Characteristics of special groups of abortion patients from one health district

Abstract

SummaryFour special groups of women resident and obtaining abortions in one health district are described: women under 16 years and over 35 years, those undergoing a second or third abortion, and those obtaining operations later than 20 weeks gestation. These women rarely obtain adequate contraceptive advice and services, particularly when oral contraception has not proved to be suitable for them. It appears that some general practitioners do not offer a comprehensive family planning service and that this can result in women resorting to unreliable methods of birth control despite their demonstrated willingness to use contraception.Among the very young, though most have received teaching about contraception, few appear to use any method; the confusion over the age of consent may be contributing to the failure of adults to make adequate provision for this group. The women over 35 years seemed to have little contact with family planning advice. There was a disturbing failure to meet the demand for sterilization until an unwanted pregnancy had occurred.Patients undergoing a second or third abortion were frequently found to have contraceptive problems; there was no evidence that they were irresponsible as a group. A description of two patients obtaining operations after 20 weeks gestation illustrates the complexities of the late abortion issue. It is suggested that restrictive legislation cannot hope to contain the determination which may accompany the decision to seek abortion.