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Gillian Horwitz, Danielle Roncari, Kari Braaten, Rie Maurer, Jennifer Fortin, Alisa B Goldberg
OBJECTIVE: To determine if obese women experience increased rates of adverse outcomes with moderate intravenous sedation during first trimester surgical abortion compared to normal weight women. STUDY DESIGN: We performed a retrospective cohort study of all first trimester surgical abortions with moderate intravenous sedation at an outpatient facility between September 2010 and June 2015. The primary outcome was supplemental oxygen administration. Secondary outcomes included reversal agent administration, anesthesia-related adverse events, and intraoperative lowest level of consciousness (LLOC)...
September 13, 2017: Contraception
Mary Tschann, Alison Edelman, Jeffrey Jensen, Paula Bednarek, Bliss Kaneshiro
OBJECTIVE: Describe blood loss with surgical abortion≥16weeks gestation in anticoagulated patients. STUDY DESIGN: Clinicians involved in a professional listserv (2011-2013) reported cases of abortion≥16weeks gestation in anticoagulated women. RESULTS: All 7 patients were using or had recently discontinued low molecular weight heparin (LMWH). One patient was reported to have greater than anticipated blood loss for gestational age. No patients required transfusion and no complications were reported...
September 13, 2017: Contraception
Emily Dorman, Brian Perry, Chelsea B Polis, Lisa Campo-Engelstein, Dominick Shattuck, Aaron Hamlin, Abigail Aiken, James Trussell, David Sokal
OBJECTIVE: We modeled the potential impact of novel male contraceptive methods on averting unintended pregnancies in the US, South Africa, and Nigeria. STUDY DESIGN: We used an established methodology for calculating the number of couple-years of protection (CYP) provided by a given contraceptive method mix. We compared a "current scenario" (reflecting current use of existing methods in each country) against "future scenarios," (reflecting whether a male oral pill or a reversible vas occlusion was introduced) in order to estimate the impact on unintended pregnancies averted...
September 5, 2017: Contraception
Tara M Higgins, Anne K Dougherty, Gary J Badger, Sarah H Heil
OBJECTIVE: This study examined whether women with Medicaid are less likely to receive long-acting reversible contraception (LARC) in a clinic requiring two visits for insertion. STUDY DESIGN: LARC insertion and pregnancy rates were compared among women with Medicaid vs. private insurance, along with other predictors, in a retrospective chart review (N=447). RESULTS: Univariately, fewer women with Medicaid vs. private insurance received LARC (66% vs...
September 5, 2017: Contraception
Christine Dehlendorf, Kevin Grumbach, Julie A Schmittdiel, Jody Steinauer
No abstract text is available yet for this article.
September 5, 2017: Contraception
Nicole Liddon, Riley J Steiner, Gladys M Martinez
OBJECTIVE: National guidelines advise providers to counsel patients about contraception and condom use during sexual and reproductive health care visits. This study assesses provider communication with adolescent and young women about birth control, emergency contraception, and condoms during such visits. STUDY DESIGN: Using data from sexually active 15-24year old women participating in the 2011-2015 National Survey of Family Growth, we examined prevalence of provider communication about birth control, emergency contraception and condoms when receiving other sexual and reproductive health services in the past year...
September 4, 2017: Contraception
E Berglund Scherwitzl, O Lundberg, H Kopp Kallner, K Gemzell Danielsson, J Trussell, R Scherwitzl
OBJECTIVES: The Natural Cycles application is a fertility awareness-based contraceptive method, which uses dates of menstruation and basal body temperature to inform couples whether protected intercourse is needed to prevent pregnancies. Our purpose with this study is to investigate the contraceptive efficacy of the mobile application by evaluating the perfect- and typical-use Pearl Index. STUDY DESIGN: In this prospective observational study, 22,785 users of the application logged a total of 18,548 woman-years of data into the application...
