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"Contraceptive method" and failure

Laura Lindberg, John Santelli, Sheila Desai
PURPOSE: The decline in U.S. adolescent fertility has accelerated since 2007. Modeling fertility change using behavioral data can inform adolescent pregnancy prevention efforts. METHODS: We used data on sexual activity and contraceptive use from National Surveys of Family Growth for young women 15-19 years of age, and contraceptive failure rates, to estimate a Pregnancy Risk Index (PRI) for the periods 2007, 2009, and 2012. Logistic regression was used to test for change over time in sexual activity, contraceptive use, and PRI...
August 15, 2016: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Faria Afsana
Contraception for women with diabetes mellitus is an important issue mainly as the pregnancy outcome depends on glycaemic control before conception among women with diabetes. Type of diabetes as type 1 or type 2 Diabetes, women with history of gestational diabetes and breast feeding diabetic mothers may be a consideration in selecting a contraceptive .On the other hand presence of diabetic complications is a significant determinant. Different methods of contraception as oral, injectable, implant, intrauterine devices are available...
September 2016: JPMA. the Journal of the Pakistan Medical Association
Faria Afsana
Contraception for women with diabetes mellitus is an important issue mainly as the pregnancy outcome depends on glycaemic control before conception among women with diabetes. Type of diabetes as type 1 or type 2 Diabetes, women with history of gestational diabetes and breast feeding diabetic mothers may be a consideration in selecting a contraceptive .On the other hand presence of diabetic complications is a significant determinant. Different methods of contraception as oral, injectable, implant, intrauterine devices are available...
September 2016: JPMA. the Journal of the Pakistan Medical Association
W Canestaro, E Vodicka, D Downing, J Trussell
OBJECTIVES: Mandatory employer-based insurance coverage of contraception in the U.S. has been a controversial component of the Affordable Care Act (ACA). Prior research has examined the cost effectiveness of contraception in general; however, no studies have developed a formal decision-model in the context of the new ACA provisions. As such, this study aims to estimate the relative cost effectiveness of insurance coverage of contraception under employer-sponsored insurance coverage taking into consideration newer regulations allowing for religious exemptions...
August 16, 2016: Contraception
Jesse Rattan, Elizabeth Noznesky, Dora Ward Curry, Christine Galavotti, Shuyuan Hwang, Mariela Rodriguez
The global health community has recognized that expanding the contraceptive method mix is a programmatic imperative since (1) one-third of unintended pregnancies are due to method failure or discontinuation, and (2) the addition of a new method to the existing mix tends to increase total contraceptive use. Since July 2011, CARE has been implementing the Supporting Access to Family Planning and Post-Abortion Care (SAFPAC) initiative to increase the availability, quality, and use of contraception, with a particular focus on highly effective and long-acting reversible methods-intrauterine devices (IUDs) and implants-in crisis-affected settings in Chad and the Democratic Republic of the Congo (DRC)...
August 11, 2016: Global Health, Science and Practice
Theresa A Lawrie, Regina Kulier, Juan Manuel Nardin
BACKGROUND: This is an update of a review that was first published in 2002. Female sterilisation is the most popular contraceptive method worldwide. Several techniques exist for interrupting the patency of fallopian tubes, including cutting and tying the tubes, damaging the tube using electric current, applying clips or silicone rubber rings, and blocking the tubes with chemicals or tubal inserts. OBJECTIVES: To compare the different tubal occlusion techniques in terms of major and minor morbidity, failure rates (pregnancies), technical failures and difficulties, and women's and surgeons' satisfaction...
2016: Cochrane Database of Systematic Reviews
A Bajracharya
Background Failure to plan a pregnancy can adversely affect the health of the family as a whole. High parity is related to increased maternal, perinatal and infant deaths and is associated with nutritional problems of both mother and child. Hence, good knowledge, attitude and practice of family planning among women are important. This study is aimed to determine the knowledge, attitude and practice of contraception among the postpartum women attending Kathmandu Medical College Teaching Hospital. Objective To determine the knowledge, attitude and the practice of various contraceptive methods among the postpartum women...
