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Contraception

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https://www.readbyqxmd.com/read/27888047/looking-for-a-lost-subdermal-contraceptive-implant-think-about-the-pulmonary-artery
#1
A Gallon, M Fontarensky, C Chauffour, L Boyer, P Chabrot
This case highlights a rare but potentially life-threatening complication of a contraceptive implant insertion that was corrected by a noninvasive endovascular procedure. This procedure requires a quick intervention to be successful.
November 22, 2016: Contraception
https://www.readbyqxmd.com/read/27888046/proposed-clinical-guidance-for-excluding-pregnancy-prior-to-contraceptive-initiation
#2
John Stanback, Irina Yacobson, Lucy Harber
No abstract text is available yet for this article.
November 22, 2016: Contraception
https://www.readbyqxmd.com/read/27865875/axillary-migration-of-nexplanon%C3%A2-case-report
#3
Daniela Diego, Erryn Tappy, Jose Carugno
A 19 year old patient presented to the clinic, and we inserted a single rod subdermal etonogestrel implant (Nexplanon ®), which subsequently migrated to the ipsilateral axilla. Distant Nexplanon® migration is a rare serious complication that should be considered when a device is non-palapable. Management options are discussed.
November 16, 2016: Contraception
https://www.readbyqxmd.com/read/27856227/contraception-and-postpartum-follow-up-in-patients-with-gestational-diabetes
#4
Emily W Rosenthal, Sarah Rae Easter, Emma Morton-Eggleston, Caryn Dutton, Chloe Zera
OBJECTIVES: We sought to review the effect of immediate provision of postpartum contraception on postpartum follow-up and screening for type 2 diabetes in women with gestational diabetes mellitus (GDM). STUDY DESIGN: We performed multivariate logistic regression to identify the association between immediate provision of postpartum contraception and attendance at the 6-week postpartum visit and performance of a 6- to 12-week oral glucose tolerance test, controlling for age, type of insurance, parity and race...
November 14, 2016: Contraception
https://www.readbyqxmd.com/read/27836586/intrauterine-contraception-after-medical-abortion-factors-affecting-success-of-early-insertion
#5
Elina Pohjoranta, Satu Suhonen, Maarit Mentula, Oskari Heikinheimo
OBJECTIVE: To assess the success and factors affecting early intrauterine device (IUD) provision after first trimester medical termination of pregnancy (MTOP). STUDY DESIGN: Subgroup analysis of a randomized contraceptive trial assessing the long-term effects of early provision of intrauterine contraception following abortion. Altogether, 606 women undergoing MTOP were included and followed for 3 months. The intervention group (n=307) was offered an IUD (either the levonorgestrel-releasing intrauterine system or copper-IUD) at a follow-up visit 1-4 weeks after MTOP...
November 9, 2016: Contraception
https://www.readbyqxmd.com/read/27836587/hiv-aids-and-contraceptive-use-factors-associated-with-contraceptive-use-among-sexually-active-hiv-positive-women-in-kenya
#6
Monica A Magadi, Winnie A Magadi
OBJECTIVES: With increased availability of anti-retroviral therapy and improved survival for people living with HIV, more HIV-positive women are leading full reproductive lives. However, HIV-positive women have special contraceptive needs/concerns. This paper examines the individual and community-level HIV/AIDS factors associated with contraceptive use and compares predictors of contraceptive uptake between HIV-positive and HIV-negative women in Kenya. STUDY DESIGN: The study is based on secondary analysis of cross-sectional data of a sample of 9132 sexually-active women of reproductive age from the Kenya Demographic and Health Surveys collected in 2003 and 2008...
November 8, 2016: Contraception
https://www.readbyqxmd.com/read/27823945/similarities-and-differences-in-contraceptive-use-reported-by-women-and-men-in-the-national-survey-of-family-growth
#7
Abigail Ra Aiken, Yu Wang, Jenny Higgins, James Trussell
OBJECTIVE: To compare use of contraceptive methods at last heterosexual intercourse among 15-44year-old women and men at risk of unintended pregnancy in the United States. STUDY DESIGN: We employed data from the National Survey of Family Growth 2006-2013. We considered women and men to be at risk of unintended pregnancy if they had intercourse in the last month, regardless of contraceptive use, and if they or their partner had the ability to get pregnant and was not trying to become pregnant...
November 4, 2016: Contraception
https://www.readbyqxmd.com/read/27823944/effect-of-cervical-lidocaine-prilocaine-cream-on-pain-perception-during-copper-t380a-intrauterine-device-insertion-among-parous-women-a-randomized-double-blind-controlled-trial
#8
Ahmed M Abbas, Mohamed S Abdellah, Mohamed Khalaf, Mustafa Bahloul, Noura H Abdellah, Mohamed K Ali, Ahmed M Abdelmagied
OBJECTIVE: The objective was to investigate the analgesic effect of cervical lidocaine-prilocaine (LP) cream in alleviating pain during copper T380A intrauterine device (IUD) insertion among parous women. STUDY DESIGN: We conducted a randomized, double-blind, placebo-controlled trial at Assiut Women's Health Hospital, Egypt, from October 2015 to April 2016 of parous women desiring copper IUD insertion. We randomized the subjects in a 1:1 ratio to LP cream or placebo...
