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Contraception

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https://www.readbyqxmd.com/read/28651904/community-based-distribution-of-misoprostol-for-early-abortion-evaluation-of-a-program-along-the-thailand-burma-border
#1
Angel M Foster, Grady Arnott, Margaret Hobstetter
BACKGROUND: Although abortion is legal in Thailand for a number of indications, women from Burma residing in Thailand are rarely able to access safe services. We evaluated the outcomes of a community-based distribution program that provides migrant, refugee, and cross-border women from Burma with evidence-based information about and access to misoprostol for early pregnancy termination. METHODS: After determination of eligibility based on self-report and counseling, trained Network members instructed women to vaginally administer two 800mcg doses of misoprostol 24 hours apart and a third dose one week later, if needed...
June 23, 2017: Contraception
https://www.readbyqxmd.com/read/28647500/acceptability-of-the-community-level-provision-of-sayana%C3%A2-press-by-medical-and-nursing-students-in-kinshasa-democratic-republic-of-the-congo
#2
Jane T Bertrand, Paul Bukutuvwidi Makani, Julie Hernandez, Pierre Akilimali, Bitshi Mukengeshayi, Saleh Babazadeh, Arsene Binanga
OBJECTIVES: To assess acceptors' attitudes toward Sayana® Press as a method and toward the mechanism of community-based distribution by medical and nursing (M/N) students, known locally as "DBC," in Kinshasa, DRC; and to evaluate the experience of these DBC. STUDY DESIGN: In 2015, surveys were conducted among (1) acceptors of Sayana® Press on the day of the initial injection, (2) these same acceptors three months later, and (3) the DBC providing community-based services...
June 21, 2017: Contraception
https://www.readbyqxmd.com/read/28645786/defining-quality-in-contraceptive-counseling-to-improve-measurement-of-individuals-experiences-and-enable-service-delivery-improvement
#3
Kelsey Holt, Christine Dehlendorf, Ana Langer
No abstract text is available yet for this article.
June 20, 2017: Contraception
https://www.readbyqxmd.com/read/28645785/contraceptive-counseling-in-reproductive-aged-women-treated-for-breast-cancer-at-a-tertiary-care-institution-a-retrospective-analysis
#4
Sara L Johansen, Klaira Lerma, Kate A Shaw
OBJECTIVE: To assess the frequency of documented contraceptive and fertility preservation counseling for women treated for breast cancer. STUDY DESIGN: We conducted a chart analysis of female breast cancer patients (n=211) ages 18-45 receiving chemotherapy treatment at Stanford Comprehensive Cancer Center from 2010-2014. Primary outcomes of contraceptive counseling and fertility preservation counseling documentation were assessed for frequency. Secondary outcomes included pregnancy testing, contraception use, and pregnancy during treatment...
June 20, 2017: Contraception
https://www.readbyqxmd.com/read/28629738/nitrous-oxide-versus-oral-sedation-for-pain-management-of-first-trimester-surgical-abortion-a-randomized-study
#5
Rameet H Singh, Maria Montoya, Eve Espey, Lawrence Leeman
OBJECTIVE: The objective of the study was to compare nitrous oxide with oxygen (N2O/O2) to oral hydrocodone/acetaminophen and lorazepam for analgesia during first-trimester surgical abortion. STUDY DESIGN: This double-blind randomized trial assigned women undergoing first-trimester surgical abortion at<11 weeks' gestation to inhaled N2O/O2 vs. oral sedation for pain management. The N2O/O2 group received up to 70:30 ratio during the procedure and placebo pills preprocedure; the oral group received inhaled oxygen during the procedure and oral hydrocodone/acetaminophen 5 mg/325 mg and lorazepam 1 mg preprocedure...
June 16, 2017: Contraception
https://www.readbyqxmd.com/read/28624570/effects-of-intrauterine-contraception-on-the-vaginal-microbiota
#6
Christine M Bassis, Jenifer E Allsworth, Heather N Wahl, Daniel E Sack, Vincent B Young, Jason D Bell
OBJECTIVES: There have been conflicting reports of altered vaginal microbiota and infection susceptibility associated with contraception use. The objectives of this study were to determine if intrauterine contraception altered the vaginal microbiota and to compare the effects of a copper intrauterine device (Cu-IUD) and a levonorgestrel intrauterine system (LNG-IUS) on the vaginal microbiota. STUDY DESIGN: DNA was isolated from the vaginal swab samples of 76 women using Cu-IUD (n=36) or LNG-IUS (n=40) collected prior to insertion of intrauterine contraception (baseline) and at 6 months...
June 14, 2017: Contraception
https://www.readbyqxmd.com/read/28606383/a-case-series-of-removal-of-nickel-titanium-sterilization-microinserts-from-the-uterine-cornua-using-laparoscopic-electrocautery-for-salpingectomy
#7
Aaron Lazorwitz, Kristina Tocce
Nickel-titanium sterilization microinserts are surgically removed for various indications, including persistent pain. Previously described removal techniques include salpingostomy and cornuectomy with judicious use of electrocautery to avoid potential injury to adjacent structures or fracturing the micoinsert. This case series presents our technique of laparoscopic salpingectomy, utilizing electrocautery on the microinsert.
