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Contraceptive counselling to teenagers at abortion visits: a qualitative content analysis
Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Department of Clinical and Experimental Medicine, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Örebro University, School of Health and Medical Sciences.
2009 (English)In: The European Journal of Contraception & Reproductive Health Care, ISSN 1473-0782, Vol. 14, no 5, 357-364 p.Article in journal (Refereed) Published
Abstract [en]

Objective: Contraceptive counselling at the time of an abortion is crucial for preventing new unintended pregnancies especially in teenagers. What is discussed on this occasion should be recorded in the patient's file. In this study we examined what was documented in medical records (MRs) about previous contraceptive use and further plans as a reflection of what was discussed between the gynaecologist and the teenager.

Methods: Thirty-six MRs were consecutively selected in 2006. The study design was descriptive, retrospective and qualitative. Data were analysed using qualitative content analysis. The text areas were transcribed and analysed in several steps.

Results: Two themes were generated from the analysis: 'Contraceptive methods previously used' and 'Plan for future contraceptive use'. Information on previous contraceptive use was absent in ten MRs. In five MRs data about future contraceptive use were missing and eight teenagers had not started a contraceptive method at follow-up.

Conclusion: The MR often lacked information about contraception; this could be a reflection of insufficient contraceptive counselling at the abortion-visit. Both contraceptive counselling and documentation thereof must be improved to enhance contraceptive use in teenagers.

Place, publisher, year, edition, pages
Carnforth, Lancs, UK: Parthenon Pub. Group , 2009. Vol. 14, no 5, 357-364 p.
Keyword [en]
Contraception; Abortion; Contraceptive counselling; Contraceptive failure; Medical records; Documentation; Teenagers; Qualitative content analysis
National Category
Social Sciences Interdisciplinary Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Health and Medical Care Research
Identifiers
URN: urn:nbn:se:oru:diva-8662DOI: 10.3109/13625180903171815ISI: 000277147800006PubMedID: 19916762Scopus ID: 2-s2.0-70449086014OAI: oai:DiVA.org:oru-8662DiVA: diva2:278989
Note

Funding Agency:

County Council of Östergötland

Available from: 2009-12-01 Created: 2009-12-01 Last updated: 2014-11-03Bibliographically approved

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CiteExportLink to record
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Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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More styles
Language
  • de-DE
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More languages
Output format
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