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Postpartum contraception

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https://www.readbyqxmd.com/read/29162140/using-a-multi-state-learning-community-as-an-implementation-strategy-for-immediate-postpartum-long-acting-reversible-contraception
#1
Carla L DeSisto, Cameron Estrich, Charlan D Kroelinger, David A Goodman, Ellen Pliska, Christine N Mackie, Lisa F Waddell, Kristin M Rankin
BACKGROUND: Implementation strategies are imperative for the successful adoption and sustainability of complex evidence-based public health practices. Creating a learning collaborative is one strategy that was part of a recently published compilation of implementation strategy terms and definitions. In partnership with the Centers for Disease Control and Prevention and other partner agencies, the Association of State and Territorial Health Officials recently convened a multi-state Learning Community to support cross-state collaboration and provide technical assistance for improving state capacity to increase access to long-acting reversible contraception (LARC) in the immediate postpartum period, an evidence-based practice with the potential for reducing unintended pregnancy and improving maternal and child health outcomes...
November 21, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29143644/the-effects-of-family-planning-and-other-factors-on-fertility-abortion-miscarriage-and-stillbirths-in-the-spectrum-model
#2
John Stover, William Winfrey
BACKGROUND: The Lives Saved Tool (LiST) estimates the effects of maternal and child health interventions on mortality rates and the number of deaths. The family planning module in Spectrum interacts with LiST by providing estimates of the effects of scaling up family planning use on the number of live births, miscarriages, abortions, and stillbirths. METHODS: We use the proximate determinants of fertility framework to estimate the effects of changes in contraceptive use, proportion married, postpartum insusceptibility, abortion and sterility on the total fertility rate...
November 7, 2017: BMC Public Health
https://www.readbyqxmd.com/read/29137510/accountable-care-reforms-improve-women-s-and-children-s-health-in-nepal
#3
Duncan Maru, Sheela Maru, Isha Nirola, Jonathan Gonzalez-Smith, Andrea Thoumi, Prajwol Nepal, Pushpa Chaudary, Indira Basnett, Krishna Udayakumar, Mark McClellan
Over the past decade the Ministry of Health of Nepal and the nonprofit Possible have partnered to deliver primary and secondary health care via a public-private partnership. We applied an accountable care framework that we previously developed to describe the delivery of their integrated reproductive, maternal, newborn, and child health services in the Achham district in rural Nepal. In a prospective pre-post study, examining pregnancies at baseline and 541 pregnancies in follow-up over the course of eighteen months, we found an improvement in population-level indicators linked to reducing maternal and infant mortality: receipt of four antenatal care visits (83 percent to 90 percent), institutional birth rate (81 percent to 93 percent), and the prevalence of postpartum contraception (19 percent to 47 percent)...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29133985/effects-of-immediate-postpartum-contraceptive-counseling-on-long-acting-reversible-contraceptive-use-in-adolescents
#4
Kasemsis Kaewkiattikun
Background: Adolescent pregnancy is a global public health problem, particularly repeated pregnancy. The best strategy to lower prevalence of adolescent pregnancy and repeated pregnancy is promoting highly effective long-acting contraceptive methods along with special counseling programs. Long-acting reversible contraception (LARC) is the ideal contraceptive of choice for adolescents. It is not known whether immediate postpartum contraceptive counseling increases postpartum LARC use in adolescents...
2017: Adolescent Health, Medicine and Therapeutics
https://www.readbyqxmd.com/read/29131703/expectant-inner-city-women-attitudes-about-contraception-given-infant-feeding-choice
#5
Elena Fuell Wysong, Krystel Tossone, Lydia Furman
PURPOSE: We sought to examine whether low-income inner-city expectant women who intend to breastfeed make different contraceptive choices than those who intend to formula feed. MATERIALS AND METHODS: This cross-sectional pilot study surveyed expectant women age 14 years and older receiving prenatal care at MacDonald Women's Hospital, Cleveland Ohio (01 November 2016-15 January 2017). Questions assessed knowledge and attitudes regarding infant feeding and contraception options, and postpartum feeding and contraceptive intentions...
November 13, 2017: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29131679/knowledge-and-opinions-of-postpartum-mothers-about-the-lactational-amenorrhea-method-the-turkish-experience
#6
Sevgi Özsoy, Hilmiye Aksu, Nevin Akdolun Balkaya, Gözde Demirsoy Horta
OBJECTIVE: This study was performed to investigate mothers' opinions and knowledge about the contraceptive feature of breastfeeding. BACKGROUND: Breastfeeding is quite beneficial in terms of mother, baby, and public health. Although it has long been known to have a contraceptive effect and although it is common in many countries, women usually do not use it as a contraceptive method. MATERIALS AND METHODS: This is a descriptive study and included 400 mothers in their early postpartum period...