June 9, 2017: Contraception
https://www.readbyqxmd.com/read/28606382/a-phase-i-randomized-postcoital-testing-and-safety-study-of-the-caya-diaphragm-used-with-3-nonoxynol-9-gel-contragel-or-no-gel
#8
Christine K Mauck, Vivian Brache, Thomas Kimble, Andrea Thurman, Leila Cochon, Sarah Littlefield, Kim Linton, Gustavo F Doncel, Jill L Schwartz
OBJECTIVES: The Caya® Diaphragm is a newly approved single-size, non-latex diaphragm. Contragel® is a personal lubricant containing lactic acid approved in Europe and other countries for use with vaginal barrier devices. This study assessed the effectiveness in preventing sperm from penetrating midcycle cervical mucus of Caya with Contragel, Caya with 3% nonoxynol-9 (N-9), and Caya alone. STUDY DESIGN: Phase I multi-center, single-blind, randomized, crossover, non-significant risk study at 2 sites: Eastern Virginia Medical School, Norfolk, VA, and Profamilia, Santo Domingo, Dominican Republic...
June 9, 2017: Contraception
https://www.readbyqxmd.com/read/28601676/hormonal-contraceptive-methods-and-hiv-research-gaps-and-programmatic-priorities
#9
Halley E M Riley, Petrus S Steyn, Sharon L Achilles, Emily Bass, Andrew L Gray, Chelsea B Polis, James N Kiarie
No abstract text is available yet for this article.
June 7, 2017: Contraception
https://www.readbyqxmd.com/read/28596123/new-clinical-performance-measures-for-contraceptive-care-their-importance-to-healthcare-quality
#10
Loretta Gavin, Brittni Frederiksen, Cheryl Robbins, Karen Pazol, Susan Moskosky
OBJECTIVES: The National Quality Forum (NQF) recently endorsed the first clinical performance measures for contraceptive care. We present data demonstrating that the measures meet the NQF's criterion "importance to measure and report." STUDY DESIGN: We summarized national contraceptive care initiatives, epidemiologic data documenting the reproductive health burden and the scientific literature examining the association between contraceptive use and unintended pregnancy...
June 5, 2017: Contraception
https://www.readbyqxmd.com/read/28596122/trends-and-regional-variations-in-provision-of-contraception-methods-in-a-commercially-insured-population-in-the-united-states-based-on-nationally-proposed-measures
#11
A Law, J S Yu, W Wang, J Lin, R Lynen
OBJECTIVES: Three measures to assess the provision of effective contraception methods among reproductive-aged women have recently been endorsed for national public reporting. Based on these measures, this study examined real-world trends and regional variations of contraceptive provision in a commercially insured population in the United States. STUDY DESIGN: Women 15-44years old with continuous enrollment in each year from 2005 to 2014 were identified from a commercial claims database...
June 5, 2017: Contraception
https://www.readbyqxmd.com/read/28596121/one-year-continuation-of-copper-or-levonorgestrel-intrauterine-devices-initiated-at-the-time-of-emergency-contraception
#12
J N Sanders, D K Turok, P A Royer, I S Thompson, L M Gawron, K E Storck
OBJECTIVE(S): This study compares one-year intrauterine device (IUD) continuation among women presenting for emergency contraception (EC) and initiating the copper (Cu T380A) IUD or the levonorgestrel (LNG) 52 mg IUD plus 1.5 mg oral LNG. STUDY DESIGN: This cohort study enrolled 188 women who presented at a single family planning clinic in Utah between June 2013 and September 2014 and selected either the Cu T380A IUD or LNG 52 mg IUD plus oral LNG for EC. Trained personnel followed participants by phone, text, or email for twelve months or until discontinuation occurred...
June 5, 2017: Contraception
https://www.readbyqxmd.com/read/28583591/difficult-removal-of-subdermal-contraceptive-implants-a-multidisciplinary-approach-involving-a-peripheral-nerve-expert
#13
Elizabeth B Odom, David L Eisenberg, Ida K Fox
OBJECTIVES: We aim to describe our experiences and identify patients who may benefit from referral to a peripheral nerve surgeon for removal of contraceptive subdermal implants in which neurovascular injury may occur, and describe a treatment pathway for optimal care. STUDY DESIGN: We reviewed the charts of 22 patients who were referred to the Division of Family Planning for difficult removal of etonogestrel contraceptive implants between January 1, 2014, and April, 1 2016...
June 3, 2017: Contraception
https://www.readbyqxmd.com/read/28578153/racial-injustice-and-family-planning-an-open-letter-to-our-community
#14
Biftu Mengesha
No abstract text is available yet for this article.
