Contraceptive Use Among First-Trimester Abortion Patients Compared With Postpartum and Community-Dwelling Women in Mexico

Blair G. Darney, Oregon Health & Science University
Evelyn Fuentes-Rivera
Biani Saavedra, Centro de Investigación y Docencia Económicas (CIDE)
Raffaela Schiavon, Ipas

The purpose of this study was to compare use of any modern method and method tier between first trimester abortion patients from Mexico City’s Interrupcion Legal de Embarazo program, post-partum, and community-dwelling women. We conducted a retrospective secondary analysis, leveraging three data sources (ILE clinical records and two population-based surveys). We used coarsened exact matching, logistic regression, and calculated multivariable probabilities. Our matched multivariable results suggest that contraceptive use is slightly higher among ILE patients (63.6%; CI 63.2 - 64.1%) than community-dwelling women (60.6%; CI 59.5 - 61.8%) and post-partum women (58.1%; CI 55.3 – 60.9%). When we excluded sterilization, which is not available in the ILE program, post-partum women have a lower probability of using contraception than ILE patients (49.4%; CI 45.9 – 52.8% compared with 64.2%; CI 63.7 – 64.6%). The ILE program provides access to contraception on par with post-partum and community health services in Mexico.

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 Presented in Session 10. Fertility, Family Planning, Sexual Behavior & Reproductive Health 2