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Contraception

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https://www.readbyqxmd.com/read/29778587/the-politics-of-place-presidential-voting-patterns-and-providers-prescription-of-emergency-contraception
#1
Kelly Cleland, Brandon Wagner, Pelin Batur, Megan McNamara, Justine Wu, Michael B Rothberg
OBJECTIVE: The most effective forms of emergency contraception (EC) require a prescription or a medical procedure; therefore, provider willingness to offer EC remains critical to patient access. This study seeks to assess whether political alignment of a provider's county is associated with provider attitudes and behaviors regarding EC. STUDY DESIGN: We analyzed survey data collected from 1313 healthcare providers from February 2013 to April 2014 at 14 academic medical centers in the United States...
May 17, 2018: Contraception
https://www.readbyqxmd.com/read/29778586/comparison-of-an-additional-early-visit-to-routine-postpartum-care-on-initiation-of-long-acting-reversible-contraception-a-randomized-trial
#2
Caitlin Bernard, Leping Wan, Jeffrey F Peipert, Tessa Madden
OBJECTIVE: To investigate whether an early 3-week postpartum visit in addition to the standard 6-week visit increases LARC initiation by 8weeks postpartum compared to the routine 6-week visit alone. STUDY DESIGN: We enrolled pregnant and immediate postpartum women into a prospective randomized, non-blinded trial comparing a single 6-week postpartum visit (routine care) to two visits at 3 and 6weeks postpartum (intervention), with initiation of contraception at the 3-week visit, if desired...
May 17, 2018: Contraception
https://www.readbyqxmd.com/read/29778585/surgical-sterilization-among-u-s-men-and-women-with-employer-based-insurance-a-claims-data-analysis
#3
Amir Ishaq Khan, Dattatraya Patil, Jennifer Fay Kawwass, Vitaly Zholudev, Akanksha Mehta
OBJECTIVE: To assess variability in the use of surgical sterilization among privately insured U.S. men and women. STUDY DESIGN: We queried the MarketScan Commercial Claims database using CPT, ICD9, and HCPCS codes to identify 658,509 individuals between 18-65years old (0.37% of total) who underwent male or female sterilization between 2009-2014. We examined annual trends using Cochran-Mantel-Haenszel test. We analyzed differences in age, geographic distribution, and family size using Wilcoxon sum-rank and generalized chi-squared tests...
May 17, 2018: Contraception
https://www.readbyqxmd.com/read/29778584/evaluating-the-capacity-of-california-s-publicly-funded-universities-to-provide-medication-abortion
#4
Sarah Raifman, Patricia Anderson, Shelly Kaller, Diane Tober, Daniel Grossman
OBJECTIVE: To explore the capacity of the University of California (UC) and California State University (CSU) student health centers to provide medication abortion (MA), to identify gaps in resources required to implement proposed Senate Bill 320, which would mandate the provision of MA on UC and CSU campuses, and to explore California student health center staff perspectives on the benefits and challenges of providing MA. STUDY DESIGN: UC and CSU student health center (SHC) staff participated in a self-administered online survey; we conducted in-depth data collection including site visits and conference calls at a subset of campuses...
May 17, 2018: Contraception
https://www.readbyqxmd.com/read/29777663/a-multicenter-randomized-clinical-trial-of-etonogestrel-and-levonorgestrel-contraceptive-implants-with-nonrandomized-copper-iud-controls-effect-on-weight-variations-up-to-three-years-after-placement
#5
Luis Bahamondes, Vivian Brache, Moazzam Ali, Ndema Habib
OBJECTIVES: To evaluate weight changes in women randomized to either the etonogestrel (ENG)- or the levonorgestrel (LNG)-releasing contraceptive implants and to compare with users of the TCu380A intrauterine device (IUD). STUDY DESIGN: A multi-center randomized trial with 1:1 allocation ratio of the ENG- and the LNG- implants with non-randomized, age-matched control group of women choosing TCu380A IUD. The primary objective was to assess contraceptive efficacy and method continuation rates, and secondarily the incidence of common complaints and side effects (including weight changes) associated with use of the three contraceptives...
