Contraceptive counselling to teenagers at abortion visits – A qualitative content analysis

Abstract

Objective Contraceptive counselling at the time of an abortion is crucial for preventing new unintended pregnancies especially in teenagers. What is discussed on this occasion should be recorded in the patient's file. In this study we examined what was documented in medical records (MRs) about previous contraceptive use and further plans as a reflection of what was discussed between the gynaecologist and the teenager.

Methods Thirty-six MRs were consecutively selected in 2006. The study design was descriptive, retrospective and qualitative. Data were analysed using qualitative content analysis. The text areas were transcribed and analysed in several steps.

Results Two themes were generated from the analysis: ‘Contraceptive methods previously used’ and ‘Plan for future contraceptive use’. Information on previous contraceptive use was absent in ten MRs. In five MRs data about future contraceptive use were missing and eight teenagers had not started a contraceptive method at follow-up.

Conclusion The MR often lacked information about contraception; this could be a reflection of insufficient contraceptive counselling at the abortion-visit. Both contraceptive counselling and documentation thereof must be improved to enhance contraceptive use in teenagers.

KEYWORDS:

• Contraception
• Abortion
• Contraceptive counselling
• Contraceptive failure
• Medical records
• Documentation
• Teenagers
• Qualitative content analysis

Acknowledgements

This investigation was supported by ALF grants, County Council of Östergötland.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the contents of this paper.