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Postpartum contraception

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https://www.readbyqxmd.com/read/28101373/optimizing-maternal-and-neonatal-outcomes-with-postpartum-contraception-impact-on-breastfeeding-and-birth-spacing
#1
REVIEW
Aparna Sridhar, Jennifer Salcedo
Postpartum contraception is important to prevent unintended pregnancies. Assisting women in achieving recommended inter-pregnancy intervals is a significant maternal-child health concern. Short inter-pregnancy intervals are associated with negative perinatal, neonatal, infant, and maternal health outcomes. More than 30% of women experience inter-pregnancy intervals of less than 18 months in the United States. Provision of any contraceptive method after giving birth is associated with improved inter-pregnancy intervals...
2017: Maternal Health, Neonatology and Perinatology
https://www.readbyqxmd.com/read/28077826/-effects-of-a-customized-birth-control-program-for-married-immigrant-postpartum-mothers
#2
So Young Kim, So Young Choi
PURPOSE: This study was conducted to develop a customized birth control program and identify its effects on attitude, subjective norm, behavioral control, intention, and behavior of contraception among immigrant postpartum mothers. METHODS: In this experimental study, Vietnamese, Filipino or Cambodian married immigrant postpartum mothers were recruited. They were assigned to the experiment group (n=21) or control group (n=21). The customized birth control program was provided to the experimental group for 4 weeks...
December 2016: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/28058853/postpartum-adolescents-contraceptive-counselling-preferences
#3
Stephanie Sober, Judy A Shea, Allison G Shaber, Paul G Whittaker, Courtney A Schreiber
OBJECTIVES: The optimal approach for provision and timing of postpartum contraceptive counselling for adolescents has not been established. To reduce repeat pregnancies from current USA levels of nearly 20%, a better understanding is needed of postpartum adolescent females' preferences regarding contraceptive counselling and delivery. METHODS: Semi-structured interviews with 30 USA postpartum teens (97% Black) explored pregnancy prevention and contraceptive counselling...
January 6, 2017: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/28038902/long-acting-reversible-contraception-in-adolescents-a-systematic-review-and-meta-analysis
#4
REVIEW
Justin T Diedrich, David A Klein, Jeffrey F Peipert
OBJECTIVE: To perform a systematic review of the medical literature to assess the continuation of long-acting reversible contraceptives (LARC) among adolescents. DATA SOURCES: Ovid-MEDLINE, Cochrane databases, and Embase databases were searched using keywords relevant to the provision of long-acting contraception to adolescents. Articles published between January 2002 and August 2016, were selected for inclusion based on specific keyword searches and detailed review of bibliographies...
December 27, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27992305/healthcare-provider-attitudes-of-safety-of-intrauterine-devices-in-the-postpartum-period
#5
Lisa A Rauh-Benoit, Naomi K Tepper, Lauren B Zapata, Maura K Whiteman, Kathryn M Curtis, Michele G Mandel, Polly A Marchbanks, Denise J Jamieson
OBJECTIVE: Immediate postpartum intrauterine devices (IUDs) have been underutilized in the United States despite their known safety. Understanding how providers' attitudes contribute to underutilization is important in improving access. Our objective was to examine healthcare providers' perceptions of the safety of immediate postpartum IUDs before publication of United States contraceptive guidelines. MATERIALS AND METHODS: We analyzed survey data collected from December 2009 to March 2010 from 635 office-based physicians and 1368 Title X clinic providers (overall response rate of 64...
December 19, 2016: Journal of Women's Health
https://www.readbyqxmd.com/read/27926643/implementing-immediate-postpartum-long-acting-reversible-contraception-programs
#6
Lisa G Hofler, Sarah Cordes, Carrie A Cwiak, Peggy Goedken, Denise J Jamieson, Melissa Kottke
OBJECTIVE: To understand the most important steps required to implement immediate postpartum long-acting reversible contraception (LARC) programs in different Georgia hospitals and the barriers to implementing such a program. METHODS: This was a qualitative study. We interviewed 32 key personnel from 10 Georgia hospitals working to establish immediate postpartum LARC programs. Data were analyzed using directed qualitative content analysis principles. We used the Stages of Implementation to organize participant-identified key steps for immediate postpartum LARC into an implementation guide...
January 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27913231/immediate-postpartum-long-acting-reversible-contraception-the-time-is-now
#7
Michelle Moniz, Tammy Chang, Michele Heisler, Vanessa K Dalton
No abstract text is available yet for this article.
November 29, 2016: Contraception
https://www.readbyqxmd.com/read/27908964/effects-of-the-etonogestrel-contraceptive-implant-implanon%C3%A2-on-bone-metabolism-during-lactation-a-prospective-study
#8
Candan Iltemir Duvan, Yuksel Onaran, Esra Aktepe Keskin, Ebru Yüce, Burcu Yanık, Hasan Kafali, Nilgun Ozturk Turhan
AIM: To evaluate the effects of the etonogestrel contraceptive implant (Implanon(®)) on bone metabolism in lactating women using markers for bone formation and resorption. STUDY DESIGN: This single-centre, prospective cohort study was conducted in Turgut Ozal University Medical Faculty Obstetrics and Gynecology Department with healthy lactating women aged between 24 and 38 years to compare the effect on bone metabolism of 6 months' use of either the implant or a non-hormonal contraceptive method...