May 16, 2018: Contraception
https://www.readbyqxmd.com/read/29777662/morbid-obesity-potential-effects-of-hormonal-contraception
#6
Frank Z Stanczyk, Anne E Burke, Kurt M Hong, David F Archer
No abstract text is available yet for this article.
May 16, 2018: Contraception
https://www.readbyqxmd.com/read/29758176/women-s-satisfaction-use-storage-and-disposal-of-subcutaneous-depot-medroxyprogesterone-acetate-dmpa-sc-during-a-randomized-trial
#7
Holly M Burke, Mario Chen, Mercy Buluzi, Rachael Fuchs, Silver Wevill, Lalitha Venkatasubramanian, Leila Dal Santo, Bagrey Ngwira
OBJECTIVE: To describe women's experiences with subcutaneous depot medroxyprogesterone acetate (DMPA-SC) to inform scale-up of self-administered DMPA-SC. STUDY DESIGN: We conducted a 12-month randomized controlled trial in Malawi to measure DMPA-SC continuation rates. A total of 731 women presenting at six Ministry of Health clinics or to community health workers (CHWs) in rural communities were randomized to receive DMPA-SC administered by a provider, or be trained to self-inject DMPA-SC...
May 11, 2018: Contraception
https://www.readbyqxmd.com/read/29752924/emergency-contraception-supply-in-australian-pharmacies-after-the-introduction-of-ulipristal-acetate-a-mystery-shopping-mixed-methods-study
#8
Jack Charles Collins, Carl Richard Schneider, Rebekah Jane Moles
OBJECTIVE: To explore the supply of emergency contraception (EC) from Australian community pharmacies after the introduction of ulipristal acetate (UPA), and to explore pharmacists' knowledge, decision-making, attitudes, and beliefs surrounding supplying EC. STUDY DESIGN: A mixed-methods approach of mystery shopping with structured interview was employed. From August-November 2017, 20 pharmacy students mystery-shopped 10 community pharmacies in metropolitan Sydney, Australia, requesting "the morning after pill"...
May 9, 2018: Contraception
https://www.readbyqxmd.com/read/29752923/video-compared-to-conversational-contraceptive-counseling-during-labor-and-maternity-hospitalization-in-colombia-a-randomized-trial
#9
Alyssa R Hersh, Luisa F Muñoz, Mónica Rincón, Carolina Alvarez, Jorge E Tolosa, Diva J Moreno, Martha Rubio, Juan C Vargas, Francisco Edna, Nelson Taborda, Maureen K Baldwin
OBJECTIVE: Assess if video-based contraceptive education could be an efficient adjunct to contraceptive counseling and attain the same contraceptive knowledge acquisition as conversation-based counseling. STUDY DESIGN: This was a multi-center randomized, controlled trial examining contraceptive counseling during labor and maternity hospitalization regarding the options of immediate postpartum contraception. At two urban public hospitals, we randomized participants to a structured conversation with a trained counselor or a 14-min video providing the same information...
May 9, 2018: Contraception
https://www.readbyqxmd.com/read/29752922/a-non-inferiority-randomized-controlled-trial-to-compare-transabdominal-and-transvaginal-sonography-for-eligibility-assessment-prior-to-medical-abortion
#10
Annie Fu, Caitlin E Weber, Emma Gilmore, Anne R Davis, Gregory Hirsch, Carolyn L Westhoff
OBJECTIVES: To compare transabdominal sonography (TAS) to transvaginal sonography (TVS) in medical abortion eligibility assessment; specifically to measure how often clinicians chose to order additional testing for eligibility assessment following TAS and TVS, and to look for differences by patient and clinician characteristics. Also, to compare patient acceptability between the two modalities. STUDY DESIGN: This pragmatic multi-site randomized non-inferiority trial compared TAS to TVS at 10 New York City and New Jersey health centers that provide medical abortion...
