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Abortion, contraception, family planning

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https://www.readbyqxmd.com/read/28631406/a-cross-sectional-analysis-of-kenyan-postabortion-care-services-using-a-nationally-representative-sample
#1
Michael M Mutua, Thomas N O Achia, Beatrice W Maina, Chimaraoke O Izugbara
OBJECTIVE: To assess quality of postabortion care (PAC) offered by Kenyan healthcare facilities. METHODS: A cross-sectional survey was conducted using data from the Incidence and Magnitude of Unsafe Abortions study, conducted among 326 PAC-providing healthcare facilities throughout Kenya from March 13 to June 30, 2012. Descriptive results with weighted proportions and an ordered probit model were used. RESULTS: Overall, 408 (41.8%) first-trimester PAC cases were treated using appropriate technology versus 826 (82...
June 20, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28619034/evaluation-of-two-intervention-models-on-contraceptive-attitudes-and-behaviors-among-nulliparous-women-in-shanghai-china-a-clustered-randomized-controlled-trial
#2
Yuan He, Ning Zhang, Jue Wang, Na He, Yan Du, Jing-Xin Ding, Ying Zhang, Xiao-Tian Li, Jian Huang, Ke-Qin Hua
BACKGROUND: With increasing acceptance of premarital sex among young Chinese women, the rates of unintended pregnancies and induced abortions are becoming alarmingly high, suggesting the needs of educating women with adequate contraceptive knowledge and providing them with accessible contraceptive services. Previous studies have shown that knowledge and attitudes towards contraception could be modified through intervention strategies. This study aimed to evaluate the effects of two community intervention models on modifying contraceptive attitudes and behaviors among nulliparous women...
June 15, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28615119/schizophrenia-and-induced-abortions-a-national-register-based-follow-up-study-among-finnish-women-born-between-1965-1980-with-schizophrenia-or-schizoaffective-disorder
#3
Laura Simoila, Erkki Isometsä, Mika Gissler, Jaana Suvisaari, Eila Sailas, Erja Halmesmäki, Nina Lindberg
BACKGROUND: The objectives of this study were to investigate, in women with schizophrenia or schizoaffective disorder, the number and incidence of induced abortions (= pregnancy terminations performed by a physician), their demographic characteristics, use of contraceptives, plus indications of and complications related to pregnancy termination. METHODS: Using the Care Register for Health Care, we identified Finnish women born between the years 1965-1980 who were diagnosed with either schizophrenia or schizoaffective disorder during the follow-up period ending 31...
June 11, 2017: Schizophrenia Research
https://www.readbyqxmd.com/read/28610899/reproductive-rights-advocacy-not-just-for-the-family-planning-community
#4
Cara C Heuser, Karen J Gibbins, Marcela C Smid, D Ware Branch
Women and families benefit from access to the full spectrum of reproductive care, including family-planning services. We commend our family-planning colleagues on their tireless dedication to preserve the rights of women through advocacy. While several of our perinatology peers have also set an example by dedication to these issues, advocacy for patient access to reproductive care options has not been a focus of the larger perinatology community. The time has come for individual perinatologists, as well as the overall perinatology community, to join them and do the work needed to preserve access to safe care, including contraception and abortion services...
June 10, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28606181/women-s-views-and-experiences-of-a-mobile-phone-based-intervention-to-support-post-abortion-contraception-in-cambodia
#5
Chris Smith, Sokhey Ly, Vannak Uk, Ruby Warnock, Caroline Free
BACKGROUND: The MObile Technology for Improved Family Planning (MOTIF) trial assessed a mobile phone-based intervention comprising voice messages and counsellor support to increase post-abortion contraception at four Marie Stopes International clinics in Cambodia. The aim of this process evaluation was to assess women's views and experiences of receiving the MOTIF intervention, gain insights into the mechanism of action of the intervention and seek recommendations for improvements. METHODS: We conducted a qualitative study comprising15 semi-structured interviews with women who had received the intervention and undertook a simple thematic analysis...
June 12, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28578152/examining-intendedness-among-pregnancies-ending-in-spontaneous-abortion
#6
Rachel Flink-Bochacki, Leslie A Meyn, Beatrice A Chen, Sharon L Achilles, Judy C Chang, Sonya Borrero
OBJECTIVES: Spontaneous abortion (SAB) affects over 1 million US women each year, yet little is known about the intendedness of these pregnancies. We examined prevalence and correlates of unintended and unwanted pregnancies ending in SAB. STUDY DESIGN: We used nationally-representative cross-sectional data of US women aged 15-44 from the 2011-2013 National Survey of Family Growth to examine pregnancies ending in SAB. We used modified Poisson regression models to evaluate associations between demographic and pregnancy characteristics with unintended and unwanted pregnancy...
