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Alice Mark, Matthew F Reeves, Paul D Blumenthal, Rachel K Jones, Mark D Nichols, Vicki A Saporta
No abstract text is available yet for this article.
March 14, 2017: Contraception
Bliss Kaneshiro, Mary Tschann, Jeffrey Jensen, Paula Bednarek, Ronnie Texeira, Alison Edelman
OBJECTIVE: To describe estimated blood loss (EBL) with surgical abortion≤14weeks gestation in anticoagulated patients. STUDY DESIGN: We invited 170 clinicians involved in a professional listserv to report cases when they performed a surgical abortion on a patient≤14weeks gestation taking an anticoagulant. Clinicians reported estimated blood loss (EBL) and bleeding-related complications (need for a blood transfusion, additional surgical procedures to treat bleeding)...
March 10, 2017: Contraception
Aaron Lazorwitz, Anne Davis, Maryke Swartz, Maryam Guiahi
OBJECTIVE: To determine the impact of carbamazepine on the pharmacokinetics and pharmacodynamics of the etonogestrel contraceptive implant. STUDY DESIGN: We enrolled healthy, reproductive-age women using an etonogestrel implant for one to three years. We measured etonogestrel levels at baseline and following three weeks of co-administered carbamazepine titrated up to 300mg twice daily. We also evaluated for ovarian follicle-like structures and endometrial thickness using transvaginal ultrasound at the baseline and 3 week visits...
March 10, 2017: Contraception
Antonella F Lavelanet, Denis Rybin, Katharine O White
OBJECTIVES: We sought to assess the change in serum ethinyl estradiol (EE2) and norelgestromin (NGMN) levels over 12 weeks of continuous contraceptive patch use. STUDY DESIGN: We asked participants (n=30) to apply consecutive patches to be worn continuously (without a patch-free interval) for 12 weeks. We collected blood samples at the end of each patch week and two times during weeks 4, 8, and 12 (with the additional blood draw occurring mid-week). Liquid chromatography-tandem triple quadrupole mass spectrometry (LC-MS/MS) was utilized to assess EE2 and NGMN levels...
March 8, 2017: Contraception
Jamie E Luster, Abigail Norris Turner, Duna Alkhalaileh, Maria F Gallo
OBJECTIVES: We aimed to describe contraceptive methods used by women in Malawi and determine whether contraceptive use differed by self-reported HIV status. Effective contraception is a primary method of preventing mother-to-child transmission of HIV. STUDY DESIGN: Analysis is based on 12,658 nonpregnant, sexually debuted women ages 15-49 years in the 2010 Malawi Demographic and Health Survey. Analysis was restricted to respondents with contraceptive need (i.e., fecund and did not want a child in the next 12 months) who reported their last HIV test result...
March 8, 2017: Contraception
Jose R Duncan, Mauro H Schenone, Giancarlo Mari
The American Congress of Obstetricians and Gynecologists and the Society of Gynecologic Oncology endorse bilateral salpingectomy for ovarian cancer prevention. We describe a bilateral salpingectomy technique in 23 patients during Cesarean delivery. Operative time, hospital length of stay and complications are reported. Bilateral salpingectomy during Cesarean delivery appears feasible.
March 3, 2017: Contraception
Veronica Ades, Meagan Campol Haynes, Nessa Ryan, Mona Saleh, Abigail Ford Winkel
No abstract text is available yet for this article.
March 2, 2017: Contraception
Siamak Sabour
No abstract text is available yet for this article.
March 2, 2017: Contraception
Carlos Zumoffen, Matías D Gómez-Elías, Adriana M Caille, Luis Bahamondes, Patricia S Cuasnicú, Débora J Cohen, María José Munuce
OBJECTIVE: Ulispristal acetate (UPA) is a selective progesterone receptor modulator widely used for emergency contraception (EC). The described main mechanism of action is by inhibiting or delaying ovulation; however, the postovulatory effects of the drug are still on debate. Therefore, the aim of this study was to determine whether UPA could interfere with human sperm fertilizing ability. STUDY DESIGN: Human motile spermatozoa were incubated under capacitating conditions with or without UPA, and then used to inseminate human tubal explants, mouse cumulus-oocyte complexes and zona-free hamster eggs...
