long acting reversible contraception after surgical abortion with high rate of continuation and patients’ satisfaction

Objective: in italy the percentage of repeated abortions is about 24%. long-acting reversible contraceptive (larc) methods are currently considered the most effective mode worldwide and are associated with the highest rate of 12-months continuation, with a potential reported reduction of recurrent abortions. the aim of this study was evaluating larc continuation and the patients’ satisfaction at two and twelve months in use.materials and methods: a longitudinal observational study collected women who underwent surgical abortion and placed a larc method at the time of abortion in our hospital.results: totally 828 women underwent surgical abortion during the study period from which 434 choose a larc method. after two months the rate of continuation of 52mg lng iud was 100% in women presenting for follow-up. continuation rate at one year was approximately 70% for all larc methods. more than 70% of women declared themselves satisfied or very satisfied with all larc methods.conclusion: despite a high rate of patient loss at follow-up, larc methods showed a high rate of continuation at two and twelve months, with a high degree of patients' satisfaction.