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Postpartum contraception

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https://www.readbyqxmd.com/read/29769052/association-between-skilled-maternal-healthcare-and-postpartum-contraceptive-use-in-ethiopia
#1
Gizachew Assefa Tessema, Tensae Tadesse Mekonnen, Zelalem Birhanu Mengesha, Katherine Tumlinson
BACKGROUND: The postpartum period provides an important opportunity to address unmet need for contraception and reduce short birth intervals. This study aims to assess the association between skilled maternal healthcare and postpartum contraceptive use in Ethiopia. METHODS: Data for this analysis come from the 2011 to 2016 Ethiopian Demographic and Health Surveys (EDHS) and include nearly 5000 married women of reproductive age with a recent birth. Multivariate logistic regression was conducted to investigate the relationship between skilled maternal healthcare and postpartum contraceptive use...
May 16, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29760943/high-parity-predicts-use-of-long-acting-reversible-contraceptives-in-the-extended-postpartum-period-among-women-in-rural-uganda
#2
Ronald Anguzu, Hassard Sempeera, Juliet N Sekandi
Background: The use of implants and Intra-uterine devices (IUD) during the post-partum period is very low in Uganda especially in rural settings. Long-acting reversible contraceptives (LARC) are known to be the most cost-effective for prevention of unintended pregnancy and unsafe abortions. This study aimed at determining the factors associated with long-acting reversible contraceptive use among women in the extended postpartum period in rural Uganda. Methods: We conducted a household-based, cross-sectional study among 400 women in two rural communities in Mityana district, central Uganda...
2018: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29752923/video-compared-to-conversational-contraceptive-counseling-during-labor-and-maternity-hospitalization-in-colombia-a-randomized-trial
#3
Alyssa R Hersh, Luisa F Muñoz, Mónica Rincón, Carolina Alvarez, Jorge E Tolosa, Diva J Moreno, Martha Rubio, Juan C Vargas, Francisco Edna, Nelson Taborda, Maureen K Baldwin
OBJECTIVE: Assess if video-based contraceptive education could be an efficient adjunct to contraceptive counseling and attain the same contraceptive knowledge acquisition as conversation-based counseling. STUDY DESIGN: This was a multi-center randomized, controlled trial examining contraceptive counseling during labor and maternity hospitalization regarding the options of immediate postpartum contraception. At two urban public hospitals, we randomized participants to a structured conversation with a trained counselor or a 14-min video providing the same information...
May 9, 2018: Contraception
https://www.readbyqxmd.com/read/29750925/two-year-contraceptive-continuation-rates-among-immediate-postpartum-implant-users-at-a-district-hospital-in-malawi-a-prospective-cohort-study
#4
Jennifer H Tang, Clara Lemani, Jerome Nkambule, George Talama, Chimwemwe Banda, Webster Zgambo, Maganizo Chagomerana
OBJECTIVE: To compare 2-year continuation rates in Malawian women undergoing immediate postpartum insertion of the levonorgestrel implant or etonorgestrel implant. STUDY DESIGN: We followed 159 women who underwent immediate postpartum levonorgestrel implant or etonorgestrel implant insertion at Kasungu District Hospital for up to 2years. RESULTS: We analyzed continuation data on 145 (92.4%) implant users. The 2-year continuation rates were 93...
May 8, 2018: Contraception
https://www.readbyqxmd.com/read/29750924/predictors-for-follow-up-among-postpartum-patients-enrolled-in-a-clinical-trial
#5
Maureen K Baldwin, Kyle D Hart, Maria I Rodriguez
OBJECTIVE: To identify risk factors for failure to attend postpartum follow-up within three months of delivery, including social support, intrinsic motivation, insurance type, and prenatal care attendance. STUDY DESIGN: This planned secondary analysis is derived from a randomized controlled trial of patients intending intrauterine device (IUD) use following their delivery (n=197). Subjects were postpartum from a vaginal or cesarean birth at≥32weeks gestation. We obtained baseline demographics and certainty about their plan to receive a postpartum IUD...
May 8, 2018: Contraception
https://www.readbyqxmd.com/read/29747733/pregestational-diabetes-in-pregnancy
#6
REVIEW
Ronan Sugrue, Chloe Zera
Diabetes is a common chronic condition in women of reproductive age. Preconception care is crucial to reducing the risk of adverse maternal and fetal outcomes, such as hypertensive disorders, abnormal fetal growth, traumatic delivery and stillbirth, associated with poor glycemic control. Insulin is the preferred medication to optimize glucose control in women with pregestational diabetes. Frequent dose adjustments are needed during pregnancy to achieve glycemic goals, and team-based multidisciplinary care may help...
June 2018: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/29731003/barriers-and-enablers-to-postpartum-contraception-among-aboriginal-australian-women-factors-influencing-contraceptive-decisions
#7
Sarah James, Maree Toombs, Wendy Brodribb
This qualitative research obtained insights into factors influencing postpartum contraception use among Aboriginal women in southern Queensland. Seventeen women participated in focus groups or interviews from July to October 2015 at an Aboriginal and Torres Strait Islander Community-Controlled Health Organisation. Data were analysed with open coding and thematic analysis. The results affirmed Aboriginal women want control over family planning. Participants indicated more could be done to improve health literacy and contraception uptake...
