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Table 1 Education content in WeChat groups and control group

From: Post-abortion needs-based education via the WeChat platform to lessen fear and encourage effective contraception: a post-abortion care service intervention-controlled trial

Post-abortion

Wechat group Contents

Control group

Time

Method

Method

Day 0

Jeopardization: both induced abortion and medical abortion, although a remedy for unwanted pregnancies, can cause harm to women. Short-term injuries are vaginal bleeding, incomplete miscarriage, long-term harm causing menstrual abnormalities, uterine adhesions, and secondary infertility. Rest: Get enough rest and sleep.

Diet: establish good eating habits. Do not miss a meal. Take regular nutritious meals. Provide high protein, high-calorie beverages, nutritious finger foods, juice, and snacks as tolerated except ice spicy and stimulating foods. Do not overeat as a way of reducing stress.Medications: Take medications as ordered and observe for effectiveness and side effects. Teach about estrogen and progestin pills and continue to replenish pills promptly when missing.Contraception: Individualized contraceptive counseling for immediately implementation of long-acting reversible contraception used.Group Announcement, One-on-one consultation

Jeopardization: both induced abortion and medical abortion, although a remedy for unwanted pregnancies, can cause harm towomen.

Short-term injuries are vaginal bleeding, incomplete miscarriage, long-term harm causing menstrual abnormalities, uterine adhesions,and secondary infertility.Rest: Get enough rest and sleep.Diet: establish good eating habits. Do not miss a meal. Take regular nutritious meals. Provide high protein, high-calorie beverages, nutritious finger foods, juice, and snacks as tolerated except ice spicy and stimulating foods. Do not overeat as a way of reducing stress. Medications: Take medications as ordered and observe for effectiveness and side effects. Teach about pills and continue to replenish pills promptly when missing. Contraception: Individualized contraceptive counseling for immediate implementation of long-acting reversible contraceptive misuse, One-on-one consultation

Day1-Day14

Exercise: including walking, gardening, and playing as tolerated, select mild and diversionary activities instead of stimulating exercise and competitive games in the top 3days post-abortion.7days post-abortion later develop an exercise routine.

The Personal hygiene: Pay attention to physical needs for food, sleep, and hygiene. Prepare a warm shower and hot beverages to aid.Psychology: budget properly within the limits of your financial resources. Develop close relationships with family and community members, experiencing and expressing feeling. Help women to recognize and express feelings (denial, hopelessness, anger, guilt, blame, helplessness)Symptoms: normal of a small amount of vaginal bleeding within 10 days.Group Announcement, One-on-one consultation if possible

In the 14 days post-abortion, ultrasound re-examines the recovery of the uterus.

Guides the use of contraceptives.

Urges the effective contraception methods used if the sexual life resumes, Clinic

Day15-Day30

Diets: Principles of nutrition foods for wellness maintenance, water per day. Take regular nutritious meals. Contact a dietitian if weight gain becomes a problem.

Review: Reminder of uterine ultrasound review.Contraception: Give guidance on contraceptive methods in person according to the patient's age and fertility history.Note: sexual intercourse is prohibited before menstruation.Psychology: seek opportunities to voice out your feelings and be involved in decisions.Get organization: Highly effective contraception should be implemented after abortion.Time management: Plan the work and use the time effectively to manage it. Do not do the same thing every day (if possible) Activities: The team approach uses the milieu to meet each person's needs.Knowledge: Emphasize the importance of monthly blood levels. Teach symptoms of Uterine adhesions or disseminate, Group Announcement, Speech in the group, One-on-one consultation if possible.

In the 1month post-abortion day followed up post-abortion condition: blood loss amount, whether menstruation resumes, whether sexual life resumes and the contraceptive methods used each time.

Urge women who use less effective contraception change to effective contraception methods. Correctly guide and adhere to use.Find out whether they are pregnant unintentionally again.Answer women’s questions, Telephone, clinic

1Mth-3Mths

Pills: Healthy women can take estrogen and progestin pills continuously for more than 6 months, self observe for side effects. Teach about pills and continue to replenish pills promptly when missing.

Contraception: Help with resolving difficulties related to IUD pattern choice and choosing a long-acting reversible contraception methods, encourage group solutions to daily living health problems. Use a kind, understanding, but emotionally neutral approach. Repeat simple, direct information. Assist in daily decisions.Knowledge: Emphasize the importance of monthly blood levels. Teach symptoms of Uterine adhesions or disseminate.Relaxing: take long hot baths, spend time alone, or periodically nap, Group Announcement, Speech in the group

In the 3months post-abortion day followed up whether the sexual life resumes and the contraceptive methods used each time.

Urge women who use less effective contraception change to effective contraception methods. Correctly guide and adhere to use.Find out whether they are pregnant unintentionally again.Answer women’s questions, Telephone, clinic

3Mths-6Mths

Contraception: Encourage them to use effective contraceptions methods, and stick to them in case of unwanted pregnancy. Focus comments on the concerns of clients. Help people there and now behavior. Make frequent contact with people.

Pills: Take estrogen and progestin pills and observe for side effects. Teach about pills and continue to replenish pills promptly when missing.

Complications: if all else, see health care when not well. Recognize symptoms of complications and need to seek appropriate medical attention.

Psychology: determine what you can and cannot do and search forassistance. Recognize personal strengths and use them to eliminate, avoid, reduce, and manage stress.

Encourage: Answer correctly and give affirmative praise in the group discussion., Group Announcement, Speech in the group

In the 6months post-abortion day follow up about post abortion recovery,the menstrual condition, contraceptive measure use, Urge women who use less effective contraception change switch to efficient effective contraceptionmethods.

Find out whether they are pregnant unintentionally again.

Answer women’s questions, Telephone, clinic