December 1, 2016: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/27896263/complete-vaginal-outlet-stenosis-in-a-patient-with-sheehan-s-syndrome
#9
Minji Choo, Hana Park, Kyong Wook Yi
We present a case of complete vaginal stenosis in a woman diagnosed with Sheehan's syndrome. The patient delivered at full-term 5 months prior, and experienced massive postpartum bleeding at that time. During evaluation of persistent amenorrhea, we found that her vaginal orifice was completely adhesive and obstructed. Prior to corrective surgery, we managed the patient with an oral contraceptive to induce uterine bleeding into the vaginal outflow tract. After three cycles of an oral contraceptive, we could confirm that there was no stenotic lesion in the vaginal cavity as a hematocolpos was created...
November 2016: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/27876110/determinants-of-microstructural-dimensional-and-bone-mineral-changes-postpartum-in-swedish-women
#10
Petra Brembeck, Anna Winkvist, Claes Ohlsson, Mattias Lorentzon, Hanna Augustin
During lactation, areal (a) and volumetric (v) bone mineral density (BMD) are known to temporarily decrease. Factors that affect skeletal changes postpartum are not fully elucidated. The aim was to study determinants of the previously observed changes in aBMD at lumbar spine, and cortical vBMD, microstructure and dimensions at ultra-distal tibia postpartum. Women (25-40 years) were studied longitudinally at 2 weeks (baseline) and 4 months (n 81), 12 months (n 79) and 18 months (n 58) postpartum. At each visit, blood samples were collected, body weight and height were measured and information about lactation habits, oestrogen contraceptives and physical activity was obtained...
November 23, 2016: British Journal of Nutrition
https://www.readbyqxmd.com/read/27871919/motivational-interviewing-to-promote-long-acting-reversible-contraception-in-postpartum-teenagers
#11
Kristl Tomlin, Tammalynn Bambulas, Maureen Sutton, Vanessa Pazdernik, Dean V Coonrod
STUDY OBJECTIVE: To determine if teenage patients receiving prenatal care in an adolescent-focused clinic, emphasizing long-acting reversible contraception (LARC) using motivational interviewing techniques, had higher rates of uptake of postpartum LARC than a control group. DESIGN AND SETTING: Retrospective cohort study comparing young women who received prenatal care in an adolescent-focused setting with those enrolled in standard prenatal care. PARTICIPANTS: Adolescents between the ages of 13 and 17 years receiving prenatal care within the Maricopa Integrated Health safety-net system between 2007 and 2014...
November 18, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27871269/institutionalizing-postpartum-intrauterine-device-iud-services-in-sri-lanka-tanzania-and-nepal-study-protocol-for-a-cluster-randomized-stepped-wedge-trial
#12
David Canning, Iqbal H Shah, Erin Pearson, Elina Pradhan, Mahesh Karra, Leigh Senderowicz, Till Bärnighausen, Donna Spiegelman, Ana Langer
BACKGROUND: During the year following the birth of a child, 40% of women are estimated to have an unmet need for contraception. The copper IUD provides safe, effective, convenient, and long-term contraceptive protection that does not interfere with breastfeeding during the postpartum period. Postpartum IUD (PPIUD) insertion should be performed by a trained provider in the early postpartum period to reduce expulsion rates and complications, but these services are not widely available. The International Federation of Obstetricians and Gynecologists (FIGO) will implement an intervention that aims to institutionalize PPIUD training as a regular part of the OB/GYN training program and to integrate it as part of the standard practice at the time of delivery in intervention hospitals...
November 21, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27856227/contraception-and-postpartum-follow-up-in-patients-with-gestational-diabetes
#13
Emily W Rosenthal, Sarah Rae Easter, Emma Morton-Eggleston, Caryn Dutton, Chloe Zera
OBJECTIVES: We sought to review the effect of immediate provision of postpartum contraception on postpartum follow-up and screening for type 2 diabetes in women with gestational diabetes mellitus (GDM). STUDY DESIGN: We performed multivariate logistic regression to identify the association between immediate provision of postpartum contraception and attendance at the 6-week postpartum visit and performance of a 6- to 12-week oral glucose tolerance test, controlling for age, type of insurance, parity and race...
