Cost as a Determinant for Use of Highly Effective Reversible Contraception After Induced Abortion

Low-income women eligible for free HERC had the highest rates of HERC use and the lowest rates of pregnancy during the first year after an abortion.

Increasing the uptake of highly effective reversible contraception (HERC; intrauterine devices or subdermal progestin implants) is our best hope for reducing the 50% unintended pregnancy rate in the U.S. In a prospective observational study of factors determining use of contraception following induced abortion, investigators studied 518 women who received abortions at Texas Planned Parenthood clinics: low-income women (household income <200% of federal poverty level) eligible for free contraception (Group 1); low-income women ineligible for free contraception (Group 2); and higher-income women (Group 3).

At study entry, most women reported a desire to use HERC after abortion. Following abortion, HERC was used by 65%, 5%, and 24% of women in …

Reviewing Author

Robert L. Barbieri, MD

Disclosures

Grant/Research SupportNational Institutes of Health

Editorial BoardsUpToDate

Robert L. Barbieri, MD

Disclosures

Grant/Research SupportNational Institutes of Health

Editorial BoardsUpToDate

Cost as a Determinant for Use of Highly Effective Reversible Contraception After Induced Abortion

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Reviewing Author