May 9, 2018: Contraception
https://www.readbyqxmd.com/read/29750926/comparative-safety-and-efficacy-of-a-dedicated-postpartum-iud-inserter-versus-forceps-for-immediate-postpartum-iud-insertion-a-randomized-trial
#11
Paul D Blumenthal, Klaira Lerma, Renita Bhamrah, Sharad Singh
OBJECTIVE: To compare postpartum IUD (PPIUD) insertion using a newly developed dedicated PPIUD inserter (inserter) to insertion with modified Kelly placental forceps (forceps). STUDY DESIGN: We randomized 500 women at five Indian academic centers to PPIUD insertion of a Copper T380A with either the inserter or forceps. The primary outcomes were fundal placement (assessed by post-insertion ultrasound), ease of insertion on a 5-point Likert scale, and safety (infection/perforation)...
May 8, 2018: Contraception
https://www.readbyqxmd.com/read/29750925/two-year-contraceptive-continuation-rates-among-immediate-postpartum-implant-users-at-a-district-hospital-in-malawi-a-prospective-cohort-study
#12
Jennifer H Tang, Clara Lemani, Jerome Nkambule, George Talama, Chimwemwe Banda, Webster Zgambo, Maganizo Chagomerana
OBJECTIVE: To compare 2-year continuation rates in Malawian women undergoing immediate postpartum insertion of the levonorgestrel implant or etonorgestrel implant. STUDY DESIGN: We followed 159 women who underwent immediate postpartum levonorgestrel implant or etonorgestrel implant insertion at Kasungu District Hospital for up to 2years. RESULTS: We analyzed continuation data on 145 (92.4%) implant users. The 2-year continuation rates were 93...
May 8, 2018: Contraception
https://www.readbyqxmd.com/read/29750924/predictors-for-follow-up-among-postpartum-patients-enrolled-in-a-clinical-trial
#13
Maureen K Baldwin, Kyle D Hart, Maria I Rodriguez
OBJECTIVE: To identify risk factors for failure to attend postpartum follow-up within three months of delivery, including social support, intrinsic motivation, insurance type, and prenatal care attendance. STUDY DESIGN: This planned secondary analysis is derived from a randomized controlled trial of patients intending intrauterine device (IUD) use following their delivery (n=197). Subjects were postpartum from a vaginal or cesarean birth at≥32weeks gestation. We obtained baseline demographics and certainty about their plan to receive a postpartum IUD...
May 8, 2018: Contraception
https://www.readbyqxmd.com/read/29746814/a-case-series-on-the-use-of-levonorgestrel-52mg-intrauterine-system-after-organ-transplant
#14
Cassia R T Juliato, Paulo Stahlscmidt, Arlete Fernandes, Ilza Monteiro, Luis Bahamondes
OBJECTIVE: To assess the clinical performance (pregnancy and occurrence of pelvic infection) of the levonorgestrel 52-mg intrauterine system (LNG IUS) in solid organ transplant recipients. STUDY DESIGN: We performed a retrospective chart review of all patients seen in the Family Planning Clinic at the University of Campinas Department of Obstetrics and Gynecology from 2007-2017 to identify women with solid organ transplantation using immunosuppression who received a LNG- IUS...
May 7, 2018: Contraception
https://www.readbyqxmd.com/read/29746813/effect-of-the-depot-medroxyprogesterone-acetate-injectable-and-levonorgestrel-implant-on-hiv-genital-shedding-a-randomized-trial
#15
Lameck Chinula, Julie A E Nelson, Jeffrey Wiener, Jennifer H Tang, Stacey Hurst, Gerald Tegha, Albans Msika, Sascha Ellington, Mina C Hosseinipour, Ronald Mataya, Lisa B Haddad, Athena P Kourtis
OBJECTIVES: To assess the effect of the depot medroxyprogesterone acetate injectable (DMPA) and of the levonorgestrel (LNG)-implant on genital HIV shedding among women receiving antiretroviral therapy (ART). METHODS: We randomized HIV-infected Malawian women to either DMPA or LNG-implant from May 2014 to April 2015. HIV RNA was measured in cervicovaginal lavage (CVL) fluid and TearFlo Strips (TFS), and HIV DNA was measured in cells collected by CVL. We compared the frequency and magnitude of HIV genital shedding before and for 6months after initiation of contraception and between arms among women receiving ART...
