Evaluation of outcome of cohort of attenders in a termination
of pregnancy clinic
O. Jones, D. Mansour
Graingerville Family Planning Clinic, Newcastle General
Hospital, Westgate Rd, Newcastle upon Tyne, UK
Introduction: Reducing repeat termination rates by more
effective contraception selection and use is a continuing goal in termination of
pregnancy clinics. Previous data regarding rates of repeat termination date from
the 1970’s and 1980’s. In view of changes in number and availability of
contraceptive options, recent data may be helpful to assess effectiveness of
current contraception services.
Aims and Methods: A cohort of attenders at outpatient
termination of pregnancy assessment clinic was identified from Jan-Mar 1999.
Patient records were located and anonymised demographic data, gestation,
procedure, method of contraception and repeat attendance at the same hospital
for termination was collated. Data collation occurred from September 2003
allowing a follow-up period of at least 4 years.
Results: 305 patient records were identified, 237 (77.7%)
had procedure and did not reattend. 36 (11.8%) had procedure and returned for at
least one repeat termination. 10 patients attended for assessment and failed to
attend for procedure. 5 of these were rereferred in a subsequent pregnancy for
termination in the follow-up period. 22 notes not included for a variety of
reasons. Contraception choices before termination included 74(27.1%) having
unprotected intercourse, 135 (49.5%) using condoms, 44(16.1%) using COC. Post
termination choices included 133(48.7%) using COC, 74 (27.1%) using Depo-Provera,
29(10.6%) with IUD/IUS, 12 (4.4%) using POP.
Conclusion: 11.8% of patients returned for at least one
further termination of pregnancy at the same hospital in the follow up period.
50% of those who fail to attend at time of procedure re-present in a subsequent
pregnancy requesting termination. The majority of patients 248 (91%) left the
hospital with a choice of POP/COC/IUD/IUS or Depo-Provera for ongoing
contraception.
