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Postpartum contraception

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https://www.readbyqxmd.com/read/28448483/trends-in-repeat-births-and-use-of-postpartum-contraception-among-teens-united-states-2004-2015
#1
Deborah L Dee, Karen Pazol, Shanna Cox, Ruben A Smith, Katherine Bower, Martha Kapaya, Amy Fasula, Ayanna Harrison, Charlan D Kroelinger, Denise D'Angelo, Leslie Harrison, Emilia H Koumans, Nikki Mayes, Wanda D Barfield, Lee Warner
Teen* childbearing (one or more live births before age 20 years) can have negative health, social, and economic consequences for mothers and their children (1). Repeat teen births (two or more live births before age 20 years) can constrain the mother's ability to take advantage of educational and workforce opportunities (2), and are more likely to be preterm or of low birthweight than first teen births (3). Despite the historic decline in the U.S. teen birth rate during 1991-2015, from 61.8 to 22.3 births per 1,000 females aged 15-19 years (4), many teens continue to have repeat births (3)...
April 28, 2017: MMWR. Morbidity and Mortality Weekly Report
https://www.readbyqxmd.com/read/28432791/immediate-versus-delayed-postpartum-insertion-of-contraceptive-implant-for-contraception
#2
REVIEW
Jen Sothornwit, Yuthapong Werawatakul, Srinaree Kaewrudee, Pisake Lumbiganon, Malinee Laopaiboon
BACKGROUND: The spacing of pregnancies has a positive impact on maternal and newborn health. The progestin contraceptive implant, which is a long-acting, reversible method of contraception, has a well-established low failure rate that is compatible with tubal sterilization. The standard provision of contraceptive methods on the first postpartum visit may put some women at risk of unintended pregnancy, either due to loss to follow-up or having sexual intercourse prior to receiving contraception...
April 22, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/28410974/short-interpregnancy-intervals-results-from-the-first-baby-study
#3
Lisa M Masinter, Blair Dina, Kristen Kjerulff, Joe Feinglass
BACKGROUND: Short interpregnancy interval (SIPI), defined as 18 months or fewer between delivery and subsequent conception, has become an independent marker of maternal and child health. METHODS: We performed a secondary analysis of 18 months of data from The First Baby Study, a prospective cohort of women followed from pregnancy through 3 years after their first birth. Women with SIPIs by 6, 6 to 12, and 12 to 18 months were compared with those without conceptions at those times...
April 11, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28405115/acceptance-of-contraceptive-methods-among-postpartum-women-in-a-tertiary-care-center
#4
Charusheela Kashyap, Ipseeta Ray Mohanty, Pratima Thamke, Y A Deshmukh
BACKGROUND: In India, a large proportion of women with an unmet need for contraception are within their first year after childbirth. Therefore, concentrating efforts to educate postpartum women on the importance of attending contraceptive clinics could have a proportionally bigger impact on increasing postpartum contraception usage. METHODS: Hundred and seventy-eight (178) women were followed up to determine the proportion of postpartum women who attended the family planning clinics for contraceptive counseling...
April 2017: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/28401406/the-impact-of-militarism-patriarchy-and-culture-on-israeli-women-s-reproductive-health-and-well-being
#5
Leeat Granek, Ora Nakash
PURPOSE: In this paper, we situate and frame Israeli women's reproductive health within the social, historical, political, cultural, and geographical context of Israeli women's lives. METHODS: We used a theoretical review in this paper. RESULTS: Militarism, patriarchy, and cultural values heavily shape and influence Jewish and Arab women's access to and experience of reproductive health when it comes to the imperative to have children, pregnancy, birth, access to contraception and abortion, and other reproductive healthcare services...
April 11, 2017: International Journal of Behavioral Medicine
https://www.readbyqxmd.com/read/28383374/using-a-patient-navigator-to-improve-postpartum-care-in-an-urban-women-s-health-clinic
#6
Lynn M Yee, Noelle G Martinez, Antoinette T Nguyen, Nadia Hajjar, Melissa J Chen, Melissa A Simon
OBJECTIVE: To estimate whether postpartum visit attendance was improved in women exposed to a postpartum patient navigation program compared with those who received care immediately before the program's initiation and to assess whether other postpartum health behaviors improved during the intervention period. METHODS: This is a prospective observational study of women enrolled in a patient navigation program compared with women receiving care before the program...
May 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28380288/feasibility-and-acceptability-of-introducing-routine-antenatal-contraceptive-counselling-and-provision-of-contraception-after-delivery-the-apples-pilot-evaluation
#7
S T Cameron, A Craig, J Sim, A Gallimore, S Cowan, K Dundas, R Heller, D Milne, F Lakha
OBJECTIVE: To determine the feasibility and acceptability of routine antenatal contraceptive counselling and contraception provision including long acting reversible contraception (LARC) postpartum. DESIGN: Health service research evaluation. SETTING: Community antenatal clinics and hospital maternity settings in National Health Service, Scotland UK. POPULATION: Women booked for antenatal care. METHODS: Contraceptive counselling with a community midwife (22 weeks gestation) and provision of contraception (with facilitated access to LARC methods) prior to discharge from maternity hospital...
