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Abortion, contraception, family planning

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https://www.readbyqxmd.com/read/28160892/family-planning-american-style-redux-unintended-pregnancy-improves-barriers-remain
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/27787288/family-planning-and-the-zika-era
#7
Lisa M Goldthwaite, Griselda Velasquez
PURPOSE OF REVIEW: To review the current evidence regarding the impact of the Zika virus epidemic on pregnancy and the implications for family planning and reproductive health services for women in affected countries. RECENT FINDINGS: In the past 2 years, over the course of the Zika epidemic, much has been learned about the virus. Specifically in regard to pregnancy, a causative relationship has been established between the Zika virus and adverse fetal outcomes, and sexual transmission of the virus has been documented...
December 2016: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27783059/the-other-side-how-does-informed-choice-affect-induced-abortions-among-reproductive-age-immigrant-women-in-china-a-cross-sectional-study
#8
Chuanning Yu, Junqing Wu, Yuyan Li, Ying Zhou, Rui Zhao, Honglei Ji, Yi-Ran Li, Ying Han, Qi Tong
This study attempted to explore how informed choice on contraceptive methods influenced induced abortions among reproductive-age immigrant women in China. A total of 3230 participants were recruited in Beijing, Shanghai, and Chongqing. Information on informed choice was collected by questionnaires. The annual incidence rate (spells) of induced abortions was 0.46 (1500/3230) among the participants. The sequence from the highest score to the lowest was long-term, short-term and natural contraceptive methods (p < 0...
October 24, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27757019/scale-up-use-of-family-planning-services-to-prevent-maternal-transmission-of-hiv-among-discordant-couples-a-cross-sectional-study-within-a-resource-limited-setting
#9
Martin Kuete, HongFang Yuan, Aude Laure Tchoua Kemayou, Emmanuel Ancel Songo, Fan Yang, XiuLan Ma, ChengLiang Xiong, HuiPing Zhang
BACKGROUND: Integration of family planning services (FPS) into human immunodeficiency virus (HIV) care for HIV-infected women is an important aspect of the global prevention of mother-to-child transmission (PMTCT) strategy. We assessed the integration of FPS into routine care of HIV-infected mothers by evaluating the uptake and barriers of contraception and PMTCT services. METHODS: We conducted an interventional study using the interrupted time series approach in the health care facilities located in Yaounde, Cameroon...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27733286/global-regional-and-national-levels-of-maternal-mortality-1990-2015-a-systematic-analysis-for-the-global-burden-of-disease-study-2015
#10
COMMENT
(no author information available yet)
BACKGROUND: In transitioning from the Millennium Development Goal to the Sustainable Development Goal era, it is imperative to comprehensively assess progress toward reducing maternal mortality to identify areas of success, remaining challenges, and frame policy discussions. We aimed to quantify maternal mortality throughout the world by underlying cause and age from 1990 to 2015. METHODS: We estimated maternal mortality at the global, regional, and national levels from 1990 to 2015 for ages 10-54 years by systematically compiling and processing all available data sources from 186 of 195 countries and territories, 11 of which were analysed at the subnational level...
8, 2016: Lancet
https://www.readbyqxmd.com/read/27688719/improving-the-quality-of-postabortion-care-services-in-togo-increased-uptake-of-contraception
#11
Stembile Mugore, Ntapi Tchiguiri K Kassouta, Boniface Sebikali, Laurel Lundstrom, Abdulmumin Saad
High-quality postabortion care (PAC) services that include family planning counseling and a full range of contraceptives at point of treatment for abortion complications have great potential to break the cycle of repeat unintended pregnancies and demand for abortions. We describe the first application of a systematic approach to quality improvement of PAC services in a West African country. This approach-IntraHealth International's Optimizing Performance and Quality (OPQ) approach-was applied at 5 health care facilities in Togo starting in November 2014...
September 28, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/27681868/religion-and-family-planning
#12
Bojana Pinter, Marwan Hakim, Daniel S Seidman, Ali Kubba, Meera Kishen, Costantino Di Carlo
Religion is embedded in the culture of all societies. It influences matters of morality, ideology and decision making, which concern every human being at some point in their life. Although the different religions often lack a united view on matters such contraception and abortion, there is sometimes some dogmatic overlap when general religious principles are subject to the influence of local customs. Immigration and population flow add further complexities to societal views on reproductive issues. For example, present day Europe has recently faced a dramatic increase in refugee influx, which raises questions about the health care of immigrants and the effects of cultural and religious differences on reproductive health...
December 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27670707/the-unmet-contraceptive-need-of-incarcerated-women-in-ontario
#13
Jessica Liauw, Jessica Foran, Brigid Dineley, Dustin Costescu, Fiona G Kouyoumdjian
OBJECTIVE: Studies from the United States have shown that women in correctional facilities have higher rates of unintended pregnancy and unmet need for contraception compared with the general population, and that the provision of family planning services in correctional facilities may improve access to contraception. No study has examined these issues in women in correctional facilities in Canada. We aimed to describe the rates of unintended pregnancy and contraceptive use for incarcerated women in Ontario...
