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European Journal of Contraception & Reproductive Health Care

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https://www.readbyqxmd.com/read/27903078/why-prevention-of-repeat-abortion-is-so-challenging-psychosocial-characteristics-of-women-at-risk
#1
Brigitte Leeners, Simone Bieli, Dorothy Huang, Sibil Tschudin
OBJECTIVES: Abortion rates have declined in recent decades; however, the rate of repeat abortion remains high. In order to identify keys to making efficient interventions against repeat abortion, our objectives were: to assess the percentage of repeat abortions in women opting for termination of pregnancy over a period of 1 year; to identify the risk factors for repeat abortion; and to assess the characteristics of women who opted for a further pregnancy termination despite having received standard post-abortion care...
November 30, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27871191/second-trimester-medical-abortion-with-mifepristone-followed-by-unlimited-dosing-of-buccal-misoprostol-in-armenia
#2
Karmen S Louie, Erica Chong, Tamar Tsereteli, Gayane Avagyan, Ruzanna Abrahamyan, Beverly Winikoff
OBJECTIVES: The aim of the study was to assess the efficacy and acceptability of a regimen using mifepristone and buccal misoprostol with unlimited dosing for second trimester abortion in Armenia. METHODS: Women seeking to terminate 13-22 week pregnancies were enrolled in the study. Participants swallowed 200 mg mifepristone in the clinic and were instructed to return to the hospital for induction 24-48 h later. During induction, women were given 400 μg buccal misoprostol every 3 h until the fetus and placenta were expelled...
November 21, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27848257/the-decision-to-have-an-abortion-from-both-partners-perspectives-a-dyadic-analysis
#3
Joke Vandamme, Ann Buysse, Tom Loeys, Carine Vrancken, Guy T'Sjoen
OBJECTIVES: Male partners are often involved in induced abortion although they have no legal rights. It is, however, unknown how women's thoughts and feelings regarding the decision for abortion are associated with the decisional experiences of the involved male partners and vice versa. METHODS: Flemish women and their involved male partners (IMP) filled out a questionnaire on abortion motives and feelings of decisiveness in the abortion centre waiting room (N = 106 couples)...
November 16, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27809601/the-dishonourable-disobedience-of-not-providing-abortion
#4
Joyce Arthur, Christian Fiala, Kristina Gemzell Danielsson, Oskari Heikinheimo, Jens A Guðmundsson
No abstract text is available yet for this article.
November 4, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27749101/fertility-and-combined-oral-contraceptives-unintended-pregnancies-and-planned-pregnancies-following-oral-contraceptive-use-results-from-the-inas-score-study
#5
Clare Barnett, Christine Hagemann, Jürgen Dinger, Thai Do Minh, Klaas Heinemann
OBJECTIVES: To estimate the real-use contraceptive effectiveness of the combined oral contraceptive containing dienogest and estradiol valerate (DNG/EV) and whether DNG/EV compared to other combined oral contraceptives (oCOC) has a negative effect on return to fertility. METHODS: Transatlantic, prospective, non-interventional cohort study conducted in the USA and seven European countries with two main exposure groups and one exposure subgroup: new users of DNG/EV and other COC (oCOC), particularly levonorgestrel-containing COCs (LNG)...
October 17, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27715345/discontinuation-of-modern-hormonal-contraceptives-an-italian-survey
#6
Franca Fruzzetti, Daria Perini, Lara Fornaciari, Marinella Russo, Fiorella Bucci, Angiolo Gadducci
OBJECTIVES: The aim of the study was to examine, in a sample of Italian women, the rate of discontinuation of use of hormonal contraception. METHODS: In a retrospective cross-sectional study, data were collected from a chart review of 1809 women using or stopping the hormonal contraceptive prescribed by their physician. The name of the contraceptive and the reason for discontinuation were taken from the charts. The differences between the methods regarding reasons for discontinuation were analysed...
October 7, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27701927/chlamydia-screening-and-prophylactic-treatment-in-termination-of-pregnancy-clinics-in-the-netherlands-and-great-britain-a-qualitative-study
#7
Georgina F van den Berg, Charles Picavet, Rianne Hoopman, Patricia A Lohr, Eline L M Op de Coul
BACKGROUND: Women having a termination of pregnancy (TOP) have higher rates of Chlamydia trachomatis (CT) than the general population. In this study, we explored CT treatment and prevention in Dutch TOP clinics in comparison to that provided in Great Britain (GB). METHODS: A qualitative study including 14 semi-structured interviews with health care professionals (HCPs) in TOP clinics (the Netherlands: 9, GB: 5). Interviews were recorded, transcribed, and analysed by thematic content analysis...