February 24, 2017: Contraception
Leanne Griffin, Cassing Hammond, Dachao Liu, Alfred W Rademaker, Jessica Kiley
OBJECTIVE: To compare weight loss during the first 6months postpartum in overweight and obese women using the etonogestrel-implant, placed in the immediate postpartum period, with that of controls using non-hormonal contraception, utilizing a pilot design. STUDY DESIGN: Pilot, prospective cohort study. Analysis groups were divided by body mass index (BMI) (Overweight: 25-29.9kg/m(2); Class I Obesity: 30-34.5kg/m(2); Class II Obesity: 35-39.9kg/m(2)) and grouped by use of etonogestrel implant or non-hormonal contraception for all outcomes...
February 24, 2017: Contraception
Julie Westberg, Fiona Scott, Mitchell D Creinin
OBJECTIVE: Compare immediate and short-term complications and surgical times among women having laparoscopic salpingectomy or tubal occlusion for female sterilization. STUDY DESIGN: We used billing data to identify women having laparoscopic sterilization at our training institution between July 1, 2011, and June 30, 2015. We performed a retrospective chart review to extract demographic information, surgical times and complications within 30 days, including unscheduled clinic or emergency room visits...
February 21, 2017: Contraception
Angel M Foster, Kathryn J LaRoche, Julie El-Haddad, Lauren DeGroot, Ieman M El-Mowafi
INTRODUCTION: New Brunswick's Regulation 84-20 has historically restricted funded abortion care to procedures deemed medically necessary by two physicians and performed in a hospital by an obstetrician-gynecologist. However, on January 1, 2015, the provincial government amended the regulation and abolished the "two physician rule." OBJECTIVES: We aimed to document women's experiences obtaining abortion care in New Brunswick (NB) before and after the Regulation 84-20 amendment, identify the economic and personal costs associated with obtaining abortion care, and examine the ways in which geography, age, and language-minority status condition access to care...
February 20, 2017: Contraception
Naomi K Tepper, Kathryn M Curtis, Tara C Jatlaoui, Maura K Whiteman
No abstract text is available yet for this article.
February 15, 2017: Contraception
Aileen Gariepy, Lisbet S Lundsberg, Nicole Vilardo, Nancy Stanwood, Kimberly Yonkers, Eleanor B Schwarz
OBJECTIVE: The objective was to quantify the association of pregnancy context and health-related quality of life (HRQoL). STUDY DESIGN: English- or Spanish-speaking women, aged 16-44, with pregnancies <24 weeks' gestation were enrolled in this cross-sectional study between June 2014 and June 2015. Participants completed self-assessments of pregnancy "context," including timing, intention, wantedness, desirability, happiness, and planning (measured with the London Measure of Unplanned Pregnancy)...
February 8, 2017: Contraception
Ahmed M Abbas, Mohamed S Abdellah
No abstract text is available yet for this article.
February 7, 2017: Contraception
Molly Richards, Stephanie B Teal, Jeanelle Sheeder
OBJECTIVES: To determine rates of luteal phase pregnancy (LPP) in young women initiating subdermal implants on any day of the menstrual cycle. STUDY DESIGN: We assessed a retrospective cohort of young women receiving contraceptive implants at an adolescent Title-X clinic. Patients with negative pregnancy tests were eligible for same-day insertion, regardless of cycle day, contraceptive use, or last intercourse. We computed LPP rates for those within manufacturer guidelines for insertion (≤5 days of menstrual onset or ≤7 days post-discontinuing hormonal contraception) and outside these guidelines...
February 2, 2017: Contraception
Rachel K Jones
OBJECTIVES: This study examines the cognitive and affective dimensions of pregnancy attitudes in order to better recognize the role of each in pregnancy ambivalence as well as the relative importance of each in understanding contraceptive use. STUDY DESIGN: Data from a national sample of 2894 women aged 18-39, gathered at baseline and 6 months later, were used to examine a measure of pregnancy avoidance (cognitive) and a measure of happiness about pregnancy (affective), both separately and jointly...
January 28, 2017: Contraception
Alison B Edelman, Ganesh Cherala, Jeffrey T Jensen
No abstract text is available yet for this article.
January 27, 2017: Contraception
Nazeneen Homaifar, Lori Freedman, Valerie French
OBJECTIVE: The objective was to understand the motivations around and practices of abortion referral among women's health providers. METHODS: We analyzed the written comments from a survey of Nebraska physicians and advanced-practice clinicians in family medicine and obstetrics-gynecology about their referral practices and opinions for a woman seeking an abortion. We analyzed clinician's responses to open-ended questions on abortion referral thematically. RESULTS: Of the 496 completed surveys, 431 had comments available for analysis...
January 25, 2017: Contraception
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