November 14, 2016: Contraception
https://www.readbyqxmd.com/read/27832675/adolescent-contraception-before-and-after-pregnancy-choices-and-challenges-for-the-future
#14
Anderson Borovac-Pinheiro, Fernanda Garanhani Surita, Aline D'Annibale, Rodolfo de Carvalho Pacagnella, Joao Luiz Pinto E Silva
Objective To determine methods of contraception used by adolescents before and after pregnancy. Methods A cross-sectional study was performed, and data were collected from medical records of all teens in puerperal consultation at the Hospital da Mulher - José Aristodemo Pinotti (Caism), Universidade Estadual de Campinas (CAISM), São Paulo, Brazil, between July 2011 and September 2013. The inclusion criterion was being 10 to 19 years old, and the exclusion criterion was having a first consultation 90 days after childbirth...
November 2016: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/27821990/impact-of-structured-counseling-on-choice-of-contraceptive-method-among-postpartum-women
#15
Harpreet Kaur Chhabra, Ipseeta Ray Mohanty, Nimain C Mohanty, Pratima Thamke, Y A Deshmukh
BACKGROUND OF THE STUDY: In India, although a number of contraceptive choices are available, the usage of contraceptive methods among postpartum women is rather low. The current study intended to determine the impact of "structured contraception counseling" on women's decision making on selection of contraceptive methods and the reasons behind the selection of a contraceptive method. METHODS: One-hundred-and-seventeen postpartum women in the age group of 18-35 years, requesting contraception, were enrolled in the study...
December 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27814783/-coronary-disease-in-women-the-role-of-sexual-hormones
#16
E Vautrin, S Marlière, H Bouvaist, R Guerbaai, G Barone-Rochette
During their lives, women go through three different phases during which sex hormones play a fundamental role in contributing to specific cardiovascular and coronary risks. To evaluate this risk, we must take into account these various phases with their associated cardiovascular risk factors, and this during three key steps: contraception, pregnancy and menopause. Arterial risk linked to estrogen combined with progestin contraception, depends on the dosage of estrogen. The main cardiovascular risk factor responsible for increasing the risk of myocardial infarction is tobacco, especially after 35 years of age, contraindicating estrogen combined with progestin contraception at the benefit of progestin...
December 2016: Annales de Cardiologie et D'angéiologie
https://www.readbyqxmd.com/read/27812146/differences-in-the-access-to-sterilization-between-women-living-and-not-living-with-hiv-results-from-the-genih-study-brazil
#17
Regina Maria Barbosa, Cristiane da Silva Cabral, Tania di Giacomo do Lago, Adriana de Araujo Pinho
BACKGROUND: In many countries, young women of reproductive age have been especially affected by the HIV epidemic, which have fostered research to better understand how HIV infection influences and shapes women´s fertility and reproductive and sexual decisions. In Brazil, few studies have focused on the impact of the HIV epidemic on contraceptive choices among women living with HIV (WLHIV). OBJECTIVE: This study evaluates the impact HIV infection may have in the access to female sterilization in Brazil, using a time-to-event analysis...
2016: PloS One
https://www.readbyqxmd.com/read/27805934/straight-talk-about-birth-control-a-contraceptive-education-protocol-for-home-care
#18
Leslie Schoenberg
Home healthcare providers play a critical role in the prevention of unintended pregnancies by providing evidence-based contraception education during home visits. This article describes an innovative and comprehensive contraception protocol that was developed for Nurse-Family Partnership to improve contraception education for home healthcare patients. The protocol focused on increasing uptake of long-acting reversible contraception (LARC) for high-risk prenatal and postpartum home healthcare patients. The protocol was designed to reduce early subsequent pregnancies and thereby improve outcomes for mothers and their infants...
November 2016: Home Healthcare Now
https://www.readbyqxmd.com/read/27779318/nativity-country-of-education-and-mexican-origin-women-s-breastfeeding-behaviors-in-the-first-10-months-postpartum
#19
C Emily Hendrick, Joseph E Potter
BACKGROUND: Breastfeeding is associated with numerous health benefits for the infant and mother. Latina women in the United States have historically had high overall rates of initiation and duration of breastfeeding. However, these rates vary by nativity and time lived in the United States. Exclusive breastfeeding patterns among Latina women are unclear. In this study, we investigate the current and exclusive breastfeeding patterns of Mexican-origin women at four time points from delivery to 10 months postpartum to determine the combined association of nativity and country of education with breastfeeding duration and supplementation...
October 25, 2016: Birth
https://www.readbyqxmd.com/read/27764878/environmental-and-genetic-risk-factors-associated-with-venous-thromboembolism
#20
Marta Crous-Bou, Laura B Harrington, Christopher Kabrhel
Venous thromboembolism (VTE) includes deep vein thrombosis and pulmonary embolism, and a combination of environmental and genetic risk factors contributes to VTE risk. Within environmental risk factors, some are provoking (e.g., cancer, surgery, trauma or fracture, immobilization, pregnancy and the postpartum period, long-distance travel, hospitalization, catheterization, and acute infection) and others are nonprovoking (e.g., age, sex, race/ethnicity, body mass index and obesity, oral contraceptive or hormone therapy use, corticosteroid use, statin use, diet, physical activity, sedentary time, and air pollution)...
November 2016: Seminars in Thrombosis and Hemostasis
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