September 4, 2017: Contraception
Hallie N Nelson, Sonya Borrero, Erik Lehman, Diana L Velott, Cynthia H Chuang
OBJECTIVE: Proportion of Days Covered (PDC) is a measure of medication adherence that uses prescription claims data to describe the proportion of days that the patient possessed medication. The objective of this study is to compare PDC and self-report as measures of oral contraceptive pills (OCPs) adherence and to identify individual-level predictors of adherence. STUDY DESIGN: In a sample of 384 OCP users, self-report was compared with PDC as measures of adherence over the past three months...
September 4, 2017: Contraception
Timothy A Roberts, Shana Hansen
OBJECTIVES: Studies have demonstrated an association between hormonal contraception use with subsequent depression and antidepressant use. This association has not been assessed among postpartum women. STUDY DESIGN: This study is a secondary analysis of insurance records from 75,528 postpartum women enrolled in the US military medical system, who delivered between October 2012 and September 2014. Our analyses excluded women who used antidepressants or had a diagnosis of depression in the 24months prior to delivery...
September 1, 2017: Contraception
Kari White, Daniel Grossman, Amanda Jean Stevenson, Kristine Hopkins, Joseph E Potter
OBJECTIVE: To assess whether information about abortion safety and awareness of abortion laws affect voters' opinions about medically unnecessary abortion regulations. STUDY DESIGN: Between May and June 2016, we randomized 1200 Texas voters to receive or not receive information describing the safety of office-based abortion care during an online survey about abortion laws using simple random assignment. We compared the association between receiving safety information and awareness of recent restrictions and beliefs that ambulatory surgical center (ASC) requirements for abortion facilities and hospital admitting privileges requirements for physicians would make abortion safer...
August 31, 2017: Contraception
Leo Han, Lisa Han, Blair Darney, Maria I Rodriguez
OBJECTIVES: We analyzed Twitter tweets and Twitter provided user data to give geographical, temporal and content insight into the use of social media in the Planned Parenthood video controversy. METHODOLOGY: We randomly sampled the full Twitter repository (also known as the Firehose) (n=30,000) for tweets containing the phrase "planned parenthood" as well as group defining hashtags "#defundpp" and "#standwithpp." We used demographic content provided by the user and word analysis to generate charts, maps and timeline visualizations...
August 31, 2017: Contraception
Sarah Kang, Ali Niak, Neha Gada, Allen Brinker, S Christopher Jones
OBJECTIVE: To describe clinical outcomes of etonogestrel implant patients with migration to the vasculature, chest wall, and other distant body sites spontaneously reported to the U.S. Food and Drug Administration Adverse Event Reporting System (FAERS) database. STUDY DESIGN: We performed a standardized Medical Dictionary for Regulatory Activities (MedDRA) query in the FAERS database (through November 15, 2015) with reports coded with one or more MedDRA preferred terms (PTs) that indicate complications with device placement or migration of the device from the original site of insertion to the vasculature, chest wall and other distant body sites...
August 31, 2017: Contraception
Kelly Blanchard, Jill L Meadows, Hialy R Gutierrez, Curtiss Ps Hannum, Ella F Douglas-Durham, Amanda J Dennis
OBJECTIVE(S): We studied women's experiences seeking and receiving second-trimester abortion care in two geographically and legislatively different settings to inform ways to improve abortion care access and services. STUDY DESIGN: We conducted in-depth interviews with women who obtained second-trimester abortion care. Themes from the interviews were then used to inform a self-administered survey, which was completed by 108 women who received second-trimester abortion care in the Northeast and Midwest...
August 31, 2017: Contraception
Kristina Gemzell-Danielsson, Dan Apter, Eeva Lukkari-Lax, Katrin Roth, Marco Serrani
OBJECTIVES: To report placement success rate, and ease and pain associated with placement, of the levonorgestrel-releasing intrauterine system (LNG-IUS) 8 using the modified EvoInserter® placement device. STUDY DESIGN: This was a pooled analysis using data from three previously reported Phase III studies in nulliparous (83.3%) or parous (16.7%) women aged 12-35years (N=965). LNG-IUS 8 was placed using the modified Evolnserter®. The main outcomes assessed were placement success, ease of placement as reported by healthcare professionals (HCPs), pain at placement as reported by participants, and assessment of the EvoInserter® placement device by HCPs...
