determine the percentage of women who accepted a LARC after abortion, specify
the interval time for the insertion of the LARC and compare such interval time
with that of injectable and oral contraceptives. Patients and Methods: This is
a prospective, descriptive and comparative study conducted in Libreville
(Gabon), from February 1, 2013 to August 31, 2013. After receiving
post-abortion care (PAC), all patients with stable general states were
counseled about three types of contraceptive methods: combined oral
contraceptive pills, LARCs (Jadelle? implants, Copper IUDs) and
injectable Medroxyprogesterone Acetate (DMPA). Results: 231 women received PAC
and among them 215 (93%) wanted to use one of the three proposed contraceptive
methods. At the end of the study, only 193 women (89.7%) used contraception and
22 others (10.3%) abandoned their intentions. LARCs were used by 31 (16.0%)
women. The average period for the insertion of LARCs was 15.4 ± 15.5 days with
extremes of 1 to 53 days. This period for the insertion of LARCS was
significantly longer than that of other methods (p < 0.001). LARCs were
inserted more often after the 2nd day than immediately (same day)
with a highly significant difference (p < 0.0001). Conclusion: LARCs could
constitute an appropriate approach to reducing unintended pregnancies in Gabon.
However, in order to increase their rates of use, it is necessary to improve
Cite this paper
Mayi-Tsonga, S. , Ntamack, J. , Sima-Ole, B. , Obiang, P. , Minkobame, U. and Ngouafo, D. (2014) LARCs after unsafe abortion in Libreville (Gabon): Women accept quickly but the time interval for the insertion is longer than that of injectable contraceptives. Open Journal of Obstetrics and Gynecology
, 23-27. doi: 10.4236/ojog.2014.41005
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