Abstract To understand the current situation of the implementing long-acting reversible contraception (LARC) of women after induced abortion, and to explore the influencing factors of the implementing LARC. Methods: The women who performed induced abortion in medical institutions were investigated from September 2021 to September 2022. These women were divided in different groups based on the age, the number of children, the history of abortion, the high-risk factors, the contraception used or not, the termination method of pregnancy, the level of hospital where the abortion implementation, and the nature of hospital where the abortion implementation. The factors influencing the timely implementation rate of long-term contraceptive measure of the women after induced abortion were analyzed. Results: During the survey period, there were 6044 women with induced abortion and 4250 (70.3%) women with repeated miscarriage. 1585 women had implemented LARC within 6 months after abortion, with the timely implementation rate of 26.2%. The results of logistic regression analysis showed that age<30 years old (OR=0.734, 95% CI 0.614-0.877), ≤ 1 child (OR=0.280, 95% CI 0.198-0.397), 2 children (OR=0.628, 95% CI 0.444-0.888), no history of miscarriage (OR=0.814, 95% CI 0.692-0.957), painless surgery (OR=1.760, 95% CI 1.401-2.210), drug induced abortion (OR=0.230, 95% CI 0.170-0.312), and high-risk factors (OR=1.425, 95% CI 1.253-1.621) First level hospitals (OR=2.081,95% CI1.629-2.657) and public hospitals (OR=1.377,95% CI1.198-1.583) are the factors that affect the timely implementation rate of LARC after induced abortion. Among them, age<30 years old, ≤1 child, 2 children,no history of miscarriage, and drug induced abortion have a negative impact on the timely implementation of LARC. Conclusion: There is still considerable expand space for improving the timely implementation rate of LARC of the women after induced abortion in the Rugao region, and the targeted intervention measures for these women are recommended.
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