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Contraception. 2014 Jan;89(1):42-7. doi: 10.1016/j.contraception.2013.03.002. Epub 2013 Mar 13.

Immediate versus delayed initiation of the contraceptive patch after abortion: a randomized trial.

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1
Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, CA, USA.

Abstract

BACKGROUND:

Immediate start of the contraceptive patch has not been studied in women after surgical abortion.

STUDY DESIGN:

Women presenting for surgical abortion who had chosen the transdermal patch for contraception were randomized to either delayed start of the patch (beginning the Sunday after their abortion) or immediate start (directly observed application of the patch in the clinic). Subjects were contacted at 2 and 6 months to assess contraceptive use.

RESULTS:

Two hundred ninety-eight women were randomized, and the follow-up rate was 71% at 2 months and 53% at 6 months. Method continuation did not differ by timing of initiation. At 2 months, 71% in the delayed-start group and 74% in the immediate-start group were using the patch [p=.6, with a difference of 3.1%, 95% confidence interval (CI)=-17.2% to +11.2%]. At 6 months, 55% in the delayed-start group and 43% in the immediate-start group were using the patch (p=.13, with a difference of 11.9%, 95% CI=-19.2% to +34%).

CONCLUSION:

Immediate initiation of the contraceptive patch after surgical abortion was not associated with increased use of patch at 2 or 6 months.

TRIAL REGISTRATION:

ClinicalTrials.gov NCT00235547.

KEYWORDS:

Contraceptive patch; Immediate start contraception; Postabortion contraception; Quick start contraception

[Indexed for MEDLINE]

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