October 5, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27701924/targeting-factors-for-change-contraceptive-counselling-and-care-of-female-adolescents
#8
Johannes Bitzer, Virginia Abalos, Dan Apter, Ricardo Martin, Amanda Black
INTRODUCTION: Sexual and reproductive health care should empower and enable all individuals to have a sex life that is as safe and pleasurable as possible. Achievement of this goal for adolescents is often impeded by regional and sociocultural barriers. OBJECTIVES: To review global barriers to provision of effective counselling and care of adolescents seeking advice on contraception and sexual and reproductive health and identify elements of best practice that can be adapted to meet their needs at regional level...
October 5, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27696903/early-pubertal-timing-is-common-among-adolescent-girl-to-boy-sex-reassignment-applicants
#9
Maria Sumia, Nina Lindberg, Marja Työläjärvi, Riittakerttu Kaltiala-Heino
OBJECTIVES: The aim of our study was to explore whether gender dysphoria in adolescent girls is associated with early pubertal timing. METHODS: We compared menarcheal timing among 52 adolescent girl-to-boy sex reassignment (SR) applicants with that of 644 adolescent girls who participated in an adolescent population mental health survey. RESULTS: Of the population girls, 21% presented with early (≤11 years), 61% with normative (12-13 years) and 19% with late (≥14 years) menarcheal timing; among the SR applicants, 42% presented with early, 46% with normative and 12% with late menarcheal timing (p = 0...
October 3, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27689407/contraceptive-counselling-of-women-seeking-abortion-a-qualitative-interview-study-of-health-professionals-experiences
#10
Helena Kilander, Birgitta Salomonsson, Johan Thor, Jan Brynhildsen, Siw Alehagen
OBJECTIVES: A substantial proportion of women who undergo an abortion continue afterwards without switching to more effective contraceptive use. Many subsequently have repeat unintended pregnancies. This study, therefore, aimed to identify and describe health professionalś experiences of providing contraceptive counselling to women seeking an abortion. METHODS: We interviewed 21 health professionals (HPs), involved in contraceptive counselling of women seeking abortion at three differently sized hospitals in Sweden...
September 30, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27684740/effects-of-an-extended-flexible-regimen-of-an-oral-contraceptive-pill-containing-20%C3%A2-%C3%AE-g-ethinylestradiol-and-3%C3%A2-mg-drospirenone-on-menstrual-related-symptoms-a-randomised-controlled-trial
#11
Rogério Bonassi Machado, Luciano Melo Pompei, Mariangela Badalotti, Rui Ferriani, Achilles M Cruz, Eliana Nahas, Hugo Maia
OBJECTIVES: The aim of the study was to assess the efficacy for menstrual-related symptoms of an extended flexible regimen of an oral contraceptive pill containing 20 μg ethinylestradiol and 3 mg drospirenone in comparison with a 24/4 d cyclical regimen of the same formulation. METHODS: This randomised, non-inferiority, open-label, multicentre study was conducted in women aged 18-39 years. Their menstrual-related symptoms were assessed using the Penn Daily Symptom Rating (DSR17)...
September 29, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27684583/emergency-contraception-a-survey-of-1773-women
#12
Carlo Bastianelli, Elena Rosato, Manuela Farris, Giuseppe Benagiano
OBJECTIVES: The aim of the study was to retrieve data on the characteristics and profile of women attending an emergency service (ES) to receive a prescription (mandatory until May 2015) for emergency contraception (EC). METHODS: In a retrospective study the following data were collected for all women requesting EC between January 2014 and June 2015: demographic characteristics, time between unprotected sexual intercourse (USI) and arrival at the ES, time between the last menstrual period and the USI, and type of EC prescribed...
September 29, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27681868/religion-and-family-planning
#13
Bojana Pinter, Marwan Hakim, Daniel S Seidman, Ali Kubba, Meera Kishen, Costantino Di Carlo
Religion is embedded in the culture of all societies. It influences matters of morality, ideology and decision making, which concern every human being at some point in their life. Although the different religions often lack a united view on matters such contraception and abortion, there is sometimes some dogmatic overlap when general religious principles are subject to the influence of local customs. Immigration and population flow add further complexities to societal views on reproductive issues. For example, present day Europe has recently faced a dramatic increase in refugee influx, which raises questions about the health care of immigrants and the effects of cultural and religious differences on reproductive health...
September 28, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27676285/factors-affecting-unmet-need-for-contraception-among-currently-married-fecund-young-women-in-bangladesh
#14
Ahmed Zohirul Islam, Md Golam Mostofa, Mohammad Amirul Islam
OBJECTIVES: The aim of our study was to explore the factors associated with unmet need for contraception among currently married fecund women under age 25, in Bangladesh. METHODS: This study utilised a cross-sectional data (n = 4982) extracted from the Bangladesh Demographic and Health Survey (BDHS) 2011. Multinomial logistic regression was used to identify the determinants of unmet need for contraception among currently married fecund young women. RESULTS: The unmet need for contraception was 17% and contraceptive prevalence was 54% in this young group...
