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Contraception

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https://www.readbyqxmd.com/read/29154779/letrozole-pre-treatment-prior-to-medical-termination-of-pregnancy-a-systematic-review
#1
Christopher M Nash, Lauren Philp, Prakesh Shah, Kellie E Murphy
OBJECTIVE(S): The purpose of this systematic review was to evaluate the efficacy of pretreatment with letrozole prior to either a first or second trimester medical termination of pregnancy. STUDY DESIGN: We searched letrozole, femara, aromatase inhibitors, abortifacient agents, termination of pregnancy, and labour induction in MEDLINE, EMBASE, Cochrane Database, Google Scholar, and PubMed from inception of each database until September 2015 with no language limitation...
November 14, 2017: Contraception
https://www.readbyqxmd.com/read/29133111/effect-of-oral-contraception-on-anemia-in-12-low-and-middle-income-countries
#2
S Bellizzi, M M Ali
CONTEXT: In low and middle-income countries anaemia is a major public health issue in women of reproductive age for a series of factors including iron deficiency. OBJECTIVE: To estimate prevalence of anemia and to assess the association of low level of haemoglobin versus duration of use of oral contraceptives (OC). METHODS: Demographic and health survey (DHS) of 12 countries, conducted between 2005 and 2012, were analyzed. The status of anemia was separately evaluated for non-pregnant women using OC for at least six months, one year, and two years, and for women using no method of contraception and/or using non-hormonal contraception...
November 10, 2017: Contraception
https://www.readbyqxmd.com/read/29133110/provision-of-medical-abortion-by-mid-level-healthcare-providers-in-kyrgyzstan-testing-an-intervention-to-expand-safe-abortion-services-to-under-served-rural-and-peri-urban-areas
#3
Brooke Ronald Johnson, Elmira Maksutova, Aigull Boobekova, Ainura Davletova, Chinara Kazakbaeva, Yelena Kondrateva, Sihem Landoulsi, Gunta Lazdane, Kubanychbek Monolbaev, Armando H Seuc Jo
OBJECTIVE: To demonstrate the feasibility and safety of training mid-level healthcare providers (midwives and family nurses) to provide medical abortion and post-abortion contraception in under-served areas in Kyrgyzstan. STUDY DESIGN: This was an implementation study at four referral facilities and 28 Felsher Obstetric Points in two districts to train their midwives and family nurses to deliver safe and effective abortion care with co-packaged mifepristone-misoprostol and provide contraceptives post-abortion...
November 10, 2017: Contraception
https://www.readbyqxmd.com/read/29128372/six-week-retention-after-post-placental-copper-intrauterine-device-placement
#4
Alyssa Covelli Colwill, Courtney A Schreiber, Mary D Sammel, Sarita Sonalkar
OBJECTIVES: We sought to evaluate the six-week clinical outcomes (IUD retention, recognized expulsions, ability to visualize or palpate strings, and need for ultrasound evaluation) in women who received a TCu380A PPIUD after vaginal (VD) or Cesarean delivery (CD). STUDY DESIGN: We conducted a retrospective cohort study to examine the six-week retention of TCu380A IUDs placed within ten minutes of placental delivery in VD (n=137) and CD (n=73). We used Student's t-test and Wilcoxon rank sum tests for continuous data and Pearson Chi-squared test and Fisher's exact test for categorical data...
November 8, 2017: Contraception
https://www.readbyqxmd.com/read/29104024/abortion-in-two-francophone-african-countries-a-study-of-whether-women-have-begun-to-use-misoprostol-in-benin-and-burkina-faso
#5
Carine Baxerres, Ines Boko, Adjara Konkobo, Fatoumata Ouattara, Agnès Guillaume
OBJECTIVES: This study aimed to document the means women use to obtain abortions in the capital cities of Benin and Burkina Faso, and to learn whether or not use of misoprostol has become an alternative to other methods of abortion, and the implications for future practice. STUDY DESIGN: We conducted in-depth, qualitative interviews between 2014 and 2015 with 34 women - 21 women in Cotonou (Benin) and 13 women in Ouagadougou (Burkina Faso) - about their pathways to abortion...
