Few studies have examined contraceptive use for an extended period after an abortion in a low income setting. One matched, controlled study in Zimbabwe assessed the effect of counselling and free contraception before hospital discharge. At 12 months, effective contraceptive use was higher in the intervention than the control group (84% (227/271) versus 64% (165/258), respectively; P P P = 0.23).30 At 12 months in our study, 13% (22/169) of participants in the intervention group reported a repeat pregnancy compared with 18% (28/159) in the control group; the corresponding figures for a repeat abortion were 5% (8/169) and 7% (11/159), respectively.

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