May 31, 2017: Contraception
https://www.readbyqxmd.com/read/28524326/family-planning-knowledge-and-use-among-women-in-camps-for-internally-displaced-people-in-the-democratic-republic-of-the-congo
#7
Rogatien M Kisindja, Christophe Kimona, Modestine Etoy, Florby Dorme, Nerys Benfield
OBJECTIVE: To describe family planning awareness and needs among internally displaced women residing in the Mugunga camps in North Kivu, eastern Democratic Republic of the Congo. METHODS: A cross-sectional survey of women aged 14-45 years residing in the Mugunga camps was conducted during March 2014. The verbally administered survey assessed participants' obstetric history and their family planning knowledge, interest, and use. Descriptive statistics were obtained...
May 19, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28510463/factors-associated-with-incidence-of-induced-abortion-in-hamedan-iran
#8
Hatam Hosseini, Amir Erfani, Marzieh Nojomi
BACKGROUND: There is limited reliable information on abortion in Iran, where abortion is illegal and many women of reproductive age seek clandestine abortion to end their unintended pregnancy. This study aims to examine the determinants of induced abortion in the city of Hamedan, Iran. METHODS: The study utilizes recent data from the 2015 Hamedan Survey of Fertility, conducted in a representative sample of 3,000 married women aged 15-49 years in the city of Hamedan, Iran...
May 2017: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/28365165/the-promotion-of-intrauterine-contraception-in-low-and-middle-income-countries-a-narrative-review
#9
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...
June 2017: Contraception
https://www.readbyqxmd.com/read/28330857/estimated-disability-adjusted-life-years-averted-by-free-of-charge-provision-of-the-levonorgestrel-releasing-intrauterine-system-over-a-9-year-period-in-brazil
#10
Jessica M Ferreira, Ilza Monteiro, Arlete Fernandes, Maria V Bahamondes, Ana Pitoli, Luis Bahamondes
BACKGROUND: The objective was to analyse the contribution of the provision at no cost to users of the 20 µg/day levonorgestrel-releasing intrauterine system (LNG-IUS) towards disability-adjusted life years (DALY) averted over a 9-year period. METHODS: We analysed data from 15 030 new users of the LNG-IUS who had the device inserted at 26 Brazilian teaching hospitals between January 2007 and December 2015. The devices came from the International Contraceptive Access Foundation (ICA), a not-for-profit foundation that donates the devices to developing countries for use by low-income women who desire long-term contraception and who freely choose to use this device...
March 22, 2017: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/28315546/unintended-pregnancy-a-systematic-review-of-contraception-use-and-counseling-in-women-with-cancer
#11
Laura Britton
BACKGROUND: Women with past or current cancer diagnoses can benefit from planning pregnancies to optimize maternal health and birth outcomes.
. OBJECTIVES: The purpose of this systematic review is to identify unmet needs for family planning services among women with cancer by describing the prevalence of contraception counseling, contraception use, unintended pregnancy, and abortion.
. METHODS: Using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, 16 studies were included...
April 1, 2017: Clinical Journal of Oncology Nursing
https://www.readbyqxmd.com/read/28296626/multiple-levels-of-social-influence-on-adolescent-sexual-and-reproductive-health-decision-making-and-behaviors-in-ghana
#12
Sneha Challa, Abubakar Manu, Emmanuel Morhe, Vanessa K Dalton, Dana Loll, Jessica Dozier, Melissa K Zochowski, Andrew Boakye, Richard Adanu, Kelli Stidham Hall
Little is known about the multilevel social determinants of adolescent sexual and reproductive health (SRH) that shape the use of family planning (FP) among young women in Africa. We conducted in-depth, semi-structured, qualitative interviews with 63 women aged 15-24 years in Accra and Kumasi, Ghana. We used purposive, stratified sampling to recruit women from community-based sites. Interviews were conducted in English or local languages, recorded, and transcribed verbatim. Grounded theory-guided thematic analysis identified salient themes...
March 15, 2017: Women & Health
https://www.readbyqxmd.com/read/28284230/integrating-postabortion-care-menstrual-regulation-and-family-planning-services-in-bangladesh-a-pre-post-evaluation
#13
Kamal K Biswas, Erin Pearson, S M Shahidullah, Sharmin Sultana, Rezwana Chowdhury, Kathryn L Andersen
BACKGROUND: In Bangladesh, abortion is restricted except to save the life of a woman, but menstrual regulation is allowed to induce menstruation and return to non-pregnancy after a missed period. MR services are typically provided through the Directorate General of Family Planning, while postabortion care services for incomplete abortion are provided by facilities under the Directorate General of Health Services. The bifurcated health system results in reduced quality of care, particularly for postabortion care patients whose procedures are often performed using sub-optimal uterine evacuation technology and typically do not receive postabortion contraceptive services...
March 11, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28266874/development-and-validation-of-a-scale-to-measure-adolescent-sexual-and-reproductive-health-stigma-results-from-young-women-in-ghana
#14
Kelli Stidham Hall, Abubakar Manu, Emmanuel Morhe, Lisa H Harris, Dana Loll, Elizabeth Ela, Giselle Kolenic, Jessica L Dozier, Sneha Challa, Melissa K Zochowski, Andrew Boakye, Richard Adanu, Vanessa K Dalton
Young women's experiences with sexual and reproductive health (SRH) stigma may contribute to unintended pregnancy. Thus, stigma interventions and rigorous measures to assess their impact are needed. Based on formative work, we generated a pool of 51 items on perceived stigma around different dimensions of adolescent SRH and family planning (sex, contraception, pregnancy, childbearing, abortion). We tested items in a survey study of 1,080 women ages 15 to 24 recruited from schools, health facilities, and universities in Ghana...