April 5, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28375776/advances-in-contraception-new-options-for-postpartum-women
#8
Rebecca L Taub, Jeffrey T Jensen
short interval repeat pregnancy increases maternal and neonatal morbidity, and provision of postpartum contraception provides primary protection against these adverse outcomes. Confusion regarding effects on breast feeding and thrombosis risk delaying initiation of contraception in the immediate post-partum interval. Delaying contraception provision until the 6-week postpartum visit misses many women who either do not attend or have resumed ovulation and/or intercourse prior to this visit. Because of this, recent studies have looked into initiation of highly effective contraceptive methods at earlier intervals including immediately postpartum...
May 2017: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/28368774/pregnancy-outcomes-following-ulipristal-acetate-emergency-contraception-failure-a-report-of-five-cases
#9
Zeynep Ozturk, Emine Akgul
INTRODUCTION: The emergency contraceptive ulipristal acetate (UPA) 30 mg is increasingly used by women, but there is no published data on UPA exposure in pregnancy. CASE REPORT: Here we describe five cases of unintended pregnancies following the use of UPA for emergency contraception. Of five pregnant women exposed to UPA, one decided to terminate the pregnancy for personal reasons. Two of them experienced premature rupture of membranes and the babies were born large for gestational age (LGA)...
April 3, 2017: Fetal and Pediatric Pathology
https://www.readbyqxmd.com/read/28365165/the-promotion-of-intrauterine-contraception-in-low-and-middle-income-countries-a-narrative-review
#10
REVIEW
John Cleland, Moazzam Ali, Lenka Benova, Marina Daniele
CONTEXT: The contribution of copper-bearing intrauterine devices (IUDs) to overall contraceptive protection has declined in many countries, despite their well-known advantages. In response, initiatives to promote this method have been undertaken. OBJECTIVE: To review and interpret the experience of interventions to promote use of IUDs in low- and middle-income countries in order to provide strategic guidance for policies and programs. METHODS: We conducted a systematic search of Medline, Popline, Embase and Global Health electronic databases for relevant journal papers, reports and gray literature since 2010...
March 30, 2017: Contraception
https://www.readbyqxmd.com/read/28348988/acceptance-rate-probability-of-follow-up-and-expulsion-of-postpartum-intrauterine-contraceptive-device-offered-at-two-primary-health-centers-north-india
#11
Shashi Kant, S Archana, Arvind Kumar Singh, Farhad Ahamed, Partha Haldar
INTRODUCTION: Acceptance rate of postpartum intrauterine contraceptive device (PPIUCD) offered through a public health approach is unknown. Our aim was to describe the acceptance rate, expulsion, and follow-up and factors associated with it when PPIUCD was offered to women delivering at two primary health centers (PHCs). METHODS: We analyzed routine health data of deliveries at two PHCs in district Faridabad, India between May and December 2014, having sociodemographic variables, obstetric history, and during the follow-up check-up at 6-weeks postpartum for in situ status of intrauterine contraceptive device, side effects, and complications...
October 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28342716/immediate-postpartum-intrauterine-device-and-implant-program-outcomes-a-prospective-analysis
#12
Jennifer L Eggebroten, Jessica N Sanders, David K Turok
BACKGROUND: In-hospital placement of intrauterine devices and contraceptive implants following vaginal and cesarean delivery is increasingly popular and responds to maternal motivation for highly effective postpartum contraception. Immediate postpartum intrauterine device insertion is associated with higher expulsion than interval placement, but emerging evidence suggests that the levonorgestrel intrauterine device may have a higher expulsion rate than the copper intrauterine device. OBJECTIVE: This study evaluated in-hospital provision, expulsion, and 6-month continuation of immediate postpartum copper T380 intrauterine devices, levonorgestrel intrauterine devices, and contraceptive implants...
March 23, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28330336/postpartum-modern-contraceptive-use-and-associated-factors-in-northern-ethiopia
#13
Teklehaymanot Huluf Abraha, Alemayehu Shimeka Teferra, Abebaw Addis Gelagay
OBJECTIVES: Postpartum period is a critical period to address high unmet needs of family planning and to reduce the risks of closely spaced pregnancies. However, contraception during extended postpartum period has given less emphasis concerning contraceptive practice in Ethiopia. Therefore, this study was aimed to assess postpartum modern contraceptive use and associated factors among postpartum women in Northern Ethiopia. METHODS: A community based cross sectional study was done from March to April, 2015...
March 20, 2017: Epidemiology and Health
https://www.readbyqxmd.com/read/28320478/postpartum-intentions-on-contraception-use-and-method-choice-among-breastfeeding-women-attending-a-university-hospital-in-ohio-a-cross-sectional-study
#14
Yiska Loewenberg Weisband, Lisa M Keder, Sarah A Keim, Maria F Gallo
BACKGROUND: Few postpartum women use effective contraception and those who use less effective methods have increased rates of unintended pregnancy. Little is known about postpartum contraception intentions among breastfeeding women. Our objectives were to measure the extent of prenatal contraceptive counseling, to assess contraceptive intentions, and to identify correlates of both among postpartum women who were planning to breastfeed. METHODS: We conducted a cross-sectional study using a convenience sample of 100 breastfeeding women before their discharge following delivery at a large university hospital in 2015...
