Postabortion Contraception: A Systematic Literature Review on a Critical Intervention for Maternal and Reproductive Health

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Michalak, Mallory
- Affiliation: Gillings School of Global Public Health, Department of Maternal and Child Health

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Postabortion contraception is one of the most effective interventions for preventing unintended pregnancies and subsequent abortions. Despite the fact that unsafe abortion continues to be a leading cause of maternal morbidity and mortality in many parts of the world, postabortion contraception is often inaccurately framed as only a reproductive health issue, rather than a relevant issue in both maternal and reproductive health. The prevention of unintended pregnancies and unsafe abortion, as well as the promotion of birth spacing, makes postabortion contraception a highly effective tool for improving reproductive, maternal, newborn, and child health outcomes. This systematic literature review focuses on the prevalence and characteristics of postabortion contraceptive uptake, as well as promising approaches to improve service delivery. In order to improve both reproductive and maternal health globally, particularly in low and middle-income countries, stakeholders need to invest in both the research and practice of providing high quality, comprehensive postabortion contraceptive counseling and services, particularly for long-acting reversible methods.

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