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Debra B Stulberg, Kristie Monast, Irma H Dahlquist, Kate Palmer
OBJECTIVE: The Midwest Access Project (MAP) offers opt-in training to students, residents, and practicing clinicians in reproductive healthcare including abortion. We surveyed MAP alumni to identify current practice characteristics and assess predictors of reproductive health service provision. STUDY DESIGN: We sent an online survey to alumni of MAP's Individual Clinical Training program, 2007-2015 (n=127). The primary outcome was current provision of any abortion service...
January 11, 2018: Contraception
Rachel K Jones
OBJECTIVES: To determine whether types of contraceptive methods used by abortion patients in the month they became pregnant changed between 2000 and 2014. STUDY DESIGN: We used secondary data from the 2000 (n=10,015) and 2014 (8177) Abortion Patient Surveys. Patients were asked which contraceptive methods they had last used and when they had stopped or if they were still using them. The main outcome variable was type of contraceptive method used in the month the pregnancy began...
January 9, 2018: Contraception
Elyse Fortier, Angel M Foster
OBJECTIVES: Postpartum contraception plays a significant role in reducing subsequent pregnancy. However, young mothers in Ottawa, the capital of Canada, face various barriers when trying to access contraception after delivery. Through this project we aimed to explore these barriers and understand the decision-making processes of young mothers surrounding postpartum contraception. STUDY DESIGN: We conducted 10 semi-structured in-depth interviews with young mothers living in Ottawa who had experienced a subsequent pregnancy within 24 months of their first childbirth...
January 8, 2018: Contraception
Johana D Oviedo, N Tanya Ohly, Jacqueline M Guerrero, Paula M Castaño
OBJECTIVE: To describe factors associated with reported pain and assess correlations between participant and provider pain assessments during first trimester vacuum aspiration. STUDY DESIGN: Participants and providers in a trial evaluating music for pain reduction reported procedure-related pain using a 100 mm visual analog scale. RESULTS: The mean participant-reported maximum pain was 65.9±23.0 compared to 41.3±22.0 by provider assessment...
January 6, 2018: Contraception
David A Klein, Erin N Berry-Bibee, Kristin Keglovitz Baker, Nikita M Malcolm, Julia M Rollison, Brittni N Frederiksen
OBJECTIVE: Lesbian, gay, bisexual, transgender, queer/questioning, intersex and asexual (LGBTQIA) individuals have unique sexual and reproductive health needs; however, facilitators and barriers to optimal care are largely understudied. The objective of this study was to synthesize findings from a systematic review of the literature regarding the provision of quality family planning services to LGBTQIA clients to inform clinical and research strategies. STUDY DESIGN: Sixteen electronic bibliographic databases (e...
January 5, 2018: Contraception
Shakkaura Kemet, Lisbet S Lundsberg, Aileen M Gariepy
OBJECTIVES: To use improved measures and methodology to investigate whether race and ethnicity are associated with unintended pregnancy. STUDY DESIGN: Cross-sectional study of English- or Spanish-speaking women, aged 16-44, with pregnancies<24weeks' gestation recruited from pregnancy testing and abortion care sites in New Haven, CT, between June 2014 and June 2015. Participants completed self-assessments of race, ethnicity, and multi-dimensional measures of pregnancy "context," including timing, intention, wantedness, desirability, happiness, and planning (measured with the London Measure of Unplanned Pregnancy)...
December 27, 2017: Contraception
Rachel Steward, Patricia Carney, Amy Law, Lin Xie, Yuexi Wang, Huseyin Yuce
OBJECTIVES: Compare the long-term outcomes, including hysterectomy, chronic pelvic pain (CPP), and abnormal uterine bleeding (AUB) in women post-hysteroscopic sterilization (HS) and laparoscopic tubal ligation (TL) in the Medicaid population. STUDY DESIGN: Retrospective observational cohort analysis using data from the US Medicaid Analytic Extracts (MAX) Encounters database. Women aged 18 to 49years with at least one claim for HS (n=3929) or TL (n=10,875) between July 1, 2009, through December 31, 2010 were included...
December 27, 2017: Contraception
Yassaman Vafai, Julia R Steinberg
OBJECTIVE: We examined whether pre-abortion depressive symptoms were associated with contraceptive method effectiveness level chosen among women seeking abortions. STUDY DESIGN: Three-hundred and forty-seven young, low income women 18years or older who were seeking abortions at 3 community reproductive health clinics in Northern California were recruited to participated in a study on contraceptive decision-making. We classified women into choosing low, moderate, or high effectiveness contraceptive methods based on typical use failure rates...
December 26, 2017: Contraception
Bianca M Stifani, Marlena Plagianos, Carolina Sales Vieira, Ruth B Merkatz
OBJECTIVES: We sought to identify factors associated with non-adherence to instructions for using a novel contraceptive providing 1-year of protection. STUDY DESIGN: Data from a multi-country Phase 3 trial of the Nestorone® (segesterone acetate)/ethinyl estradiol (NES/EE) CVR were analyzed. Participants were instructed to use the CVR over 13cycles and follow a 21/7 regimen. Their reports of CVR removals>2h outside scheduled removal periods served as a proxy for non-adherence...
December 18, 2017: Contraception
Alison Edelman, James Trussell, Abigail R A Aiken, David J Portman, Joseph A Chiodo, Elizabeth I O Garner
No abstract text is available yet for this article.