October 2015: Kathmandu University Medical Journal (KUMJ)
Juliet Richters, Suzanne Fitzadam, Anna Yeung, Theresa Caruana, Chris Rissel, Judy M Simpson, Richard O de Visser
OBJECTIVE: To document the use of contraception by a representative sample of Australian women aged 16-49 years and compare it with 2001-2002. METHODS: Women were asked about their use of contraception and method used or reason for non-use during computer-assisted telephone interviews in 2012-2013. Women were sampled by random digit dialling of landline and mobile phones (participation rate 67.2%). RESULTS: 81% of a weighted sample of 5654 heterosexually active women interviewed were using a method of contraception including sterilisation; this amounts to 66% of all women aged 16-49...
June 29, 2016: Contraception
Lynn M Yee, Katherine C Farner, Erin King, Melissa A Simon
BACKGROUND: Contraceptive counseling can increase postpartum contraception use, yet the optimal method and timing for counseling are unknown. The objective was to investigate preferences of underserved pregnant and postpartum women regarding contraception use and counseling. METHOD: Surveys regarding contraception experiences and perceptions of contraceptive counseling were conducted with 57 women age 18 and older who were postpartum or antepartum with a previous delivery within 5 years and receiving Medicaid-funded care at an academic medical center...
October 2015: Journal of Pregnancy and Child Health
Ekachai Kovavisarach, Suppasak Lorthanawanich, Pairat Muangsamran
BACKGROUND: Coitus interruptus, a common contraceptive method, has a high failure rate. Two reasons have been proposed for this: delayed withdrawal after ejaculation and presence of sperm in the pre-ejaculatory fluid. OBJECTIVE: To determine whether sperm was present in the pre-ejaculatory fluid of healthy males. MATERIAL AND METHOD: A total of 42 healthy Thai men were enrolled in the study between August 1, 2009 and November 30, 2009 at the Department of Obstetrics and Gynecology, Rajavithi Hospital...
February 2016: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
Pelin Batur, Lisa N Kransdorf, Petra M Casey
Emergency contraception (EC) may help prevent pregnancy in various circumstances, such as contraceptive method failure, unprotected sexual intercourse, or sexual assault, yet it remains underused. There are 4 approved EC options in the United States. Although ulipristal acetate requires a provider's prescription, oral levonorgestrel (LNG) is available over the counter for women of all ages. The most effective method of EC is the copper intrauterine device, which can be left in place for up to 10 years for efficacious, cost-effective, hormone-free, and convenient long-term primary contraception...
June 2016: Mayo Clinic Proceedings
Ellen Marie Strøm-Roum, Julie Lid, Anne Eskild
OBJECTIVES: Among women requesting pregnancy termination, we studied the proportion of women who reported having used contraception when they became pregnant and the contraceptive method that they had used. STUDY DESIGN: We included all requests for pregnancy termination in Norway during the years 2007-2011 (n=80,346) by obtaining information from the Norwegian Registry of Pregnancy Termination. By using a logistic regression model, we estimated odds ratios for using any contraceptive method associated with the woman's age, previous childbirth, previous pregnancy termination, marital status, employment status and educational level...
August 2016: Contraception
Chelsea B Polis, Sarah E K Bradley, Akinrinola Bankole, Tsuyoshi Onda, Trevor Croft, Susheela Singh
BACKGROUND: While most unintended pregnancies occur because couples do not use contraception, contraceptive failure is also an important underlying cause. However, few recent studies outside of the United States have estimated contraceptive failure rates, and most such studies have been restricted to married women, to a limited number of countries and to 12-month failure rate estimates. METHODS: Using self-reported data from 43 countries with Demographic and Health Survey data, we estimated typical-use contraceptive failure rates for seven contraceptive methods at 12, 24 and 36months of use...
July 2016: Contraception
Luis R Hoyos, Jocelyn Leon-Peters, Jay M Berman, Michael Hertz
OBJECTIVE: Hysteroscopic sterilization (HS) has become one of the most common permanent contraception methods in the U.S. However, recent evidence suggests that the failure rate may be higher than previously reported. We describe women with a history of HS presenting for abortion at a 3-site urban abortion clinic. STUDY DESIGN: Retrospective case series of patients with previous HS who presented to a 3-site urban abortion clinic for pregnancy termination from October 2012 to February 2015...
