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https://www.readbyqxmd.com/read/30311634/reviewing-the-cost-effectiveness-of-long-acting-reversible-contraceptive-methods-in-an-australian-context
#1
REVIEW
Matthew Lynch, Richard De Abreu Lourenco, Martin Flattery, Marion Haas
BACKGROUND: Relative to the oral contraceptive pill, uptake of long-acting reversible contraceptive methods (LARCs) in Australia continues to be lower than might be suggested by the evidence on their clinical and economic benefits. AIM: To undertake a critical appraisal of published economic evaluations of LARCs to assess the generalisability of their results to the Australian healthcare context. MATERIALS AND METHODS: A search of the literature was conducted to identify studies of economic evaluations of LARCs using the Medline, Embase and PubMed databases...
October 12, 2018: Australian & New Zealand Journal of Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/30303909/a-decision-analysis-model-of-1-year-effectiveness-of-intended-postplacental-compared-with-intended-delayed-postpartum-intrauterine-device-insertion
#2
Sarita Sonalkar, Tegan Hunter, Elizabeth P Gurney, Arden McAllister, Courtney A Schreiber
OBJECTIVE: To compare, using decision analysis methodology, the 1-year probability of pregnancy after intended postplacental intrauterine device (IUD) insertion with intended delayed insertion at an outpatient postpartum visit (delayed postpartum placement). METHODS: We developed an evidence-based decision model with the primary outcome of 1-year probability of pregnancy. We compared 1-year probability of pregnancy after intended postplacental or intended delayed postpartum IUD placement...
October 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30295731/mifepristone-treatment-prior-to-insertion-of-a-levonorgestrel-releasing-intrauterine-system-for-improved-bleeding-control-a-randomized-controlled-trial
#3
K Papaikonomou, Helena Kopp Kallner, Fabian Söderdahl, K Gemzell-Danielsson
STUDY QUESTION: Does pre-treatment with a low dose of mifepristone improve irregular vaginal bleeding patterns during the initial 3 months after LNG-IUS placement? SUMMARY ANSWER: Mifepristone treatment prior to LNG-IUS insertion results in significantly lower bleeding and spotting rates for the first month post insertion but no significant reduction at 3 months post insertion. WHAT IS KNOWN ALREADY: One of the leading causes of premature discontinuation of the LNG-IUS is unscheduled bleeding in the first months following its insertion...
October 8, 2018: Human Reproduction
https://www.readbyqxmd.com/read/30278228/can-pediatricians-provide-long-acting-reversible-contraception
#4
Alison H Norris, Nicole Pritt, Elise D Berlan
STUDY OBJECTIVES: In the US, 40% of high-school students have sex; few use highly effective and safe long-acting reversible contraceptives (LARCs): intrauterine devices (IUDs) and implants. Pediatricians are key health providers for many adolescents, yet few provide LARC. Our objective was to understand the pragmatics of provision of LARC (rather than beliefs or attitudes) and identify barriers to and opportunities for LARC provision by community-practicing pediatricians. DESIGN: We conducted a qualitative descriptive study with semi-structured interviews; qualitative methods are valuable for generating conceptual models of complex phenomena...
September 29, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/30278178/experience-with-intrauterine-device-insertion-in-never-sexually-active-adolescents-a-retrospective-cohort-study
#5
Chelsea A Kebodeaux, Beth I Schwartz
BACKGROUND: Intrauterine devices can offer both contraceptive and non-contraceptive benefits to never sexually active adolescents. There are increasing data on intrauterine device use in adolescents; however, most data on intrauterine devices in adolescents are related to contraceptive use. There is very limited literature on intrauterine device placement in adolescents who have never been sexually active. OBJECTIVE: To compare intrauterine device insertion success between never sexually active and sexually active cohorts...