November 3, 2017: Contraception
https://www.readbyqxmd.com/read/29097225/effects-of-concurrent-vaginal-miconazole-treatment-on-the-absorption-and-exposure-of-nestorone%C3%A2-segesterone-acetate-and-ethinyl-estradiol-delivered-from-a-contraceptive-vaginal-ring-a-randomized-crossover-drug-drug-interaction-study
#6
Katharine B Simmons, Narender Kumar, Marlena Plagianos, Kevin Roberts, Elena Hoskin, Leo Han, Mohcine Alami, George Creasy, Bruce Variano, Ruth Merkatz
OBJECTIVES: To evaluate the effects of concurrent administration of three vaginal miconazole nitrate formulations on the absorption and exposure of Nestorone® (segesterone acetate) and ethinyl estradiol from a novel contraceptive vaginal ring (NES/EE CVR). STUDY DESIGN: This was an open-label, randomized, crossover, drug-drug interaction study conducted over three menstrual cycles in healthy women with regular menses. We compared systemic exposure to NES and EE by determining area under the curve (AUC8-21d) with CVR-only and CVR with each miconazole treatment...
October 30, 2017: Contraception
https://www.readbyqxmd.com/read/29097224/pharmacy-access-to-ulipristal-acetate-in-major-cities-throughout-the-united-states
#7
Maryssa Shigesato, Jennifer Elia, Mary Tschann, Holly Bullock, Eric Hurwitz, Yan Yan Wu, Jennifer Salcedo
OBJECTIVE: Ulipristal acetate (UPA) is a prescription emergency contraceptive pill (ECP). Despite the potential for UPA to reduce the risk of unintended pregnancies, a recent study in Hawaii demonstrated less than 3% of pharmacies stocked UPA and less than 23% reported the ability to order it. The primary outcome of our study was to assess the availability of UPA in a sample of large cities nationwide. STUDY DESIGN: We conducted a telephone-based secret shopper study of 533 retail pharmacies sampled proportionally from ten large cities in five geographic regions across the US...
October 30, 2017: Contraception
https://www.readbyqxmd.com/read/29080696/women-s-experiences-with-immediate-postpartum-intrauterine-device-insertion-a-mixed-methods-study
#8
Shannon L Carr, Rameet H Singh, Andrew L Sussman, Rebecca G Rogers, Brenda Pereda, Eve Espey
OBJECTIVE: To describe women's pain and experiences with immediate postpartum intrauterine device (IUD) insertion (IPPI) following vaginal delivery using a ring forceps insertion technique. STUDY DESIGN: This observational mixed methods study included women who underwent successful IPPI using ring forceps, with and without epidural analgesia. To describe women's pain during the procedure, we recruited women during antenatal care and at the time of admission for delivery until we collected at least 30 sets of pain scores at two time points (pre-procedure and immediately post-procedure) in both groups using two instruments; 100mm visual analogue scale (VAS) and a 4-point Likert verbal rating scale (VRS) (0=none, 1=mild, 2=moderate, 3=severe)...
October 25, 2017: Contraception
https://www.readbyqxmd.com/read/29055782/interest-in-multipurpose-prevention-technologies-to-prevent-hiv-stis-and-unintended-pregnancy-among-young-women-in-the-united-states
#9
Jenna S Hynes, Jessica M Sales, Anandi N Sheth, Eva Lathrop, Lisa B Haddad
OBJECTIVE: High rates of sexually transmitted infections (STIs) and unintended pregnancy suggest a role for multipurpose prevention technologies (MPTs) designed to combine contraception and infection prophylaxis into one unified method. This study aims to determine factors associated with interest in MPTs among U.S. women. STUDY DESIGN: We administered a national cross-sectional survey via MTurk. Eligibility criteria included female gender, age 18-29years, residence in the U...
