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

2. Abortion rate in Barnaul and Altay Kray (2000-2005 years)

3. Abortions in different health care facilities

4. Age Women Having Abortions

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

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

7. Ministry of Health Regulated Documents in Reducing Rate of Abortion - -Order №155 «Activities in improving of Family Planning service» 05.06.2002 - -«Programme for Crisis Output of Abortion in Barnaul» 20.06.2002 - -Order №206 «Improving quality services in Family Planning in Barnaul» 18.06.2003 - -Order №239 «Medical Abortions Regulation and statistics of abortion and contraception in Barnaul» 4.07.2003

8. 400 abortion clients were interviewed for studying contraceptive behavior More then half women didn’t use contraception before last pregnancy

9. Contraception methods using before current abortion

10. Women’s Choice of the Contraception methods after current abortion

11. 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

12. Contraceptive method’s choice

13. Hormonal and Intrauterine post-abortion contraception in Barnaul (2000-2005 гг.)

14. Financial Resources for post-abortion contraception

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

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

17. Repeat abortions (12 months and less) 2000-2005 years

18. 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

19. Post-abortion IUD insertion and post-abortion complications (2000-2005 years)

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