5 years 92,7% of women are planning to use a family planning method

8. ESC seminar 12.09.2003 Reasons for seeking abortion

9. ESC seminar 12.09.2003 Post-abortion family planning counseling

10. ESC seminar 12.09.2003 Post-abortion family planning counseling information Only 4.9% of abortion clients were informed about the availability of post-abortion pregnancy prevention methods at the facility No abortion clients were leaving health care facility following abortion with a contraceptive method 19.7% of abortion clients were referred by health care workers to another facility for pregnancy prevention counseling and services

11. ESC seminar 12.09.2003 Contraceptive Choice Following Abortion

12. ESC seminar 12.09.2003 Study findings High use of traditional methods, low level of modern methods, and absence of post-abortion counseling in most facilities lead to abortions and repeat abortions Even when free commodities were available, 2 out of 5 women who planned to use contraception, did not leave with a method Provider’s knowledge and attitudes impact on the information during the post-abortion counseling To decrease the number of abortions we should offer qualified post-abortion counseling and contraceptive methods in all cases