September 29, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/30273057/clinical-experience-with-a-novel-anchored-frameless-copper-releasing-contraceptive-device-for-intra-caesarean-insertion
#6
Ahmet Eser, Ceren Unal, Betül Albayrak, Dirk Wildemeersch
OBJECTIVES: The primary objective of the study was to determine the expulsion rate of the newly developed frameless GyneFix Caesarean Section (Gyn-CS® ) device, specifically developed to minimise expulsion when inserted immediately after delivery of the placenta during caesarean section. Secondary objectives included evaluation of side effects, patient's satisfaction with the method and continuation of use. METHODS: A prospective, non-randomised clinical trial was conducted at a single university hospital research centre in Istanbul, Turkey, with follow-up at 4-6 weeks and again at 3 months...
October 1, 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/30268130/contraceptive-experience-and-perception-a-survey-among-ukrainian-women
#7
Volodymyr Podolskyi, Kristina Gemzell-Danielsson, Lena Marions
BACKGROUND: Abortion rate in Ukraine is high and the use of effective contraceptive methods is low. Aiming to explore women's knowledge and attitudes towards modern contraceptive methods, we performed a survey among women with a recent pregnancy. METHODS: A convenience sample of 500 women who had an abortion or a delivery (250 women post abortion and 250 women post partum) in Kiev, Ukraine was chosen to participate in the study. A self-administered questionnaire which included questions regarding demographics, plans for future pregnancy, and contraceptive usage, knowledge and the main barriers to contraceptive uptake was distributed...
September 29, 2018: BMC Women's Health
https://www.readbyqxmd.com/read/30252087/military-family-physicians-practices-and-perceptions-about-reproductive-health-services-for-deploying-women
#8
Caitlyn B de Kanter, Timothy A Roberts, Sorana Raiciulescu, Syed M Ali, James J Arnold, Catherine Witkop, David A Klein
Introduction: Incomplete or inadequate provision of contraceptive services to servicewomen can have a profound impact on military health, readiness, and financial outcomes. This study examined the reproductive health practices and perceptions among family medicine physicians caring for servicewomen. Materials and Methods: We conducted an anonymous survey of 568 registered attendees at the March, 2018 Uniformed Services Academy of Family Physicians annual meeting...
September 25, 2018: Military Medicine
https://www.readbyqxmd.com/read/30247074/oral-micronised-flavonoids-versus-tranexamic-acid-for-treatment-of-heavy-menstrual-bleeding-secondary-to-copper-iud-use-a-randomised-double-blind-clinical-trial
#9
Ahmed Alanwar, Ahmed M Abbas, Sherif H Hussain, Gihan Elhawwary, Dina Y Mansour, Malames M Faisal, Amal Elshabrawy, E Eltaieb
OBJECTIVE: The aim of the study was to compare the efficacy of micronised flavonoids versus tranexamic acid in reducing menstrual blood loss (MBL) associated with the use of the TCu 380A intrauterine contraceptive device (IUD) in women with heavy menstrual bleeding (HMB). METHODS: We conducted a randomised double-blind clinical trial between October 2016 and August 2017 in 100 women with HMB (defined as a pictorial blood assessment chart [PBAC] score >100) secondary to IUD use...
September 24, 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/30241794/associations-between-pregnancy-intention-attitudes-and-contraceptive-use-among-women-veterans-in-the-ecuun-study
#10
Tierney Wolgemuth, Colleen Judge-Golden, Lisa Callegari, Xinhua Zhao, Maria Mor, Sonya Borrero
BACKGROUND: Although pregnancy intention is strongly associated with contraceptive use, little is known about the interaction between pregnancy intention and attitude, or how they jointly affect contraceptive use. METHODS: Cross-sectional data from a national survey of women veterans who receive care within the Veterans Affairs Healthcare System were used to examine relationships among pregnancy intention (in next year, in >1 year, never, not sure), attitude toward hypothetical pregnancy (worst thing, neutral, best thing), and contraceptive use among women at risk for unintended pregnancy...
