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Effectiveness of contraceptive counselling of women following an abortion: A systematic review and meta-analysis
Évaluation de la qualité de la recension: 9 (Rigoureuse) - Voir l'outil de validation
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| Auteur(s) | Date de publication | Journal | Volume | Numéro | Page de début | Page de fin |
|---|---|---|---|---|---|---|
| Ferreira,A.L., Lemos,A., Figueiroa,J.N., de Souza,A.I. | 2009 | European Journal of Contraception & Reproductive Health Care | 14 | 1 | 1 | 9 |
Résumé:
OBJECTIVE: To perform a systematic review of the effectiveness of contraceptive counselling in women undergoing an abortion and its impact on the acceptance and use of contraceptive methods.
METHODS: Randomized controlled trials (RCTs) assessing women who had undergone an abortion and received contraceptive counselling at that time met the inclusion criteria. Articles published between 1997 and 2007 were selected from searches of the LILACS, SCIELO, MEDLINE, PubMed and Cochrane Library databases. Two reviewers independently assessed eligibility and the quality of the trial. The internal validity of the RCTs was evaluated by means of the Jadad scale. A meta-analysis of the three retained studies involving 694 women was performed. The Stata 9.2 SE statistical software was used, and a level of significance of 0.05 adopted.
RESULTS: There were no differences between intervention and control groups, despite clinical heterogeneity. The results of the meta-analysis were not significant (OR = 1.32; CI: 0.90-1.94).
CONCLUSION: There was no evidence indicating that contraceptive counselling is effective in increasing acceptance and use of contraceptive methods after an abortion. This may not apply to developing countries, where the matter still needs to be investigated.
Adresse: Women's Health Research Department-Instituto Materno Infantil Prof Fernando Figueira, Recife, Pernambuco, Brazil. analaura@imip.org.br
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Sujets
Recensions potentiellement pertinentes
Objet de la recension
- Santé de la reproduction
- Santé des adultes
- Santé des femmes
- Santé en matière de sexualité
- comportement sexuel
- planification familiale
- prévention de la grossesse
- contraception
Stratégies d’intervention
- Création d’environnements physiques, sociaux et politiques de soutien
- soutien social
- consultation, gestion de cas, visites à domicile, aiguillage ou groupes de soutien
- soutien social
Lieu d’intervention
- Clinique
- Hôpital
Type de recension
- méta-analyse
- systématique
Caractéristiques de la population
- Groupes d’âges
- adultes (20-64)
- Sexe
- femmes
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