Post-abortion contraception (or post-abortion family planning) services Pregnancy and Childbirth
Conditions
Interventions
The trila is conducted in mainland China. There are two intervention groups and one control group (each 30 hospitals) allocated randomly.
Intervention package:
1. Trai
Sponsors
European Commission Seventh Framework (EC FP7) (Belgium)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: Hospital inclusion criteria was identified according to the situation analysis findings and China?s current hospital settings: 1. Agreement with the randomized allocation 2. Average number of abortions per month between 200 to 800 3. Willing and able to carry out the intervention packages proposed by the study 4. Availability to collect data at three time-points 5. Consent given for involvement within an appropriate environment Women will be eligible to be interviewed and followed-up if they seek abortion at participating hospitals and meet the following inclusion criteria (all women visiting the participating hospitals will receive normal services regardless of their participation conditions): 1. Unintended pregnancies seeking induced abortion 2. Gestation age less than 12 weeks 3. Aged 18 to 40 years 4. Sexually active women of childbearing potential and not planning to become pregnant during the study 5. No physical and mental problem that may affect subject enrolment or follow-up 6. Willing to give informed consent in writing 7. Willing and able to response the scheduled surveys and to comply with the study procedures
Exclusion criteria
Exclusion criteria: Hospitals do not meet the above inclusion criteria will not be considered eligible to this study. Exclusion criteria for women: 1. Intention to become pregnant during the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Unintended pregnancies including clinical or self-reported at the time of follow-up interviews 2. Repeat induced abortions and ongoing pregnancies that women did not want to give birth to a baby among all follow-up women during the follow-up period 3. Use of modern contraceptive methods including OCP, IUDs, implants, male/female condoms, others barrier methods (such as diaphragms, the cervical cap and spermicides), emergency contraception, sterilization (male/female) during follow-up period Measured using both quantitative and qualitative methods. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Immediate contraceptive uptake: including IUD, OCP, sterilization, injection, implant, etc. 2. Contraceptive practices: use of any contraceptive methods, including condom, natural methods (periodic abstinence or withdrawal), IUDs, OCP, EC, sterilization, injection, implants, diaphragm, spermicide, etc. during follow-up period 3. Consistent use, correct use, and both consistent and correct use of condom among condom users during the follow-up periods 4. Changes in knowledge and attitudes about the risk of unintended pregnancies 5. Morbidity/mortality related to abortion 6. Sexually transmitted infections (including HIV) 7. Satisfaction regarding abortion and family planning services 8. Post-abortion family planning services received during abortion services among all participants, including group education, individual counselling, free contraceptives and referral to other family planning services 9. Pregnancies among all follow-up women during the follow-up period 10. Reported direct cost related to the abortion | — |
Countries
China
Outcome results
None listed