September 18, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/30239327/long-acting-reversible-contraception-assessment-of-knowledge-and-interest-among-college-females
#11
Crystal L Moore, Alison H Edie, Jennifer L Johnson, Eleanor L Stevenson
OBJECTIVE: To implement the Long-Acting Reversible Contraception Quality Improvement (LARC QI) project using evidence-based contraceptive counseling techniques to improve knowledge and intent to use among college females. PARTICIPANTS: The project, conducted from April through September 2017, involved 41 female students, from a 4-year public college in North Carolina. METHODS: Students participated in group educational sessions on all methods of birth control with an emphasis on LARC...
September 21, 2018: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/30234670/expanding-contraceptive-access-for-women-with-substance-use-disorders-partnerships-between-public-health-departments-and-county-jails
#12
Clea A McNeely, Sadie Hutson, Tara L Sturdivant, Jennifer M Jabson, Brittany S Isabell
CONTEXT: Law enforcement has been the primary strategy for addressing the opioid epidemic. As a result, the incarceration rate for women in county jails has increased more than 800% since 1980, and most women inmates struggle with substance use disorders. There is a large unmet need for contraception among women in county jails. PROGRAM: The East Region of the Tennessee Department of Health partnered with county correctional facilities to provide comprehensive family planning education and voluntary long-acting reversible contraception (LARC) to women in 15 jails...
September 18, 2018: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/30232202/rare-cause-of-ovarian-mass
#13
Deepa Shunmugam, Sundaram Shanmugasundaram, Anitha Gandhi
Pelvic actinomycosis is a rare entity that occurs almost exclusively in women, the presentation of which is usually non-specific and variable. Pelvic actinomycosis is almost always associated with the use of an intrauterine contraceptive device (IUD). Pelvic actinomycosis unrelated to IUD use is almost always associated with previous surgical procedures. The symptoms, clinical signs and radiological findings are usually non-specific, mimicking an ovarian malignancy. So an awareness of this rare condition and a proper diagnosis can avoid unnecessary surgeries because these cases can be treated with a prolonged course of antibiotics...
September 19, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/30232091/helping-postpartum-women-in-mali-achieve-their-fertility-intentions-perspectives-from-introduction-of-the-dedicated-postpartum-iud-inserter
#14
Eva Burke, Marie Léa Dakouo, Laura Glish, Pierre Moon, Paul D Blumenthal
BACKGROUND: Mali has one of the highest maternal mortality ratios in the world coupled with one of the lowest modern contraceptive use rates. Nearly a quarter of the country's 750,000 annual births occur within 24 months of a previous birth, increasing the risks for mothers and babies. Nearly 70% of postpartum women have an unmet need for family planning. In 2016, Population Services International Mali (PSI-Mali) introduced a dedicated postpartum intrauterine device (PPIUD) inserter to replace the technique of using forceps for PPIUD insertion, with the aim of helping to address this substantial family planning gap...
October 3, 2018: Global Health, Science and Practice
https://www.readbyqxmd.com/read/30227936/increasing-iud-and-implant-use-among-those-at-risk-of-a-subsequent-preterm-birth-a-randomized-controlled-trial-of-postpartum-contraceptive-counseling
#15
Leah N Torres, David K Turok, Erin A S Clark, Jessica N Sanders, Emily M Godfrey
OBJECTIVE: To assess the impact of contraceptive counseling on the uptake of long-acting reversible contraception (LARC), namely, intrauterine devices and the contraceptive implant, by 3 months postpartum among women with a recent preterm birth. DESIGN: We enrolled patients in a single-blinded, one-to-one, randomized, controlled trial to assess the impact of enhanced family planning counseling immediately after a viable preterm birth in the inpatient setting. Participants received either structured counseling with an emphasis on LARC by a family planning specialist (intervention) or routine postpartum care (control)...