August 24, 2017: Contraception
Eleanor Bimla Schwarz, Monica Y Braughton, Julie Cross Riedel, Susannah Cohen, Julia Logan, Mike Howell, Heike Thiel de Bocanegra
OBJECTIVES: To compare rates of postpartum care and contraception provided to women with gestational or preconception diabetes mellitus to women with no known diabetes mellitus. METHODS: A retrospective cohort study of 199,860 women aged 15-44 years who were continuously enrolled in California's Medicaid program, Medi-Cal, from 43 days prior to 99 days after delivering in 2012. Claims for postpartum clinic visits and contraceptive supplies were compared for 11,494 mothers with preconception diabetes, 17,970 mothers with gestational diabetes, and 170,396 mothers without diabetes...
August 24, 2017: Contraception
Gretchen Sisson, Stephanie Herold, Katie Woodruff
OBJECTIVES: Because news frames can influence public and policy agendas, proponents of abortion access should be concerned with how this issue is covered in the news. While previous research has examined the content of news on abortion, this analysis explores the process of newsmaking on abortion, examining how journalists understand their role in and experience of covering abortion. STUDY DESIGN: We recruited journalists with experience reporting on abortion through listservs for progressive and feminist reporters...
August 24, 2017: Contraception
Lisbet S Lundsberg, Xiao Xu, Eleanor B Schwarz, Aileen M Gariepy
OBJECTIVE: To contribute to decision analysis by estimating utility, defined as an individual's valuation of specific health states, for different pregnancy contexts. STUDY DESIGN: Cross-sectional analysis of data from pregnant women recruited at pregnancy testing clinics during June 2014-June 2015. Utility was measured using the visual analog scale (VAS), PROMIS GSF-derived utility, standard gamble (SG), and time-trade-off (TTO) approaches. Six dimensions of pregnancy context were assessed including: intention, desirability, planning, timing, wantedness, and happiness...
August 17, 2017: Contraception
Katharine Footman, Rachel Scott, Fahmida Taleb, Sally Dijkerman, Sadid Nuremowla, Kate Reiss, Kathryn Church
OBJECTIVE: To assess the feasibility of following up women who purchase mifepristone+misoprostol or misoprostol-only from pharmacies in order to measure the safety and effectiveness of self-administration of menstrual regulation. STUDY DESIGN: A prospective cohort study followed women purchasing mifepristone+misoprostol or misoprostol-only from pharmacies in Bangladesh. Participants were recruited by pharmacy workers either in person or indirectly via the purchaser of the drugs...
August 17, 2017: Contraception
Julie H Hernandez, Muanda Fidèle Mbadu, Mélissa Garcia, Annie Glover
OBJECTIVES: Recent programmatic and research efforts on addressing gaps in health systems of low-income countries increasingly see task shifting, i.e. the provision of healthcare by non-medically trained personnel, as a possible solution to increase the availability of specific services and commodities. In Kinshasa, private-sector pharmacies are the primary and preferred provider of family planning (FP) methods, and thus constitute a potential resource for expanding access to specific contraceptives...
August 10, 2017: Contraception
Colleen P Judge, Tierney E Wolgemuth, Megan E Hamm, Sonya Borrero
OBJECTIVE: Following the 2016US presidential election, social media posts and news stories amplified concerns about the potential for reduced access to contraception under the incoming administration and urged women to seek long-acting reversible contraception. We aimed to describe women's concerns about future access to contraception, in their own words. STUDY DESIGN: A social-media-based, anonymous online survey assessing thoughts and concerns about future access to contraception was distributed to reproductive-aged US women for 1 week in mid-January 2017...
August 8, 2017: Contraception
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