December 18, 2017: Contraception
Kristyn Brandi, Elisabeth Woodhams, Katharine O White, Pooja K Mehta
OBJECTIVE: To explore patient experiences of contraceptive coercion by healthcare providers at time of abortion. STUDY DESIGN: We conducted a qualitative study of English-speaking women seeking abortion services at a hospital-based clinic. We used the Integrated Behavioral Model and the Reproductive Autonomy Scale to inform our semi-structured interview guide; the Scale provides a framework of reproductive coercion as a lack of autonomy or power to decide about and control decisions relating to reproduction...
December 15, 2017: Contraception
Marta Bornstein, Marion Carter, Lauren Zapata, Loretta Gavin, Susan Moskosky
OBJECTIVES: Access to a full range of contraceptive methods, including long-acting reversible contraception (LARC), is central to providing quality family planning services. We describe health center-related factors associated with LARC availability, including staff training in LARC insertion/removal and approaches to offering LARC, whether onsite or through referral. STUDY DESIGN: We analyzed nationally representative survey data collected during 2013-2014 from administrators of publicly funded U...
December 15, 2017: Contraception
Renee Monique Haynes, Sheree L Boulet, Michael H Fox, Dianna D Carroll, Elizabeth Courtney-Long, Lee Warner
OBJECTIVE: To assess patterns of contraceptive use at last intercourse among women with physical or cognitive disabilities compared to women without disabilities. STUDY DESIGN: We analyzed responses to 12 reproductive health questions added by seven states to their 2013 Behavioral Risk Factor Surveillance System questionnaire. Using responses from female respondents 18-50years of age, we performed multinomial regression to calculate estimates of contraceptive use among women at risk for unintended pregnancy by disability status and type, adjusted for age, race/ethnicity, marital status, education, health insurance status, and parity...
December 15, 2017: Contraception
Anuli N Nwaohiri, Jennifer H Tang, Frank Stanczyk, Lameck Chinula, Stacey Hurst, Nicole L Davis, Gerald Tegha, Lisa Haddad, Athena P Kourtis
OBJECTIVE: To assess the extent of concordance between self-reported contraceptive use and the presence of contraceptive progestins in serum. STUDY DESIGN: We evaluated self-reported contraceptive use by using radioimmunoassay to examine baseline serum levels of medroxyprogesterone acetate (MPA) and levonorgestrel (LNG) among 97 Malawian women enrolling in a contraceptive trial. RESULTS: Twelve percent (12/97) of study participants who reported no hormonal contraceptive use in the previous 6months had either MPA or LNG detected in their serum...
December 13, 2017: Contraception
Dolorès Pourette, Chiarella Mattern, Rila Ratovoson, Patricia Raharimalala
OBJECTIVES: To learn what complications some women experienced in Madagascar following use of misoprostol for abortion and what treatment they received post-misoprostol use. STUDY DESIGN: This was a qualitative study in 2015-16 among women who had experienced complications after use of misoprostol, with or without additional methods, for abortion, what information they received before use, what dosage and regimens they used, what complications they experienced and what treatment they received post-use...
December 11, 2017: Contraception
Katrina Kimport, Nicole E Johns, Ushma D Upadhyay
OBJECTIVES: We know little about women's interest in and experiences with a printout of their pre-abortion ultrasound image. METHODS: We conducted a mixed methods study at a large volume abortion-providing facility where patients are offered the opportunity to receive their ultrasound printout, using two years of abstracted medical chart data on demographics and printout acceptance and interviews with patients about whether they took a printout and, if they did, why and what they did with it...
December 11, 2017: Contraception
Elizabeth G Raymond, Yi-Ling Tan, Melissa Grant, Ellen Benavides, Mona Reis, Daniel N Sacks, Curtiss Hannum, Shawn Frapp, Mark A Weaver
OBJECTIVES: We aimed to evaluate compliance with a strategy to enable medical abortion patients to assess treatment outcome on their own and decide whether to seek clinical follow-up. STUDY DESIGN: We enrolled women undergoing medical abortion with mifepristone and misoprostol at three clinics in the United States. Each participant was instructed to perform a multilevel pregnancy test (MLPT) 7 days after mifepristone ingestion and to contact the clinic immediately if the test indicated a possible ongoing pregnancy or if specified symptoms occurred...
December 11, 2017: Contraception
Molly McCarthy, Ushma Upadhyay, M Antonia Biggs, Renaisa Anthony, Jennifer Holl, Sarah Cm Roberts
OBJECTIVE: Earlier pregnancy discovery is important in the context of prenatal and abortion care. We evaluated characteristics associated with later pregnancy discovery among women seeking abortion care. STUDY DESIGN: Data come from a survey of women seeking abortion care at four family planning facilities in Utah. The participants completed a survey during the state-mandated abortion information visit they are required to complete prior to having an abortion. The outcome in this study was pregnancy discovery before versus after 6weeks since respondents' last menstrual period (LMP)...
December 11, 2017: Contraception
Marge Berer, Lesley Hoggart
No abstract text is available yet for this article.
December 11, 2017: Contraception
Chelsea B Polis, Sharon L Achilles, Zdenek Hel, Janet P Hapgood
No abstract text is available yet for this article.
December 11, 2017: Contraception
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