October 18, 2017: Contraception
https://www.readbyqxmd.com/read/29055780/pregnancy-outcomes-associated-with-extended-use-of-the-52-mg-20%C3%AE-g-day-levonorgestrel-releasing-intrauterine-system-beyond-60months-a-chart-review-of-776-women-in-brazil
#10
Luis Bahamondes, Arlete Fernandes, M Valeria Bahamondes, Cassia T Juliato, Moazzam Ali, Ilza Monteiro
OBJECTIVE: To assess the contraceptive performance of the 52-mg 20 μg/day levonorgestrel-releasing intrauterine system (LNG-IUS, Mirena, Bayer Oy, Turku, Finland) among women who maintain the same device without changes after 60months. STUDY DESIGN: This is a chart review study in which we assessed the charts of 766 women who continue the same LNG-IUS for contraception beyond 60months. The women were evaluated at the Family Planning clinic, University of Campinas Medical School, Campinas, SP, Brazil from November 1990 to March 2011...
October 18, 2017: Contraception
https://www.readbyqxmd.com/read/29038072/amenorrhea-rates-and-predictors-during-one-year-of-levonorgestrel-52mg-intrauterine-system-use
#11
Philip D Darney, Gretchen S Stuart, Michael A Thomas, Carrie Cwiak, Andrea Olariu, Mitchell D Creinin
OBJECTIVE: Evaluate amenorrhea patterns and predictors of amenorrhea during the first year after levonorgestrel 52mg intrauterine system (IUS) placement. STUDY DESIGN: This cohort analysis includes 1714 nulliparous and parous women who received a Liletta® levonorgestrel 52mg IUS in a multicenter trial to evaluate efficacy and safety for up to 8years. Participants maintained a daily diary with bleeding information. We assessed bleeding patterns in 90-day intervals; amenorrhea was defined as no bleeding or spotting in the preceding 90days...
October 13, 2017: Contraception
https://www.readbyqxmd.com/read/29038071/contraceptive-method-use-in-the-united-states-trends-and-characteristics-between-2008-2012-and-2014
#12
Megan L Kavanaugh, Jenna Jerman
OBJECTIVE: The objective was to examine levels of, correlates of and changes in the use of individual and grouped methods of contraception among US females aged 15-44 from 2008 to 2014. STUDY DESIGN: Using three rounds of the National Survey of Family Growth, we analyzed samples of 12,279 (2008), 5601 (2012) and 5699 (2014) females. We conducted simple and multivariable logistic regression analyses to identify associations between demographic characteristics and contraceptive use, as well as between characteristics and changes in use patterns...
October 13, 2017: Contraception
https://www.readbyqxmd.com/read/29038070/exploring-young-women-s-decisional-needs-for-contraceptive-method-choice-a-qualitative-study
#13
Cassondra Marshall, Nazineen Kandahari, Tina Raine-Bennett
OBJECTIVE: Assisting women with choosing contraceptive methods that meet their needs and preferences is essential to providing patient-centered care, but research to inform interventions supporting method choice is lacking. An assessment of patient decisional needs for contraceptive method choice may provide insight into patient-centered ways to support decision-making. STUDY DESIGN: Using the Ottawa Decision Support Framework as a guide, we conducted a qualitative study with semi-structured interviews to identify women's decisional needs for choosing a contraceptive method...
October 13, 2017: Contraception
https://www.readbyqxmd.com/read/29031815/uptake-and-correlates-of-contraception-among-postpartum-women-in-kenya-results-from-a-national-cross-sectional-survey
#14
Dunstan Achwoka, Jillian Pintye, Christine J McGrath, John Kinuthia, Jennifer A Unger, Norah Obudho, Agnes Langat, Grace John-Stewart, Alison L Drake
OBJECTIVES: To characterize uptake and correlates of effective contraceptive use postpartum. STUDY DESIGN: We analyzed data from a national, cross-sectional evaluation of prevention of mother-to-child HIV transmission programs that enrolled women attending 6-week or 9-month infant immunization visits at 120 Kenyan maternal and child health clinics. We classified women who resumed sexual activity postpartum and did not desire a child within 2years as having a need for family planning (FP)...