September 27, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27666894/pregnancy-beyond-65-report-of-a-unique-case-and-discussion-of-a-controversial-issue
#15
Marta Simó González, Joaquim Calaf Alsina, Núria Terribas Sala, Nerea Luqui Scarcelli, Juliana Plana Borrás, Ana Polo Ramos
We present the case report of a 66-year-old woman who was attended at our gynaecology department at a tertiary university hospital in Barcelona, Spain for a high-risk pregnancy and comment on the obstetric implications and bioethical issues. We retrospectively analysed clinical data about the case and bibliographic references related to the issue. The woman underwent in vitro fertilisation of donated embryos in a private centre and came to our unit at 27 weeks of gestation for pregnancy care. At 33 weeks, she presented pre-eclampsia and a caesarean section was performed...
September 26, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27652839/estimates-of-first-generation-women-and-girls-with-female-genital-mutilation-in-the-european-union-norway-and-switzerland
#16
Luk Van Baelen, Livia Ortensi, Els Leye
BACKGROUND: Female genital mutilation (FGM) is the practice of partial or total removal of female genitalia for non-medical reasons. The procedure has no known health benefits but can cause serious immediate and long-term obstetric, gynaecological and sexual health problems. Health workers in Europe are often unaware of the consequences of FGM and lack the knowledge to treat women adequately. OBJECTIVE: Our goal was to estimate the number of first-generation girls and women in the European Union, Norway and Switzerland who have undergone FGM...
September 21, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27636701/neither-vaginal-nor-buccal-administration-of-800%C3%A2-%C3%AE-g-misoprostol-alters-mucosal-and-systemic-immune-activation-or-the-cervicovaginal-microbiome-a-pilot-study
#17
Spyros A Kalams, Lisa M Rogers, Rita M Smith, Louise Barnett, Katie Crumbo, Shonda Sumner, Naomi Prashad, Kyle Rybczyk, Ginger Milne, Scot E Dowd, Erica Chong, Beverly Winikoff, David M Aronoff
OBJECTIVES: The aim of the study was to assess the extent to which misoprostol alters mucosal or systemic immune responses following either buccal or vaginal administration. METHODS: This was a prospective, crossover pilot study of 15 healthy, reproductive-age women. Women first received 800 μg misoprostol either via buccal or vaginal administration and were crossed over 1 month later to receive the drug via the other route. Cervicovaginal lavage samples, cervical Cytobrush samples, cervicovaginal swabs, urine and blood were obtained immediately prior to drug administration and the following day...
September 16, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27636541/contraceptive-behaviour-of-christian-and-muslim-teenagers-at-the-time-of-abortion-and-post-abortion-in-thrace-greece
#18
Panagiotis Tsikouras, Zacharoula Koukouli, Nikolaos Psarros, Bachar Manav, Nikolaos Tsagias, Georgios Galazios
OBJECTIVES: The aims of the study were to compare the contraceptive behaviour of Christian and Muslim adolescents who had an abortion in Thrace, Greece, and to examine whether extensive contraceptive counselling at the time of abortion modified their subsequent contraceptive practices. METHODS: Adolescents, aged 14-19 years, who had undergone an elective abortion in our department, were included in a prospective 12-year study. Extensive contraceptive counselling was offered before discharge from the hospital...
September 16, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27623183/effect-of-perceptions-of-menstrual-blood-loss-and-menstrual-pain-on-women-s-quality-of-life
#19
Edith Weisberg, Kevin McGeehan, Ian S Fraser
OBJECTIVES: The aim of the study was to explore Australian women's experiences of menstruation and effect on quality of life (QoL). METHODS: A representative sample of women recruited through a commercial social research sampling organisation completed a detailed online questionnaire about menstruation. Specific detailed questions were asked about perceptions of heavy menstrual bleeding (HMB) and menstrual pain. RESULTS: The questionnaire was completed by 1575 women aged 20-39 years...
September 13, 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27608962/low-dose-oral-contraceptive-induced-acute-myocardial-infarction
#20
Abdullah Nabi Aslan, Hakan Süygün, Serkan Sivri, Telat Keleş
OBJECTIVES: Since their introduction, oral contraceptives (OCs) have been associated with risk to both the venous and the arterial systems. Studies have shown that OC use is associated with a risk of venous thromboembolism, ischaemic stroke and acute myocardial infarction (MI). MI is rarely seen in patients using OCs, particularly in the absence of clinical risk factors or smoking. CASE: We report a case of acute inferior MI in a 20-year-old non-smoker who had used a low-dose OC (3 mg drospirenone and 30 μg ethinyl estradiol) for 1 month...
September 9, 2016: European Journal of Contraception & Reproductive Health Care
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