September 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/27664217/immediate-versus-delayed-insertion-of-an-etonogestrel-releasing-implant-at-medical-abortion-a-randomized-controlled-equivalence-trial
#14
Helena Hognert, Helena Kopp Kallner, Sharon Cameron, Christina Nyrelli, Izabella Jawad, Rebecca Heller, Annette Aronsson, Ingela Lindh, Lina Benson, Kristina Gemzell-Danielsson
STUDY QUESTION: Does a progestin releasing subdermal contraceptive implant affect the efficacy of medical abortion if inserted at the same visit as the progesterone receptor modulator, mifepristone, at medical abortion? SUMMARY ANSWER: A etonogestrel releasing subdermal implant inserted on the day of mifepristone did not impair the efficacy of the medical abortion compared with routine insertion at 2-4 weeks after the abortion. WHAT IS ALREADY KNOWN: The etonogestrel releasing subdermal implant is one of the most effective long acting reversible contraceptive methods...
November 2016: Human Reproduction
https://www.readbyqxmd.com/read/27643843/building-the-nation-s-body-the-contested-role-of-abortion-and-family-planning-in-post-war-south-sudan
#15
Jennifer J Palmer, Katerini T Storeng
This paper offers an ethnographic analysis of public health policies and interventions targeting unwanted pregnancy (family planning and abortion) in contemporary South Sudan as part of wider 'nation-building' after war, understood as a process of collective identity formation which projects a meaningful future by redefining existing institutions and customs as national characteristics. The paper shows how the expansion of post-conflict family planning and abortion policy and services are particularly poignant sites for the enactment of reproductive identity negotiation, policing and conflict...
November 2016: Social Science & Medicine
https://www.readbyqxmd.com/read/27640082/role-of-birth-spacing-family-planning-services-safe-abortion-services-and-post-abortion-care-in-reducing-maternal-mortality
#16
REVIEW
Bela Ganatra, Anibal Faundes
Access to contraception reduces maternal deaths by preventing or delaying pregnancy in women who do not intend to be pregnant or those at higher risk of complications. However, not all unintended pregnancies can be prevented through increase in contraceptive use, and access to safe abortion is needed to prevent unsafe abortions. Despite not preventing the problem, provision of emergency care for complications can help prevent deaths from such unsafe abortions. Safe abortion in early pregnancy can be provided at primary care level and by non-physician providers, and the risks of mortality associated with such safe, legal abortions are minimal...
October 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/27636541/contraceptive-behaviour-of-christian-and-muslim-teenagers-at-the-time-of-abortion-and-post-abortion-in-thrace-greece
#17
Panagiotis Tsikouras, Zacharoula Koukouli, Nikolaos Psarros, Bachar Manav, Nikolaos Tsagias, Georgios Galazios
OBJECTIVES: The aims of the study were to compare the contraceptive behaviour of Christian and Muslim adolescents who had an abortion in Thrace, Greece, and to examine whether extensive contraceptive counselling at the time of abortion modified their subsequent contraceptive practices. METHODS: Adolescents, aged 14-19 years, who had undergone an elective abortion in our department, were included in a prospective 12-year study. Extensive contraceptive counselling was offered before discharge from the hospital...
December 2016: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/27612157/family-planning-and-zika-virus-the-power-of-prevention
#18
Anne Burke, Caroline Moreau
The connection between infection with the Zika virus (ZKV) and congenital anomalies such as microcephaly has been generally accepted. Although efforts are underway to develop preventive interventions such as vaccines, these are not yet available. Family planning is an effective preventive approach that has been underemphasized in many lists of research priorities. In addition to acquisition of ZKV from mosquitoes, sexual transmission from males to females has been documented. Women at risk of ZKV need access to effective contraception if they want to avoid or postpone pregnancy, as well as access to safe abortion...
September 2016: Seminars in Reproductive Medicine
https://www.readbyqxmd.com/read/27567533/repeat-induced-abortions-in-georgia-characteristics-of-women-with-multiple-pregnancy-terminations-secondary-analysis-of-the-reproductive-health-survey-2010
#19
Ekaterine Pestvenidze, Nino Berdzuli, Nino Lomia, Tinatin Gagua, Lia Umikashvili, Babill Stray-Pedersen
OBJECTIVE: To examine the multi-faceted characteristics of women with repeat induced abortions and assess post-abortion family planning service provision in Georgia. STUDY DESIGN: We performed secondary analysis of the data from the Georgian Reproductive Health Survey 2010. A logistic regression model was used to assess the socio-demographic and behavioral factors, contraceptive practices in relation to repeat induced abortions for 2203 women of reproductive age with at least one induced abortion...
October 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27540126/strengthening-postabortion-family-planning-services-in-ethiopia-expanding-contraceptive-choice-and-improving-access-to-long-acting-reversible-contraception
#20
Melaku Samuel, Tamara Fetters, Demeke Desta
Where unmet need for the safest, most effective, and long-acting reversible contraceptives (LARCs) is very high, the health system and partners need to implement problem-solving, locally feasible, and comprehensive family planning delivery strategies. Because young and unmarried women are most at risk for unintended pregnancy and repeat abortion due to poor access to contraceptive services, postabortion family planning (PAFP) is a key component in such strategies. In Southern Nations, Nationalities, and People's Region, Ethiopia, Ipas implemented health system strengthening efforts from fiscal year (FY) 2010 (July 2009 to June 2010) to FY 2014 (July 2013 to June 2014) to improve the quality of PAFP services and expand method choice in 101 public facilities...
August 11, 2016: Global Health, Science and Practice
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