May 7, 2018: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/29727296/croi-2018-advances-in-antiretroviral-therapy
#8
Hong-Van Tieu, Barbara S Taylor, Joyce Jones, Timothy J Wilkin
The 2018 Conference on Retroviruses and Opportunistic Infections (CROI) showcased exciting data on new investigational agents including MK-8591 and tri-specific antibody targeting 3 highly conserved epitopes on HIV-1 in a single antibody. Clinical trials of initial antiretroviral therapy (ART) and switch studies involving bictegravir/emtricitabine/tenofovir alafenamide were presented. Intensification of initial ART with integrase strand transfer inhibitors did not increase the risk of immune reconstitution inflammatory syndrome...
May 2018: Topics in Antiviral Medicine
https://www.readbyqxmd.com/read/29695991/sex-hormones-and-processing-of-facial-expressions-of-emotion-a-systematic-literature-review
#9
Flávia L Osório, Juliana M de Paula Cassis, João P Machado de Sousa, Omero Poli-Neto, Rocio Martín-Santos
Background: We systematically reviewed the literature to determine the influence of sex hormones on facial emotion processing (FEP) in healthy women at different phases of life. Methods: Searches were performed in PubMed, Web of Science, PsycINFO, LILACS , and SciELO . Twenty-seven articles were included in the review and allocated into five different categories according to their objectives and sample characteristics (menstrual cycle, oral contraceptives, pregnancy/postpartum, testosterone, and progesterone)...
2018: Frontiers in Psychology
https://www.readbyqxmd.com/read/29686886/postpartum-intrauterine-device-placement-a-patient-friendly-option
#10
REVIEW
Carrie Cwiak, Sarah Cordes
Women in the United States are increasingly choosing an intrauterine device (IUD) for contraception. Since the postpartum period is an important time to consider a patient's need for contraception, offering postpartum IUD placement is considered best practice. Effective implementation of postpartum IUD placement occurs within a context of shared decision making wherein patients are given full information about all options and guided to methods that best fit their lifestyle. Within this context, both the non-hormonal and hormonal IUDs are safe, highly effective, well tolerated, and convenient options...
2018: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29683911/acog-committee-opinion-no-736-optimizing-postpartum-care
#11
(no author information available yet)
The weeks following birth are a critical period for a woman and her infant, setting the stage for long-term health and well-being. To optimize the health of women and infants, postpartum care should become an ongoing process, rather than a single encounter, with services and support tailored to each woman's individual needs. It is recommended that all women have contact with their obstetrician-gynecologists or other obstetric care providers within the first 3 weeks postpartum. This initial assessment should be followed up with ongoing care as needed, concluding with a comprehensive postpartum visit no later than 12 weeks after birth...
May 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29683308/maternity-care-update-postpartum-care
#12
Andrew Smith, Wendy B Barr, Erin Bassett-Novoa, Nicholas LeFevre
Family physicians are uniquely situated to play a major role in postpartum care. Postpartum issues that should be monitored and addressed include reproductive and contraceptive planning, breastfeeding counseling and support, and maternal mental health. All women should be screened for postpartum depression using a validated tool at the postpartum visit and/or at well-child visits. Patients with positive screening results should be offered support and treatment. Women are more likely to breastfeed if they are provided with breastfeeding support and counseling routinely during the prenatal and postpartum periods...
April 2018: FP Essentials
https://www.readbyqxmd.com/read/29662283/intrauterine-copper-device-cut380a-as-a-contraceptive-method-in-the-indian-context-acceptability-safety-and-efficacy-depending-on-the-timing-of-insertion
#13
Purnima Gupta, Madhavi Mathur Gupta, Rachna Sharma
Background: Ideal time of Intrauterine copper device (IUCD) insertion either to space or limit births in Indian women should be known to check fertility effectively and safely. We therefore aimed to compare various IUCD related clinical factors to assess its acceptability, safety and efficacy in immediate postpartum vaginal insertion, intra-caesarean insertion, delayed postpartum insertion and interval insertion at a tertiary-care centre in India. Methods: It was a retrospective analysis of prospectively collected data from July 2013 to July 2014...
April 2018: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/29608633/the-association-between-postpartum-healthcare-encounters-and-contraceptive-use-among-rhode-island-mothers-2012-2015
#14
Alexander C Adia, Quinn P Matos, Karine Monteiro, Hyun Hanna Kim
[Full article available at http://rimed.org/rimedicaljournal-2018-04.asp].