November 13, 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/29125087/examining-temporal-shifts-in-the-proximate-determinants-of-fertility-in-low-and-middle-income-countries
#7
Erin Rogers, Rob Stephenson
Targeting reductions in fertility remains a key development goal, as too-high fertility hampers the economic and health prosperity of low- and middle-income countries. However, critical to the success of gaining reductions in fertility is the ability to understand the factors that are shaping fertility, and to understand the factors that are acting to keep fertility levels high. To contribute to this understanding, this study applied the Bongaarts (2015) adjusted proximate determinants of fertility model to 33 low- and middle-income countries using data collected from the Demographic and Health Survey (DHS) programme between 2000 and 2016...
November 10, 2017: Journal of Biosocial Science
https://www.readbyqxmd.com/read/29117764/counseling-and-in-advance-provision-of-levonorgestrel-emergency-contraceptive-pills-decrease-the-rate-of-unplanned-pregnancy-during-breastfeeding-a-randomized-controlled-trial
#8
Omar M Shaaban, Ahmed M Abbas, Hanaa R Mahmoud, Entsar M Yones, Shaimaa G Hassen, Mahmoud S Zakherah
OBJECTIVE: To evaluate the effect of counseling and in-advance provision of levonorgestrel emergency contraceptive pills (LNG-ECPs) during postpartum counseling on the incidence of occurrence of unplanned pregnancy during breastfeeding. MATERIALS AND METHODS: The current study is an open-label, parallel, randomized controlled trial carried out in a university hospital in Egypt. All women who delivered and planning to birth-space and breastfeed for at least 1 year were approached for participation during postpartum hospital stay...
November 8, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29096285/concordance-between-intention-to-use-and-current-use-of-contraceptives-among-six-month-postpartum-women-in-brazil-the-role-of-unplanned-pregnancy
#9
Ana Luiza Vilela Borges, Osmara Alves Dos Santos, Elizabeth Fujimori
OBJECTIVE: to examine the effect of pregnancy planning status in the concordance between intention to use and current use of contraceptives among postpartum women. DESIGN AND SETTING: a prospective study was conducted in 12 primary health care facilities in São Paulo, Brazil, from November 2013 to September 2014. PARTICIPANTS: A total of 264 woman aged 15-44 years old completed a face-to-face interview when they were pregnant (baseline), and were interviewed by phone at 6 months postpartum...
October 18, 2017: Midwifery
https://www.readbyqxmd.com/read/29091478/contraception-and-breastfeeding-at-4-months-postpartum-among-women-intending-to-breastfeed
#10
Alison N Goulding, Kathryn Wouk, Alison M Stuebe
OBJECTIVE: To estimate the association between postpartum contraception and breastfeeding among women intending to breastfeed. METHODS: We analyzed data from the Infant Feeding Practices Study II, a prospective cohort study of U.S. mothers (2005-2007). Among 1,349 women with prenatal intention to breastfeed at least 4 months who reported contraception use 3 months postpartum, we used multivariable logistic regression to estimate odds and predicted probabilities of breastfeeding by contraceptive category...
November 1, 2017: Breastfeeding Medicine: the Official Journal of the Academy of Breastfeeding Medicine
https://www.readbyqxmd.com/read/29081552/contraceptive-practice-in-sub-saharan-africa
#11
Amy O Tsui, Win Brown, Qingfeng Li
Forty eight of the African continent's 54 sovereign states are located in the Sub-Saharan Africa (SSA) region, with the government of each defining and shaping its own health services and delivery systems. This paper reviews the trends and patterns of contraceptive practice in the region. Using survey data available from the Demographic and Health Surveys and Performance Monitoring and Accountability 2020, the study finds modern contraceptive practice to be on the rise overall but with much geographic variation...
May 2017: Population and Development Review
https://www.readbyqxmd.com/read/29080696/women-s-experiences-with-immediate-postpartum-intrauterine-device-insertion-a-mixed-methods-study
#12
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/29073129/receipt-of-selected-preventive-health-services-for-women-and-men-of-reproductive-age-united-states-2011-2013
#13
Karen Pazol, Cheryl L Robbins, Lindsey I Black, Katherine A Ahrens, Kimberly Daniels, Anjani Chandra, Anjel Vahratian, Lorrie E Gavin
PROBLEM/CONDITION: Receipt of key preventive health services among women and men of reproductive age (i.e., 15-44 years) can help them achieve their desired number and spacing of healthy children and improve their overall health. The 2014 publication Providing Quality Family Planning Services: Recommendations of CDC and the U.S. Office of Population Affairs (QFP) establishes standards for providing a core set of preventive services to promote these goals. These services include contraceptive care for persons seeking to prevent or delay pregnancy, pregnancy testing and counseling, basic infertility services for those seeking to achieve pregnancy, sexually transmitted disease (STD) services, and other preconception care and related preventive health services...