May 31, 2017: Contraception
https://www.readbyqxmd.com/read/28578152/examining-intendedness-among-pregnancies-ending-in-spontaneous-abortion
#15
Rachel Flink-Bochacki, Leslie A Meyn, Beatrice A Chen, Sharon L Achilles, Judy C Chang, Sonya Borrero
OBJECTIVES: Spontaneous abortion (SAB) affects over 1 million US women each year, yet little is known about the intendedness of these pregnancies. We examined prevalence and correlates of unintended and unwanted pregnancies ending in SAB. STUDY DESIGN: We used nationally-representative cross-sectional data of US women aged 15-44 from the 2011-2013 National Survey of Family Growth to examine pregnancies ending in SAB. We used modified Poisson regression models to evaluate associations between demographic and pregnancy characteristics with unintended and unwanted pregnancy...
May 31, 2017: Contraception
https://www.readbyqxmd.com/read/28578151/an-updated-assessment-of-postpartum-sterilization-fulfillment-after-vaginal-delivery
#16
Kristen K Wolfe, Machelle D Wilson, Melody Y Hou, Mitchell D Creinin
OBJECTIVE: To describe sterilization completion rates after vaginal delivery and indications for unfulfilled procedures. STUDY DESIGN: We used labor and delivery operating room and delivery logs to identify all women over 20years of age with a completed live vaginal birth beyond 24weeks gestation over a 33-month period (March 1, 2012 to November 30, 2014). We reviewed the electronic medical records of all of these patients, and identified those who requested a sterilization procedure as indicated in a physician's admission note or antenatal record...
May 31, 2017: Contraception
https://www.readbyqxmd.com/read/28578150/standardizing-the-classification-of-abortion-incidents-the-procedural-abortion-incident-reporting-and-surveillance-pairs-framework
#17
Diana Taylor, Ushma Upadhyay, Mary Fjerstad, Molly Battistelli, Tracy Weitz, Maureen Paul
OBJECTIVES: To develop and validate standardized criteria for assessing abortion-related incidents (adverse events, morbidities, near misses) for first-trimester aspiration abortion procedures and to demonstrate the utility of a standardized framework [the Procedural Abortion Incident Reporting & Surveillance (PAIRS) Framework] for estimating serious abortion-related adverse events. STUDY DESIGN: As part of a California-based study of early aspiration abortion provision conducted between 2007 and 2013, we developed and validated a standardized framework for defining and monitoring first-trimester (≤ 14weeks) aspiration abortion morbidity and adverse events using multiple methods: a literature review, framework criteria testing with empirical data, repeated expert reviews, and data-based revisions to the framework...
May 31, 2017: Contraception
https://www.readbyqxmd.com/read/28578149/abortion-and-contemporary-hip-hop-a-thematic-analysis-of-lyrics-from-1990-2015
#18
Ashish Premkumar, Katherine Brown, Biftu Mengesha, Andrea V Jackson
OBJECTIVE: To evaluate the representation of abortion in contemporary hip-hop music, gaining insight into the myriad of attitudes of abortion in the black community. STUDY DESIGN: We used Genius, an online storehouse for lyrical content, to identify songs by querying the database for search terms related to family planning, including slang terms. We then cross-referenced identified songs using an online list of songs about abortion. We analyzed eligible songs using grounded theory in order to identify key themes...
May 31, 2017: Contraception
https://www.readbyqxmd.com/read/28578148/contraception-and-reproductive-counseling-in-women-with-peripartum-cardiomyopathy
#19
Lindsey Rosman, Elena Salmoirago-Blotcher, Karl L Wuensch, John Cahill, Samuel F Sears
OBJECTIVES: Pregnancies following a diagnosis of peripartum cardiomyopathy (PPCM) are associated with increased risk for maternal morbidity and mortality. Yet patterns of contraceptive use and reproductive counseling have received little attention. This nationwide registry-based study sought to evaluate patterns and clinical characteristics associated with contraceptive use, and examine the prevalence of contraceptive counseling in women with PPCM. METHODS: From December 2015 to June 2016, 177 PPCM patients (mean age of 34...
May 31, 2017: Contraception
https://www.readbyqxmd.com/read/28578147/-i-wish-they-could-hold-on-a-little-longer-physicians-experiences-with-requests-for-early-iud-removal
#20
Jennifer R Amico, Ariana H Bennett, Alison Karasz, Marji Gold
OBJECTIVE: This study describes the perceptions and experiences of family physicians when women request early IUD removal. STUDY DESIGN: This qualitative study included semi-structured individual interviews with 12 physicians who encountered patients seeking early IUD removal. We identified eligible participants via chart review. We analyzed interviews using deductive and inductive techniques to identify content and themes. RESULTS: Physicians consistently referred to IUDs as the "best" or their "favorite" method, and several joked that they tried to "sell" the IUD during contraceptive counseling...
May 31, 2017: Contraception
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