November 4, 2016: Contraception
https://www.readbyqxmd.com/read/27823943/patient-provider-conversations-about-sterilization-a-qualitative-analysis
#9
Katrina Kimport, Christine Dehlendorf, Sonya Borrero
OBJECTIVES: Although female sterilization is the second most commonly used contraceptive method in the US, research suggests that providers may serve as barriers to desired sterilization. STUDY DESIGN: We conducted a modified grounded theory analysis of audio-recorded contraceptive counseling visits with 52 women who specified on a previsit survey that they wanted no future children and a supplemental analysis of visits with 14 women who wanted or were unsure about future children in which sterilization was mentioned...
November 4, 2016: Contraception
https://www.readbyqxmd.com/read/27823942/combined-hormonal-contraceptive-chc-use-among-obese-women-and-contraceptive-effectiveness-a-systematic-review
#10
REVIEW
Monica V Dragoman, Katharine B Simmons, Melissa E Paulen, Kathryn M Curtis
OBJECTIVE: To evaluate from the literature whether combined hormonal contraception (CHC), including combined oral contraception pills (COC), transdermal patch, vaginal ring, or combined injectables, have different effectiveness or failure rates by body weight or body mass index (BMI). STUDY DESIGN: We searched PubMed and the Cochrane Library databases for all articles in all languages published between inception and February 2016, for evidence relevant to body weight or BMI, CHC use and contraceptive effectiveness...
November 4, 2016: Contraception
https://www.readbyqxmd.com/read/27789309/a-prospective-cohort-study-of-the-feasibility-and-acceptability-of-depot-medroxyprogesterone-acetate-administered-subcutaneously-through-self-injection
#11
Jane Cover, Allen Namagembe, Justine Tumusiime, Jeanette Lim, Jennifer Kidwell Drake, Anthony K Mbonye
OBJECTIVES: Evidence on contraceptive self-injection from the United States and similar settings is promising, and the practice may increase access. There are no published studies on the feasibility of contraceptive self-injection in sub-Saharan Africa to date. The purpose of this study was to assess feasibility of subcutaneous depot medroxyprogesterone acetate self-injection in Uganda, with specific objectives to (a) measure the proportion of participants who self-injected competently, (b) measure the proportion who self-injected on time 3 months after training (defined conservatively as within 7 days of their reinjection date) and (c) assess acceptability...
October 24, 2016: Contraception
https://www.readbyqxmd.com/read/27771476/non-oral-combined-hormonal-contraceptives-and-thromboembolism-a-systematic-review
#12
Naomi K Tepper, Monica V Dragoman, Mary E Gaffield, Kathryn M Curtis
BACKGROUND: Combined hormonal contraceptives (CHCs), containing estrogen and progestin, are associated with an increased risk of venous thromboembolism (VTE) and arterial thromboembolism (ATE), compared with non-use. Few studies have examined whether non-oral formulations (including the combined hormonal patch, combined vaginal ring, and combined injectable contraceptives) increase the risk of thrombosis compared with combined oral contraceptives (COCs). OBJECTIVES: To examine the risk of VTE and ATE among women using non-oral CHCs compared to women using COCs...
October 19, 2016: Contraception
https://www.readbyqxmd.com/read/27771475/the-safety-of-intrauterine-devices-among-young-women-a-systematic-review
#13
REVIEW
Tara C Jatlaoui, Halley E M Riley, Kathryn M Curtis
OBJECTIVE: The objective was to determine the association between use of intrauterine devices (IUDs) by young women and risk of adverse outcomes. METHODS: We searched Pubmed, CINAHL, Embase, Popline and the Cochrane Library for articles from inception of database through December 2015. For outcomes specific to IUD use (IUD expulsion and perforation), we examined effect measures for IUD users generally aged 25 years or younger compared with older IUD users. For outcomes of pregnancy, infection, pelvic inflammatory disease (PID), and heavy bleeding or anemia, we examined young IUD users compared with young users of other contraceptive methods or no method...
October 19, 2016: Contraception
https://www.readbyqxmd.com/read/27769767/-i-don-t-know-what-i-would-have-done-women-s-experiences-acquiring-ulipristal-acetate-emergency-contraception-online-from-2011-to-2015
#14
Nicole K Smith, Kelly Cleland, Brandon Wagner, James Trussell
OBJECTIVES: This study describes women's reasons for seeking ulipristal acetate (UPA) for emergency contraception (EC) through the only authorized online retailer for UPA EC in the US. STUDY DESIGN: Women aged 14 to 59 years, living in states that allow prescription medications to be shipped from out-of-state, accessed the KwikMed online pharmacy between January 2011 and December 2015. After completing a medical eligibility screener, women answered optional multiple-choice questions...