March 7, 2017: Journal of Sex Research
https://www.readbyqxmd.com/read/28160892/family-planning-american-style-redux-unintended-pregnancy-improves-barriers-remain
#15
REVIEW
Lauren Thaxton, Eve Espey
This article discusses barriers to reducing unintended pregnancy. Numerous factors may explain the high rate of unintended pregnancy in the United States, including inadequate sex education, confusing media messages about sex, cultural attitudes about sex and young parenting, conflation of contraception with abortion, inadequate health care access, burdensome contraceptive dispensing practices, and hospital merger limitations on care. Successful and promising approaches to expanding access to reproductive health care and reducing unintended pregnancy are discussed...
March 2017: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/28153056/study-protocol-on-establishment-of-sentinel-sites-network-for-contraceptive-and-abortion-trends-needs-and-utilization-of-services-in-zika-virus-affected-countries
#16
Moazzam Ali, Kelsey Miller, Rachel Folz, Brooke Ronald Johnson, James Kiarie
BACKGROUND: ZIKV(Zika Virus) during pregnancy can result in many adverse events such as fetal deaths or newborns with congenital abnormalities including microcephaly and other neural irregularities. Due to these harmful outcomes of pregnancy associated with the Zika virus, we can expect to see a change in the type and scale of demand for family planning and safe abortion services in areas affected by the Zika virus. The monitoring and reporting capacities of the local health clinics in these areas could benefit from the introduction of infrastructural improvements necessary to establish a sentinel site network...
February 2, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28153043/a-study-protocol-for-facility-assessment-and-follow-up-evaluations-of-the-barriers-to-access-availability-utilization-and-readiness-of-contraception-abortion-and-postabortion-services-in-zika-affected-areas
#17
Moazzam Ali, Rachel Folz, Kelsey Miller, Brooke Ronald Johnson, James Kiarie
BACKGROUND: The Zika virus epidemic in Latin America has elicited official recommendations for women to delay or avoid pregnancy in affected countries, which has increased demand for family planning services. It is likely, however, that health facilities in areas where the population is most vulnerable to the disease lack the capacity to respond to the increased demand for family planning services. Our objectives are to perform facilities assessment and understand client perceptions in areas affected by Zika virus, and to track changes in these parameters over time...
February 2, 2017: Reproductive Health
https://www.readbyqxmd.com/read/28139535/natural-menopause-among-women-below-50-years-in-india-a-population-based-study
#18
Saseendran Pallikadavath, Reuben Ogollah, Abhishek Singh, Tara Dean, Ann Dewey, William Stones
BACKGROUND & OBJECTIVES: The age at which menopause naturally occurs may reflect nutritional and environmental circumstances as well as genetic factors. In this study we examined natural menopause as a marker of women's health at the population level in India and in some major States. METHODS: Data from the Indian District Level Household Survey (DLHS) carried out during 2007-2008 covering 643,944 ever-married women aged 15-49 yr were used; women of older ages were not included in this survey...
September 2016: Indian Journal of Medical Research
https://www.readbyqxmd.com/read/28031055/the-returns-of-family-planning-macro-level-assessment-of-the-effect-of-contraceptive-use-on-women-s-anaemia-and-childhood-undernutrition
#19
Md Juel Rana, Srinivas Goli
This study investigated the effect of family planning on the levels of women's anaemia and child undernutrition at the aggregate level using the compiled databases of the World Bank, UNICEF and the Economist Intelligence Unit. Correlation scatter matrix plots and multivariate OLS regression models were employed to assess the effect of family planning on women's anaemia and child nutritional status across countries. At the aggregate level, the bivariate correlation estimates found that the Contraceptive Prevalence Rate (CPR) was negatively associated with women's anaemia (r=-0...
December 29, 2016: Journal of Biosocial Science
https://www.readbyqxmd.com/read/27861487/lifetime-abortion-of-female-sex-workers-in-iran-findings-of-a-national-bio-behavioural-survey-in-2010
#20
MULTICENTER STUDY
Mohammad Karamouzian, Ali Mirzazadeh, Mostafa Shokoohi, Razieh Khajehkazemi, Abbas Sedaghat, Ali Akbar Haghdoost, Hamid Sharifi
INTRODUCTION: Unintended pregnancies and abortion may be considered as occupational hazards for female sex workers (FSWs). As our understanding of contraceptive and abortion practices of Iranian FSWs is very limited, this study tries to assess the dynamics of contraception and abortion among this sub-population. METHODS: This survey was conducted in 2010, by recruiting 872 FSWs through facility-based sampling from 21 sites in 14 cities in Iran. Data were collected through face-to-face interviews using a pilot-tested standardized risk assessment questionnaire...
2016: PloS One
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