Contraception after abortion, miscarriage, ectopic and molar pregnancy

Regardless of whether a pregnancy ends in abortion, miscarriage or ectopic pregnancy, fertility and sexual activity can resume quickly. For those who do not plan to become pregnant again immediately, effective contraception is therefore required. Although a contraceptive discussion and the offer to...

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Bibliographic Details
Published in:Best practice & research. Clinical obstetrics & gynaecology 2024-02, Vol.92, p.102428-102428, Article 102428
Main Authors: Cooper, Michelle, Cameron, Sharon
Format: Article
Language:English
Subjects:
Abortion
Abortion, Induced
Abortion, Spontaneous - etiology
Contraception
Ectopic
Female
Humans
Hydatidiform Mole
Miscarriage
Pregnancy
Reproduction
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Summary:Regardless of whether a pregnancy ends in abortion, miscarriage or ectopic pregnancy, fertility and sexual activity can resume quickly. For those who do not plan to become pregnant again immediately, effective contraception is therefore required. Although a contraceptive discussion and the offer to provide contraception is considered an integral part of abortion care, health care providers may not always offer this same standard of care to those whose pregnancy ends in miscarriage or ectopic due to sensitivities or assumptions around this and future fertility intentions. Yet, evidence-based recommendations support the safety of initiating contraception at these times. Provision of a chosen method of contraception may be convenient for women and valued by them. As part of holistic care, healthcare professionals who care for women around these reproductive events should therefore offer quality information on contraception and help them access their chosen method to better meet their ongoing reproductive health needs. •Fertility and sexual activity can resume quickly irrespective of how a pregnancy ends.•Many pregnancies ending in miscarriage or ectopic are not intended at conception.•Most methods are safe to start immediately after abortion, miscarriage, ectopic or molar pregnancy.•Effective contraception is recommended for three months following use of methotrexate due to potential teratogenicity.•Intrauterine contraception should be avoided until hCG levels normalise after molar pregnancy treatment.
ISSN:1521-6934
1532-1932
DOI:10.1016/j.bpobgyn.2023.102428