According to DH statistics, in 2011, 189,931 terminations of pregnancy were performed in England and Wales. Some were caused by contraceptive failure or by changed circumstances in the context of a planned pregnancy. However, for some women, the termination was due to non-engagement with contraception, which can be for many different reasons.
Non-engagement
The impact of such a non-engagement is both financial (for health services) but often emotional for the woman herself. Staff in contraceptive services work hard to encourage consistent contraceptive use, but may experience a range of barriers.
NICE defines adherence as 'the extent to which the patient's action matches the agreed recommendations'.1 It recommends clinicians assist patients to make informed decisions about treatment and use medicines to best effect.
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