May 7, 2018: Contraception
https://www.readbyqxmd.com/read/29733817/predictors-of-dmpa-sc-continuation-among-urban-nigerian-women-the-influence-of-counseling-quality-and-side-effects
#16
Jenny Liu, Jennifer Shen, Nadia Diamond-Smith
OBJECTIVES: In 2015, private healthcare providers in Nigeria introduced DMPA-SC (depot medroxyprogesterone acetate administered subcutaneously) into the method mix. We aimed to [1] examine the sociodemographic predictors of continued DMPA-SC use after three months, and [2] characterize the additional influences of contraceptive counseling quality and experiences of side effects on continuation. STUDY DESIGN: From March to August, 2016, we conducted phone interviews with a convenience sample of women obtaining DMPA-SC from selected providers to survey them about their experience obtaining an initial dose of DMPA-SC...
May 4, 2018: Contraception
https://www.readbyqxmd.com/read/29702082/multiple-contraceptive-method-use-and-prevalence-of-fertility-awareness-based-method-use-in-the-united-states-2013-2015
#17
Chelsea B Polis, Rachel K Jones
OBJECTIVES: Contraceptive prevalence in the United States is typically calculated according to the most effective method of contraception reported. This could theoretically underestimate the number of women using fertility-awareness based methods (FABMs), including those who use other methods (e.g., condoms) during the fertile window, but the extent of any such underestimation has not been assessed. STUDY DESIGN: We used data from the 2013-2015 National Survey of Family Growth to examine the extent to which women report use of an FABM alone or with other methods...
April 24, 2018: Contraception
https://www.readbyqxmd.com/read/29702081/contraceptive-information-on-pregnancy-resource-center-websites-a-statewide-content-analysis
#18
Andrea Swartzendruber, Riley J Steiner, Anna Newton-Levinson
OBJECTIVE: Most pregnancy resource centers (PRCs) in the U.S. are affiliated with national organizations that have policies against promoting or providing contraceptives, yet many provide information about contraception on their websites. In 2016, the state of Georgia passed a new law to publicly fund PRCs. This study sought to describe the contraceptive information on Georgia PRC websites. STUDY DESIGN: We systematically identified all accessible Georgia PRC websites April-June, 2016...
April 24, 2018: Contraception
https://www.readbyqxmd.com/read/29702080/continuation-of-long-acting-reversible-contraceptives-among-medicaid-patients
#19
Max J Romano, Patryce Toye, Loral Patchen
OBJECTIVE: Our objective was to compare continuation and complication rates of subdermal etonogestrel implants and intrauterine devices (IUDs) using Medicaid insurance claims. STUDY DESIGN: We performed a retrospective cohort study using insurance claims data for 15- to 44-year-old subjects receiving implants or IUDs from 2012 to 2015 in a Medicaid managed care organization in Washington, DC, and Maryland. We performed a planned Kaplan-Meier survival analysis for long-acting reversible contraceptive (LARC) continuation, defined as the absence of a claim for LARC removal, during periods of continuous insurance plan enrollment...
April 24, 2018: Contraception
https://www.readbyqxmd.com/read/29684327/do-health-promotion-messages-integrate-unintended-pregnancy-and-sti-prevention-a-content-analysis-of-online-information-for-adolescents-and-young-adults
#20
Riley J Steiner, Catherine N Rasberry, Jessica M Sales, Laura M Gaydos, Karen Pazol, Michael Kramer, Andrea Swartzendruber
OBJECTIVE: Recently there have been calls to strengthen integration of unintended pregnancy and sexually transmitted infection (STI) prevention messages, spurred by increasing use of long-acting reversible contraception. To assess the extent to which public health/clinical messages about unintended pregnancy prevention also address STI prevention, we conducted a content analysis of web-based health promotion information for young people. STUDY DESIGN: Websites identified through a systematic Google search were eligible for inclusion if they were operated by a United States-based organization with a mission related to public health/clinical services and the URL included: 1) original content; 2) about sexual and reproductive health; 3) explicitly for adolescents and/or young adults...
April 20, 2018: Contraception
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