October 12, 2017: Contraception
https://www.readbyqxmd.com/read/29031814/condom-use-in-adolescents-and-young-women-following-initiation-of-long-or-short-acting-contraceptive-methods
#15
Brittney Bastow, Jeanelle Sheeder, Maryam Guiahi, Stephanie Teal
OBJECTIVE: To determine if young women initiating long-acting reversible contraceptives (LARC) who report new sexual partner(s) would be less likely to report use of a condom than women using SARC methods. STUDY DESIGN: We enrolled a prospective cohort of 13-24year old women attending an adolescent-specific contraception clinic. Participants completed questionnaires at the contraceptive initiation visit, and 6months later. At follow-up, we asked if they had sexual intercourse with a new partner, if they had used condoms, if their condom use patterns had changed, and why...
October 12, 2017: Contraception
https://www.readbyqxmd.com/read/29030227/exploring-the-feasibility-of-obtaining-mifepristone-and-misoprostol-from-the-internet
#16
Chloe Murtagh, Elisa Wells, Elizabeth G Raymond, Francine Coeytaux, Beverly Winikoff
OBJECTIVES: We aimed to document the experience of buying abortion pills from online vendors that do not require a prescription and to evaluate the active ingredient content of the pills received. STUDY DESIGN: We searched the internet to identify a convenience sample of websites that sold mifepristone and misoprostol to purchasers in the United States and attempted to order these products. We documented price, shipping time and other aspects of ordering. We sent the samples received to a testing laboratory that measured the amount of active ingredient in individual tablets...
October 10, 2017: Contraception
https://www.readbyqxmd.com/read/29030226/self-sourced-online-and-self-directed-at-home-a-new-frontier-for-abortion-in-the-united-states
#17
Abigail Ra Aiken
No abstract text is available yet for this article.
October 10, 2017: Contraception
https://www.readbyqxmd.com/read/29055781/induced-abortion-among-women-veterans-data-from-the-ecuun-study
#18
Eleanor Bimla Schwarz, Florentina E Sileanu, Xinhua Zhao, Maria K Mor, Lisa S Callegari, Sonya Borrero
OBJECTIVE: We compared rates of induced abortion among women Veterans receiving VA healthcare to rates in the general US population, as current policy prohibits VA provision of abortion counseling or services, even when pregnancy endangers a Veteran's life. METHODS: We analyzed data from 2, 298 women Veterans younger than 45years, who completed a telephone-based, cross-sectional survey of randomly-sampled English-speaking women from across the US who had received VA healthcare...
October 5, 2017: Contraception
https://www.readbyqxmd.com/read/28987293/society-of-family-planning-guidelines-postplacental-insertion-of-intrauterine-devices
#19
REVIEW
Amy K Whitaker, Beatrice A Chen
Postplacental intrauterine device (IUD) placement, defined as IUD placement within 10 min after delivery of the placenta, is an appealing strategy for increasing access to postpartum IUDs because it does not require a separate postpartum visit. These guidelines present an evidence-based assessment of postplacental IUD placement after vaginal and cesarean delivery. Postplacental IUD insertion is safe and does not have higher risks of complications than interval insertion. Most studies find that the risk of IUD expulsion is higher after postplacental insertion than after interval insertion for both vaginal and cesarean deliveries...
October 5, 2017: Contraception
https://www.readbyqxmd.com/read/28966052/misreporting-of-contraceptive-hormone-use-in-clinical-research-participants
#20
Sharon L Achilles, Felix G Mhlanga, Petina Musara, Samuel M Poloyac, Zvavahera M Chirenje, Sharon L Hillier
OBJECTIVE: Researchers traditionally rely on participant self-report for contraceptive use. We hypothesized that self-reported contraceptive use by clinical research participants may disagree with objectively measured hormonal status. STUDY DESIGN: We enrolled women in Harare, Zimbabwe, aged 18-34, who by self-report had not used hormonal or intrauterine contraception for >30 days, or depot medroxyprogesterone acetate for >10 months, into a study designed to assess biologic changes with contraceptive initiation and use...
September 28, 2017: Contraception
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