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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
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 30days, including unscheduled clinic or emergency room visits...
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: 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<24weeks 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
Chelsea Morroni, Molly Findley, Carolyn Westhoff
No abstract text is available yet for this article.
January 25, 2017: Contraception
Diego Rios-Zertuche, Laura C Blanco, Paola Zúñiga-Brenes, Erin B Palmisano, Danny V Colombara, Ali H Mokdad, Emma Iriarte
OBJECTIVE: To identify factors associated with contraceptive use among women in need living in the poorest areas in five Mesoamerican countries: Guatemala, Honduras, Nicaragua, Panama and State of Chiapas (Mexico). STUDY DESIGN: We analyzed baseline data of 7049 women of childbearing age (15-49years old) collected for the Salud Mesoamérica Initiative. Data collection took place in the 20% poorest municipalities of each country (July, 2012-August, 2013). RESULTS: Women in the poorest areas were very poorly informed about family planning methods...
January 23, 2017: Contraception
Piyapa Praditpan, Angie Hamouie, Cale N Basaraba, Renu Nandakumar, Serge Cremers, Anne R Davis, Carolyn L Westhoff
The publisher regrets that this article has been temporarily removed. A replacement will appear as soon as possible in which the reason for the removal of the article will be specified, or the article will be reinstated. The full Elsevier Policy on Article Withdrawal can be found at
January 23, 2017: Contraception
(no author information available yet)
No abstract text is available yet for this article.
January 12, 2017: Contraception
Mohamed S Abdellah, Ahmed M Abbas, Aml M Hegazy, Ihab M El-Nashar
OBJECTIVE: The current study aims to evaluate if vaginal misoprostol (400 mcg) administered prior to intrauterine device (IUD) insertion increases the ease and success of insertion among women who had delivered only by elective cesarean delivery (CD). STUDY DESIGN: The current study was a randomized, double-blind, placebo-controlled trial conducted in Assiut Women's Health Hospital, Egypt, between the 1st of April 2015 and the 31st of March 2016 and included women who delivered only by elective CD...
January 11, 2017: Contraception
Brian T Nguyen, Andrea L Jochim, Grace H Shih
OBJECTIVE: To assess current practices regarding female and male sterilization counseling and provision, as well as determine interest in providing vasectomy among family planning specialists. METHODS: Members of the US-based network of family planning fellowship physicians (current fellows, graduates and faculty) received a Web-based survey from November 2015 through January 2016 regarding current sterilization preferences and practices, as well as interest in obtaining training in vasectomy counseling and procedure...
January 11, 2017: Contraception
Carolyn L Westhoff, Malcolm C Pike, Serge Cremers, Andrew Eisenberger, Stella Thomassen, Jan Rosing
OBJECTIVES: Venous thromboembolism (VTE) risk increases within months of combination oral contraceptive (COC) initiation. Because elevated endogenous thrombin potential (ETP) has been found in several studies to be a VTE risk factor, we evaluated the extent of ETP changes during the initial cycle of an ethinyl estradiol (EE) and levonorgestrel (LNG) COC. We also assessed the relationship between ETP changes and systemic EE and LNG concentrations. STUDY DESIGN: Participants provided multiple blood samples during a first 21-day cycle of a 30-mcg EE/150-mcg LNG COC and after a further 7 days without an active COC...
January 11, 2017: Contraception
Christine Dehlendorf, Kevin Grumbach, Julie A Schmittdiel, Jody Steinauer
BACKGROUND: Shared decision making (SDM) is a potentially valuable but underexplored approach to contraceptive counseling. METHODS: We determined the correlation between patient report of SDM and of whether their provider had a method preference with measures of satisfaction. RESULTS: Women reporting SDM were more likely to be satisfied with counseling than those reporting a provider-driven decision and were more likely to be satisfied with their method than those reporting a patient-driven decision...
January 6, 2017: Contraception
Katherine C Whitehouse, Caron R Kim, Bela Ganatra, James M N Duffy, Jennifer Blum, Dalia Brahmi, Mitchell D Creinin, Teresa DePiñeres, Kristina Gemzell-Danielsson, Daniel Grossman, Beverly Winikoff, A Metin Gülmezoglu
No abstract text is available yet for this article.
January 5, 2017: Contraception
Sara B McMenamin, Shana Alex Charles, Nadia Tabatabaeepour, Erin Shigekawa, Garen Corbett
On September 23, 2016, California became the 6th state to pass legislation requiring health plans and insurers to cover a 12-month supply of FDA-approved self-administered hormonal contraceptives such as contraceptive pills, patches, and vaginal rings. This legislation is estimated to result in 47% of current contraceptive pill, patch, and ring users receiving a 12-month supply dispensed at one time. This shift in dispensing patterns was estimated to result in a reduction of 15,000 unintended pregnancies; 2000 fewer miscarriages; and 7000 fewer abortions in California decreasing total net health care expenditures by 0...
January 4, 2017: Contraception
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