July 2016: Contraception
Katarzyna Piotrowska, Christina Wang, Ronald S Swerdloff, Peter Y Liu
Family planning is a shared responsibility, but available male-directed contraceptive methods are either not easily reversible (vasectomy) or not sufficiently effective (condom). However, roughly 20% of couples using a contraceptive method worldwide, and up to 80% in some countries, still choose a male-directed method. Male hormonal contraception is highly effective, with perfect use failure rates of 0·6% (95% CI 0·3-1·1) if sperm concentrations of less than 1 million per mL are maintained. After cessation of male hormonal contraception, sperm output fully recovers in a predictable manner, resulting in pregnancies and livebirths...
February 22, 2016: Lancet Diabetes & Endocrinology
Andrew G Herzog, Hannah B Mandle, Kaitlyn E Cahill, Kristen M Fowler, W Allen Hauser, Anne R Davis
OBJECTIVE: To report the contraceptive practices of women with epilepsy (WWE) in the community, predictors of highly effective contraception use, and reasons WWE provide for the selection of a particular method. METHODS: These cross-sectional data come from the Epilepsy Birth Control Registry (EBCR) web-based survey regarding the contraceptive practices of 1,144 WWE in the community, ages 18-47 years. We report demographic, epilepsy, and antiepileptic drug (AED) characteristics as well as contraceptive use...
April 2016: Epilepsia
Dominica Zentner, Aneta Kotevski, Ingrid King, Leeanne Grigg, Yves d'Udekem
BACKGROUND: Women with a Fontan circulation are deemed at significantly increased risk of maternal morbidity and mortality during pregnancy. Publications describe a small number of pregnancies worldwide and a high rate of miscarriage. We compiled the experience of women enrolled in the Australia and New Zealand Fontan (ANZ) Registry with regard to menarche, contraceptive use, pregnancy advice and pregnancy outcomes. METHODS: Women within the ANZ Fontan Registry were contacted and asked to consent to receiving sequential questionnaires...
April 1, 2016: International Journal of Cardiology
Gloria K Mayondi, Kathleen Wirth, Chelsea Morroni, Sikhulile Moyo, Gbolahan Ajibola, Modiegi Diseko, Maureen Sakoi, Jane Dipuo Magetse, Kebaiphe Moabi, Jean Leidner, Joseph Makhema, Betsy Kammerer, Shahin Lockman
BACKGROUND: Little is known about the impact of knowledge of HIV serostatus on pregnancy intention and contraceptive use in high-HIV-burden southern African settings in the era of widespread antiretroviral treatment availability. METHODS: We analyzed interview data collected among 473 HIV-uninfected and 468 HIV-infected pregnant and recently postpartum women at two sites in southern Botswana. Participants were interviewed about their knowledge of their HIV status prior to pregnancy, intendedness of the pregnancy, contraceptive use, and future childbearing desires...
2016: BMC Public Health
George A Kanakis, Dimitrios G Goulis
Despite the variety of available female contraceptive methods, many pregnancies (~50%) are still undesired. Many men (>60%) want to participate equally with their partner in family planning; however, male contraceptive methods (MCMs) account for only 14% of those used worldwide and no pharmaceutical MCM is available so far. The only two MCMs currently available are condoms, which despite protecting against sexually transmitted diseases have high failure rates (~19%), and vasectomy, which though very efficient (99%) is poorly reversible (<50%)...
October 2015: Hormones: International Journal of Endocrinology and Metabolism
Corinne H Rocca, Kirsten M J Thompson, Suzan Goodman, Carolyn L Westhoff, Cynthia C Harper
BACKGROUND: Almost one-half of women having an abortion in the United States have had a previous procedure, which highlights a failure to provide adequate preventive care. Provision of intrauterine devices and implants, which have high upfront costs, can be uniquely challenging in the abortion care setting. OBJECTIVE: We conducted a study of a clinic-wide training intervention on long-acting reversible contraception and examined the effect of the intervention, insurance coverage, and funding policies on the use of long-acting contraceptives after an abortion...
June 2016: American Journal of Obstetrics and Gynecology
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