Postabortion long-acting reversible contraception desire in women counselled using Bedsider.org versus standard counselling: a randomised trial

Integrating digital media into counselling may be an effective implementation strategy to improve contraceptive uptake in adolescent and young women.1 2 Most women seeking abortion are in their teens or 20s3 and have high uptake of long-acting reversible contraception (LARC) when offered.4 5 We conducted a study to evaluate if the use of the contraception website Bedsider.org along with routine counselling increased postabortion LARC desire in a population of young women seeking first-trimester abortion. We enrolled women between September 2012 and November 2013 at an academic hospital clinic. The study was registered with ClinicalTrials.gov (NCT02532946). We included English-speaking women, 18–29 years old (the target audience of Bedsider.org), seeking medical abortion less than or equal to 9 weeks and surgical abortion less than or equal to 12 weeks of gestation. To maximise feasibility and acceptability of the implementation strategy, we obtained verbal informed consent and used a quasi-experimental design. Clinical days were randomised in a 1:1 ratio as ‘routine’ counselling days, in which the clinician …