September 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/30225877/the-impact-of-using-nurses-to-perform-postpartum-intrauterine-device-insertions-in-kalyani-hospital-india
#16
Banasree Bhadra, Sougata K Burman, Chittaranjan N Purandare, Hema Divakar, Thelma Sequeira, Ajey Bhardwaj
In the postpartum period women are vulnerable to unintended pregnancy, which may lead to legal or illegal abortion and impact on maternal and neonatal morbidity and mortality. Although several postpartum family planning options are available, lack of access to and availability of family planning services and trained staff pose serious challenges. Peripheral centers may not have a doctor; however, they will have nursing staff that can be trained to offer family planning counselling and services. The present study demonstrates how task sharing with nurses to provide postpartum intrauterine device (PPIUD) services worked to give women a convenient and safe contraceptive method...
September 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/30225876/factors-influencing-the-likelihood-of-acceptance-of-postpartum-intrauterine-devices-across-four-countries-india-nepal-sri-lanka-and-tanzania
#17
Anita Makins, Neda Taghinejadi, Maya Sethi, Kazuyo Machiyama, Kusum Thapa, Gamini Perera, Projestine S Munganyizi, Ajey Bhardwaj, Sabaratnam Arulkumaran
OBJECTIVE: To examine the factors that positively influenced the likelihood of accepting provision of postpartum intrauterine devices (PPIUDs) across four countries: Sri Lanka, Nepal, Tanzania, and India. METHODS: Healthcare providers were trained across 24 facilities in counselling and insertion of PPIUDs as part of a large multicountry study. Women delivered were asked to take part in a 15-minute face-to-face structured interview conducted by in-country data collection officers prior to discharge...
September 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/30225871/impact-of-contraceptive-counselling-training-among-counsellors-participating-in-the-figo-postpartum-intrauterine-device-initiative-in-bangladesh
#18
Parveen Fatima, Arefa Hossain Antora, Farhana Dewan, Stephen Nash, Maya Sethi
OBJECTIVE: To evaluate the impact of structured training given to dedicated family planning counsellors on postpartum intrauterine device (PPIUD) services across six tertiary hospitals in Bangladesh. METHODS: Family planning counsellors underwent structured training on postpartum family planning, PPIUD in particular, over a four-day period. Impact of training was evaluated by comparing PPIUD counselling rates, consent rates, insertion rates, and removal rates five months before and five months after the training, using data from women delivering in the participating facilities...
September 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/30225870/four-years-of-the-figo-postpartum-intrauterine-device-initiative-in-sri-lanka-pilot-initiative-to-national-policy
#19
Deepal S Weerasekera, Lakshmen Senanayeke, Pushpananda U Ratnasiri, Gamini Y Perera, Sanath Lanerolle, Sanjeeva S Godakandage, Ranjith de Silva, Lakshan Fernando
OBJECTIVE: To analyze the difficulties and challenges arising from introduction of postpartum intrauterine device (PPIUD) services into the Sri Lankan health system. METHODS: Phase I of a FIGO PPIUD initiative was implemented in 2013 in six hospitals; phase II began in 12 hospitals in 2015. During this period, 915 Medical Officers were trained in PPIUD insertion and 5370 personnel were trained in PPIUD counseling. Women were followed up at 4-6 weeks after insertion...
September 2018: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/30225868/successful-implementation-of-immediate-postpartum-intrauterine-contraception-services-in-edinburgh-and-framework-for-wider-dissemination
#20
Michelle Cooper, Sharon Cameron
Provision of immediate postpartum intrauterine device (PPIUD) insertion within maternity settings can overcome many of the barriers faced by women in accessing this method after childbirth. Uptake of PPIUD can help reduce the risk of a subsequent unintended pregnancy and improve spacing between births. PPIUD insertion is not yet routinely available in the UK and evidence to support the practical implementation of the service in this setting is lacking. Shared learning and experience of providers may assist in the wider availability of PPIUD...
September 2018: International Journal of Gynaecology and Obstetrics
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