Long-acting reversible contraceptive preference and initiation among clinic-based and telemedicine medication abortion patients at one academic health system in California

Contraception. 2025 Feb 10:110838. doi: 10.1016/j.contraception.2025.110838. Online ahead of print.

ABSTRACT

OBJECTIVES: To examine possible differences in post-abortion long-acting reversible contraception (LARC) preference and initiation between patients who received clinic-based (CMA) and telemedicine medication abortions (TMA).

STUDY DESIGN: We examined electronic medical records among medication abortion patients at one academic health system in California between 2020-2022 (N=576).

RESULTS: Overall, 25% of patients preferred LARC and 21% initiated LARC. Among those who preferred LARC, 77% initiated LARC. No statistically significant differences were found in LARC preference or initiation across medication abortion modality.

CONCLUSIONS: In this health system, patients who received CMA and TMA did not differ in post-abortion LARC preference or initiation.

PMID:39938673 | DOI:10.1016/j.contraception.2025.110838