March 20, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28292333/location-and-content-of-counselling-and-acceptance-of-postpartum-iud-in-sri-lanka
#15
Mahesh Karra, David Canning, Sorcha Foster, Iqbal H Shah, Hemantha Senanayake, U D P Ratnasiri, Ramya Priyanwada Pathiraja
BACKGROUND: The immediate postpartum IUD (PPIUD) is a long-acting, reversible method of contraception that can be used safely and effectively following a birth. To appropriately facilitate the immediate postpartum insertion of IUDs, women must be informed of the method's availability and must be counselled on its benefits and risks prior to entering the delivery room. We examine the relationship between the location and quality of antenatal counselling and women's acceptance of immediate postpartum IUD (PPIUD) in four hospitals in Sri Lanka...
March 14, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28263752/racial-and-ethnic-disparities-in-postpartum-care-and%C3%A2-contraception-in-california-s-medicaid-program
#16
Heike Thiel de Bocanegra, Monica Braughton, Mary Bradsberry, Mike Howell, Julia Logan, Eleanor Bimla Schwarz
BACKGROUND: Considerable racial and ethnic disparities have been identified in maternal and infant health in the United States, and access to postpartum care likely contributes to these disparities. Contraception is an important component of postpartum care that helps women and their families achieve optimal interpregnancy intervals and avoid rapid repeat pregnancies and preterm births. National quality measurements to assess postpartum contraception are being developed and piloted. OBJECTIVE: To assess racial/ethnic variation in receipt of postpartum care and contraception among low-income women in California...
March 3, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28257962/postpartum-contraception-initiation-and-effectiveness-in-a%C3%A2-large-universal-healthcare-system
#17
Michael R Brunson, David A Klein, Cara H Olsen, Larissa F Weir, Timothy A Roberts
BACKGROUND: Repeat pregnancies after a short interpregnancy interval are common and are associated with negative maternal and infant health outcomes. Few studies have examined the relative effectiveness of postpartum contraceptive choices. OBJECTIVE: We aimed to determine the initiation trends and relative effectiveness of postpartum contraceptive methods, with typical use, on prevention of short delivery intervals (≤27 months) among women with access to universal healthcare, including coverage that entails no co-payments and allows unlimited contraceptive method switching...
February 28, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28256913/family-planning-and-zika-virus-need-for-renewed-and-cohesive-efforts-to-ensure-availability-of-intrauterine-contraception-in-latin-america-and-the-caribbean
#18
Moazzam Ali, Kelsey Miller, Rodolfo Federico Gómez Ponce de Leon
OBJECTIVES: The advantages of intrauterine contraception (IUC) are well established (highly effective, low discontinuation rate, easy to use, low cost, and suitable for immediate postpartum use), but low levels of use in many countries and declining use in others are causes for concern. Due to the ongoing Zika virus outbreak, public health officials are calling for the continued practice of safe sex and the delay of pregnancy. Our study was conducted to assess the current situation of IUC availability and provision in Latin America and to determine the role of national policies in meeting the contraceptive needs of the populations in these countries...
April 2017: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/28238839/postpartum-weight-loss-in-overweight-and-obese-women-using-the-etonogestrel-subdermal-implant-a-pilot-study
#19
Leanne Griffin, Cassing Hammond, Dachao Liu, Alfred W Rademaker, Jessica Kiley
OBJECTIVE: To compare weight loss during the first 6months postpartum in overweight and obese women using the etonogestrel-implant, placed in the immediate postpartum period, with that of controls using non-hormonal contraception, utilizing a pilot design. STUDY DESIGN: Pilot, prospective cohort study. Analysis groups were divided by body mass index (BMI) (Overweight: 25-29.9kg/m(2); Class I Obesity: 30-34.5kg/m(2); Class II Obesity: 35-39.9kg/m(2)) and grouped by use of etonogestrel implant or non-hormonal contraception for all outcomes...
February 24, 2017: Contraception
https://www.readbyqxmd.com/read/28146586/making-the-continuum-of-care-work-for-mothers-and-infants-does-gender-equity-matter-findings-from-a-quasi-experimental-study-in-bihar-india
#20
Lotus McDougal, Yamini Atmavilas, Katherine Hay, Jay G Silverman, Usha K Tarigopula, Anita Raj
BACKGROUND: Improvements in continuum of care (CoC) utilization are needed to address inadequate reductions in neonatal and infant mortality in India and elsewhere. This study examines the effect of Ananya, a health system training and community outreach intervention, on reproductive, maternal and newborn health continuum of care (RMNH CoC) utilization in Bihar, India, and explores whether that effect is moderated by gender equity factors (child marriage, restricted mobility and low decision-making control)...
2017: PloS One
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