October 27, 2017: MMWR. Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries
https://www.readbyqxmd.com/read/29065904/intrauterine-device-embedded-in-omentum-of-postpartum-patient-with-a-markedly-retroverted-uterus-a-case-report
#14
Dana A Neumann, Joseph A Graversen, Suzanne K Pugh
BACKGROUND: The intrauterine device is a popular form of long-acting reversible contraception. Although generally safe, one of the most serious complications of intrauterine device use is uterine perforation. Risk factors for perforation include position of the uterus, force exerted during intrauterine device insertion, postpartum period, and breastfeeding. This case is important and needs to be reported because it highlights the need to assess risk factors for uterine perforation. It adds to the medical literature because it examines the relationship between position of the uterus and the location of uterine perforation...
October 25, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29040004/building-bridges-a-case-for-community-health-worker-provision-of-misoprostol-only-abortion-in-the-first-trimester
#15
Claire Tebbets, Diana Santana, José Ros Silvestre, Dee Redwine
INTRODUCTION: The consequences of unsafe abortion are devastating to women, their families, and their communities. Medication abortion presents an important alternative to harmful self-induction practices and surgical intervention under questionable circumstances. In settings where mifepristone is unavailable, the use of misoprostol alone is a safe and effective option for terminating an unwanted pregnancy. Studies have demonstrated the safety and efficacy of administration of misoprostol by community health workers (CHW) for indications such as postpartum hemorrhage and treatment of incomplete abortion...
October 17, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/29033021/-smoking-cessation-and-pregnancy
#16
M Underner, O Pourrat, J Perriot, G Peiffer, N Jaafari
Active and passive smoking during pregnancy induce several deleterious effects that may have a negative impact on pregnancy progress, fetus development and both mother and newborn health. Smoking cessation should be a rule for any woman as soon as the beginning of her pregnancy, or better in anticipation of a pregnancy when contraception is no more taken. Every caregiver must help every pregnant woman who smokes to quit smoking. Smoking cessation interventions in pregnant women must combine a psychological support (mainly with cognitive behavioral therapy) and nicotine replacement therapy, which can also be used during breast feeding...
October 9, 2017: Gynecologie, Obstetrique, Fertilite & Senologie
https://www.readbyqxmd.com/read/29031815/uptake-and-correlates-of-contraception-among-postpartum-women-in-kenya-results-from-a-national-cross-sectional-survey
#17
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/29031048/trends-in-perinatal-health-in-metropolitan-france-from-1995-to-2016-results-from-the-french-national-perinatal-surveys
#18
B Blondel, B Coulm, C Bonnet, F Goffinet, C Le Ray
OBJECTIVE: To study trends in the main indicators of perinatal health, medical practices and risk factors in France since 1995. POPULATION AND METHOD: All live births during one week in 1995 (n=13,318), 2003 (n=14,737), 2010 (n=14,903) and 2016 (n=13,384). Data were from interviews of women in postpartum wards and from medical records and were compared between years. RESULTS: Between 1995 and 2016, maternal age and body mass index increased steadily...
October 11, 2017: Journal of gynecology obstetrics and human reproduction
https://www.readbyqxmd.com/read/29026742/contraceptive-behavior-of-couples-undergoing-sterilization-in-an-eastern-state-of-india
#19
Venkatarao Epari, Lipilekha Patnaik, Deepa Prasad, Trilochan Sahu, Arunkiran Soodireddy, Arabinda Acharya
BACKGROUND: As a part of a larger study for evaluating the effectiveness of a community-based family welfare program, this study assessed the contraceptive behavior of couples preceding sterilization and termination of pregnancies, if any during the interim period. METHODS: During May-June 2013, a cross-sectional study was undertaken in three districts of Odisha, an eastern state of India with poor maternal health indicators. Using a 15 × 14 cluster design with probability proportionate to size sampling 15 village clusters from each district were selected...
January 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29017990/healthy-beyond-pregnancy-a-web-based-intervention-to-improve-adherence-to-postpartum-care-randomized-controlled-feasibility-trial
#20
Katherine Park Himes, Heidi Donovan, Stephanie Wang, Carrie Weaver, Jillian Rae Grove, Francesca Lucia Facco
BACKGROUND: During the postpartum visit, health care providers address issues with short- and long-term implications for maternal and child health. Women with Medicaid insurance are less likely to return for a postpartum visit compared with women with private insurance. Behavioral economics acknowledges that people do not make exclusively rational choices, rather immediate gratification, cognitive and psychological biases, and social norms influence decision making. Drawing on insights from decision science, behavioral economists have examined how these biases can be modulated through carefully designed interventions...
October 10, 2017: JMIR Human Factors
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