April 2, 2018: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/29602870/using-program-data-to-improve-access-to-family-planning-and-enhance-the-method-mix-in-conflict-affected-areas-of-the-democratic-republic-of-the-congo
#15
Lara S Ho, Erin Wheeler
Unmet need for family planning in the conflict-affected area of eastern Democratic Republic of the Congo (DRC) has been reported to be as high as 38%, and women in such conflict settings are often the most at risk for maternal mortality. The International Rescue Committee implements the Family Planning and Post-Abortion Care in Emergencies program in 3 provinces of eastern DRC to provide women and couples access to family planning, including long-acting reversible contraceptives (LARCs). This article presents routine program data from June 2011 through December 2013 from 2 health zones as well as results from a qualitative assessment of family planning clients and of male and female non-users, conducted in 2013...
March 21, 2018: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29599988/contraceptives-as-possible-risk-factors-for-postpartum-depression-a-retrospective-study-of-the-food-and-drug-administration-adverse-event-reporting-system-2004-2015
#16
Megumi Horibe, Yuuki Hane, Junko Abe, Toshinobu Matsui, Yamato Kato, Natsumi Ueda, Sayaka Sasaoka, Yumi Motooka, Haruna Hatahira, Shiori Hasegawa, Yasutomi Kinosada, Hideaki Hara, Mitsuhiro Nakamura
Aim: Postpartum depression is a mood disorder that commonly affects women during the early postpartum period. The objective of this study was to analyse the association of postpartum depression with drugs (including contraceptive devices and implants) with spontaneously reported adverse events reported in the US Food and Drug Administration Adverse Event Reporting System database. Design: Retrospective study. Method: Reports of postpartum depression events between 2004-2015 were analysed with a reporting odds ratio (ROR) algorithm...
April 2018: Nursing Open
https://www.readbyqxmd.com/read/29578284/long-term-prognosis-subsequent-pregnancy-contraception-and-overall-management-of-peripartum-cardiomyopathy-practical-guidance-paper-from-the-heart-failure-association-of-the-european-society-of-cardiology-study-group-on-peripartum-cardiomyopathy
#17
Karen Sliwa, Mark C Petrie, Denise Hilfiker-Kleiner, Alexandre Mebazaa, Alice Jackson, Mark R Johnson, Peter van der Meer, Amam Mbakwem, Johann Bauersachs
Peripartum cardiomyopathy is an idiopathic cardiomyopathy presenting with heart failure secondary to left ventricular systolic dysfunction towards the end of pregnancy or in the months following delivery, where no other cause for heart failure is identified. Outcome varies from full recovery to residual left ventricular systolic dysfunction and even death. Many women return to their physician to acquire information on their long-term prognosis, to seek medical advice regarding contraception, or when planning a subsequent pregnancy...
March 26, 2018: European Journal of Heart Failure
https://www.readbyqxmd.com/read/29543620/prevention-and-management-of-stroke-in-obstetrics-and-gynecology
#18
Tamara Barghouthi, Cheryl Bushnell
Stroke risk is 3 times higher in pregnancy than in the general young adult population and carries high morbidity and mortality risks. The recognition of signs and symptoms of stroke and other serious cerebrovascular disorders in pregnant and postpartum patients is important for the obstetrician to be able to initiate urgent evaluation and management. The objective of this review is to provide an evidence-based summary of stroke incidence, risk factors, prevention, and treatment of stroke in pregnancy. The impact of postpartum contraceptive use can on stroke risk is summarized...
June 2018: Clinical Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29541551/immediate-versus-delayed-insertion-of-the-levonorgestrel-intrauterine-device-in-postpartum-adolescents-a-randomized-pilot-study
#19
Reni Soon, Katie McGuire, Jennifer Salcedo, Bliss Kaneshiro
This pilot study assessed the feasibility of conducting a larger randomized controlled trial comparing the proportion of adolescents using a levonorgestrel intrauterine device (LNG IUD) at six months postpartum when it is inserted immediately after vaginal delivery (within 10 minutes after placental expulsion) compared to insertion four to six weeks postpartum. Pregnant adolescents (14 to 19 years) who desired a LNG IUD for postpartum contraception were randomized to insertion of the LNG IUD either within 10 minutes of delivery of the placenta or at 4-6 weeks postpartum...
March 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/29530670/policy-change-is-not-enough-engaging-provider-champions-on-immediate-postpartum-contraception
#20
Ekwutosi M Okoroh, Debra J Kane, Rebekah E Gee, Lyn Kieltyka, Brittni N Frederiksen, Katharyn M Baca, Kristin M Rankin, David A Goodman, Charlan D Kroelinger, Wanda D Barfield
Rates of short interval pregnancies resulting in unintended pregnancies remain high in the United States and contribute to adverse reproductive health outcomes. Long-acting reversible contraception (LARC) methods have annual failure rates of less than 1% compared with 9% for oral contraceptive pills, and are an effective strategy to reduce unintended pregnancies. To increase access to LARCs in the immediate postpartum period, several State Medicaid programs, including those in Iowa (IA) and Louisiana (LA), recently established reimbursement policies to remove the barriers to reimbursement of immediate postpartum LARC insertion...
March 9, 2018: American Journal of Obstetrics and Gynecology
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