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Julie H Hernandez, Mbadu Muanda Fidèle, 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 2016U.S. 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 (LARC). 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 U...
August 8, 2017: Contraception
Leo Han, Rebecca Taub, Jeffrey T Jensen
The properties of cervical mucus vary in response to both natural and artificial hormonal changes. During ovulatory cycles, cervical mucus becomes increasingly fluid and favorable to sperm penetration as estradiol levels increase. Following ovulation, as estradiol levels decrease and progesterone increases, the mucus increases in viscosity and becomes impenetrable to sperm. Cervical mucus thickening also occurs in response to synthetic progestins administered by various routes, and this is commonly believed to represent the essential contraceptive mechanism of progestin-only methods that do not block ovulation...
August 8, 2017: Contraception
Ruth Zurbriggen, Brianna Keefe-Oates, Caitlin Gerdts
OBJECTIVE: Legal restrictions on abortion access impact the safety and timing of abortion. Women affected by these laws face barriers to safe care that often result in abortion being delayed. Second-trimester abortion affects vulnerable groups of women disproportionately, and is often more difficult to access. In Argentina, where abortion is legally restricted except in cases of rape or threat to the health of the woman, the Socorristas en Red, a feminist network, offers a model of accompaniment wherein they provide information and support to women seeking second-trimester abortions...
August 8, 2017: Contraception
Kevin Sunde Oppegaard, Margaret Sparrow, Paul Hyland, Francisca García, Cristina Villarreal, Aníbal Faúndes, Laura Miranda, Marge Berer
No abstract text is available yet for this article.
August 3, 2017: Contraception
Kinga Jelinska, Susan Yanow
No abstract text is available yet for this article.
August 3, 2017: Contraception
N Lince-Deroche, J Harries, D Constant, C Morroni, M Pleaner, T Fetters, D Grossman, K Blanchard, E Sinanovic
OBJECTIVE(S): To estimate the costs of public-sector abortion provision in South Africa and to explore the potential for expanding access at reduced cost by changing the mix of technologies used. STUDY DESIGN: We conducted a budget impact analysis using public sector abortion statistics and published cost data. We estimated the total costs to the public health service over ten years, starting in South Africa's financial year 2016/17, given four scenarios: 1) holding service provision constant, 2) expanding public sector provision, 3) changing the abortion technologies used (i...
August 3, 2017: Contraception
Ellen Tousaw, Sweet Naw Hser Gay Moo, Grady Arnott, Angel M Foster
INTRODUCTION: The lack of economic development and longstanding conflict in Burma have led to mass population displacement. Unintended pregnancy and unsafe abortion are common and contribute to maternal death and disability. In 2011, stakeholders operating along the Thailand-Burma border established a community-based distribution program of misoprostol for early abortion, with the aim of providing safe and free abortion care in this low-resource and legally-restricted setting. METHODS: We conducted 16 in-depth, in-person interviews with women from Burma residing on both sides of the border who accessed misoprostol through the community-based distribution initiative...
August 3, 2017: Contraception
Alexis K Matusiewicz, Heidi S Melbostad, Sarah H Heil
OBJECTIVES: To assess interest in, concerns about and knowledge of long-acting reversible contraceptives (LARC) among women in medication-assisted treatment (MAT) for opioid use disorder who were at risk of unintended pregnancy. STUDY DESIGN: Women in MAT completed a survey on contraceptive use, attitudes, and knowledge, including LARC methods, as part of eligibility screening for an ongoing trial evaluating family planning interventions for this population. RESULTS: Eighty-three women at risk of unintended pregnancy completed the survey, and a subset of 51 completed supplemental questions about implants...
August 2, 2017: Contraception
Rachel G Thomas, Alison H Norris, Maria F Gallo
OBJECTIVE: To measure the prevalence of believing that abortion should be illegal in all or most cases among women obtaining an abortion in the U.S. and to identify correlates of holding this belief. METHODS: Study population was drawn from the nationally-representative 2008 Abortion Patient Survey. The primary outcome was having an anti-legal abortion attitude, defined as agreeing that abortion should be illegal in all or most cases. We assessed potential correlates in bivariable and multivariable analyses using weights to account for the complex sampling...
August 1, 2017: Contraception
Eve Espey, Stephanie Teal, Sonya Borrero, Tina Raine-Bennett, Lawrence Finer
No abstract text is available yet for this article.
August 1, 2017: Contraception
Sarah Millar, James Trussell
No abstract text is available yet for this article.
August 1, 2017: Contraception
Riina Korjamo, Maarit Mentula, Oskari Heikinheimo
OBJECTIVE: To compare levonorgestrel (LNG) 52-mg intrauterine system (IUS) expulsion rates with fast track (≤ three days) or delayed (2-4weeks) insertion following mifepristone and misoprostol medical abortion. STUDY DESIGN: In this pilot trial we randomized 108 women≤63days gestation to fast-track (n=55) or delayed (n=53) insertion. Follow-up visits occurred at 2-4weeks, three months and one year. We assessed total and partial expulsion at three months and one year, adverse effects and bleeding profiles...
July 31, 2017: Contraception
(no author information available yet)
No abstract text is available yet for this article.
July 27, 2017: Contraception
Anu Manchikanti Gómez, Mikaela Wapman
OBJECTIVE: To understand the ways in which young women of color experienced pressure from healthcare providers during contraceptive care, including the impact of these encounters on contraceptive decision-making and reproductive autonomy. METHODS: Data were drawn from a qualitative study of contraceptive decision-making, which included 38 young (age 18-24) Latina and Black women recruited using community-based and social media strategies. We analyzed in-depth interview data from a subsample of 27 young women who described experiencing pressure from healthcare providers during contraceptive care...
July 26, 2017: Contraception
James Trussell
No abstract text is available yet for this article.
July 14, 2017: Contraception
Meagan Haynes, Nessa Ryan, Mona Saleh, Abigail Winkel, Veronica Ades
No abstract text is available yet for this article.
July 14, 2017: Contraception
Andrzej Kulczycki, Ilene Brill, Margaret Christine Snead, Maurizio Macaluso
OBJECTIVE: Prostate-specific antigen (PSA) is the best established biomarker of semen exposure. PSA in vaginal fluid returns to pre-exposure concentrations within 24-48 h, but the speed of decay during the first ten hours is unknown. We sought to determine how fast PSA concentrations decline during the first ten hours after exposure to semen. STUDY DESIGN: Women in the 50 enrolled couples were intravaginally inoculated with 10, 20, 100, and 200μl of their partner's semen and then collected vaginal swabs immediately after, 30min, 4 and 10h after exposure...
July 12, 2017: Contraception
Elizabeth J Jones, Daryn Eikner, Clare M Coleman
No abstract text is available yet for this article.
July 12, 2017: Contraception
Michael M Chanda, Katrina F Ortblad, Magdalene Mwale, Steven Chongo, Catherine Kanchele, Nyambe Kamungoma, Leah G Barresi, Guy Harling, Till Bärnighausen, Catherine E Oldenburg
OBJECTIVES: Access to reproductive healthcare, including contraceptive services, is an essential component of comprehensive healthcare for female sex workers (FSW). Here, we evaluated the prevalence of and factors associated with contraceptive use, unplanned pregnancy, and pregnancy termination among FSW in three transit towns in Zambia. STUDY DESIGN: Data arose from the baseline quantitative survey from a randomized controlled trial of HIV self-testing among FSW...
July 12, 2017: Contraception
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