October 18, 2016: Contraception
https://www.readbyqxmd.com/read/27769766/prescribing-of-cyproterone-acetate-ethinylestradiol-in-uk-general-practice-a-retrospective-descriptive-study-using-the-health-improvement-network
#15
Lucía Cea Soriano, Alex Asiimwe, Luis A García Rodríguez
OBJECTIVE: To investigate prescribing patterns of cyproterone acetate/ethinylestradiol (CPA/EE) in the UK before and after the 2013 prescribing guidance. STUDY DESIGN: We conducted a retrospective descriptive study in UK general practice. The study population included women with a first prescription (index date) for CPA/EE in The Health Improvement Network during 2011 (N=2760), 2012 (N=2923) and 2014 (N=2341). We evaluated the proportion of new CPA/EE users with i) a diagnosis of a hyperandrogenic condition, menstrual problem, consultation for contraception management, other acne treatment, in the year before the index date; ii) proportion of new CPA/EE users with concomitant use of another hormonal contraceptive (HC)...
October 18, 2016: Contraception
https://www.readbyqxmd.com/read/27743769/correlates-of-contraceptive-use-four-months-post-abortion-findings-from-a-prospective-study-in-bangladesh
#16
Erin Pearson, Kamal Kanti Biswas, Kathryn L Andersen, Caroline Moreau, Rezwana Chowdhury, Sharmin Sultana, S M Shahidullah, Pamela J Surkan, Michele R Decker
OBJECTIVES: Using the social determinants framework as a guide, this study sought to understand correlates of post-abortion contraceptive use at the individual, family and abortion service delivery levels. STUDY DESIGN: This prospective study assessed correlates of contraceptive use four months post-abortion and timing of initiation using a facility-based sample of 398 abortion clients who selected pills, condoms, injectables or no method immediately following the procedure...
October 12, 2016: Contraception
https://www.readbyqxmd.com/read/27745910/measuring-decisional-certainty-among-women-seeking-abortion
#17
Lauren J Ralph, Diana Greene Foster, Katrina Kimport, David Turok, Sarah C M Roberts
OBJECTIVE: Evaluating decisional certainty is an important component of medical care, including preabortion care. However, minimal research has examined how to measure certainty with reliability and validity among women seeking abortion. We examine whether the Decisional Conflict Scale (DCS), a measure widely used in other health specialties and considered the gold standard for measuring this construct, and the Taft-Baker Scale (TBS), a measure developed by abortion counselors, are valid and reliable for use with women seeking abortion and predict the decision to continue the pregnancy...
October 10, 2016: Contraception
https://www.readbyqxmd.com/read/27725164/tamoxifen-for-the-treatment-of-breakthrough-bleeding-with-the-etonogestrel-implant-a-randomized-controlled-trial
#18
Katharine B Simmons, Alison B Edelman, Rongwei Fu, Jeffrey T Jensen
OBJECTIVE: The etonogestrel (ENG) subdermal implant can cause frequent breakthrough bleeding in some users. The objective of this study was to evaluate whether a short course of tamoxifen reduces bleeding/spotting days compared to placebo in ENG implant users. STUDY DESIGN: In this double-blind trial, we randomized ENG implant users with frequent or prolonged bleeding or spotting to tamoxifen 10 mg or placebo twice daily for seven days, to be started after three consecutive days of bleeding/spotting...
October 7, 2016: Contraception
https://www.readbyqxmd.com/read/27713005/deep-sedation-without-intubation-during-second-trimester-surgical-termination-in-an-inpatient-hospital-setting
#19
Abigail C Mancuso, Kelsey Lee, Ran Zhang, Elizabeth A Hoover, Colleen Stockdale, Abbey J Hardy-Fairbanks
OBJECTIVES: Safety of outpatient dilation and evacuations with intravenous (iv) sedation without intubation has been demonstrated, but there is a paucity of data on deep iv sedation on an inpatient second trimester surgical termination population. The purpose of this study is to evaluate complications of deep sedation with propofol without the use of intubation during second trimester surgical terminations in an inpatient teaching institution. STUDY DESIGN: A retrospective chart review of all obstetrical and anesthetic data from inpatient dilation and evacuations between gestational ages 15 0/7 and 24 0/7 during the years 2002 to 2015...
October 3, 2016: Contraception
https://www.readbyqxmd.com/read/27647624/corrigendum-to-implications-for-women-of-louisiana-s-law-requiring-abortion-providers-to-have-hospital-admitting-privileges-contraception-2015-91-368-72-doi-10-1016-j-contraception-2015-02-001
#20
S C M Roberts, L Fuentes, R Kriz, V Williams, U D Upadhyay
No abstract text is available yet for this article.
September 16, 2016: Contraception
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