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Intrauterine contraception

Mehret Birru Talabi, Megan E B Clowse, Susan J Blalock, Larry Moreland, Nalyn Siripong, Sonya Borrero
OBJECTIVE: To determine contraception use among a cohort of reproductive-age women (18-50 years) with rheumatic diseases. METHODS: We conducted a study of administrative data from a single, large medical center between years 2013 and 2014. Women who had 1 of 21 rheumatic disease diagnoses and had at least 2 outpatient rheumatology visits were included in this analysis. We used logistic regression analyses to evaluate adjusted associations between the use of prescription contraception, use of potentially fetotoxic medications, and visits with rheumatologists, primary care providers (PCP), and gynecologists...
August 14, 2018: Arthritis Care & Research
Xuelian Yuan, Fang Yi, Can Hou, Hui Lee, Xiaorong Zhong, Ping Tao, Hui Li, Zhuping Xu, Jiayuan Li
BACKGROUND: The association between induced abortion and birth control methods (including oral contraceptives and intrauterine devices) and breast cancer may vary among countries, due to the different usage and frequency of birth control methods and induced abortion among countries. A better understanding of this association may help in determining safer birth control methods for Chinese women. METHODS: A case-control study was conducted with a total of 794 cases and 805 controls...
August 11, 2018: Journal of Epidemiology
Marlene Makenzius, Elisabeth Faxelid, Kristina Gemzell-Danielsson, Theresa M A Odero, Marie Klingberg-Allvin, Monica Oguttu
AIM: The aim was to explore contraceptive uptake, associated factors and satisfaction among post abortion-care (PAC) seeking women in Kenya. Due to unsafe abortions, almost 120 000 Kenyan women received PAC in 2012, and of these women, 70% did not use contraception before pregnancy. METHODS: This study was nested in a larger randomised controlled trial, where 859 women sought PAC at two public hospitals in Kisumu, in June 2013-May 2016. The women were randomly assigned to a midwife or a physician for PAC, including contraceptive counselling, and followed up at 7-10 days and three months...
2018: PloS One
Justine Wu, Jianying Zhang, Monika Mitra, Susan L Parish, Geeth Kavya Minama Reddy
OBJECTIVE: To estimate provision of moderately and highly effective reversible contraceptives to women with intellectual and developmental disabilities. METHODS: We used data from the Massachusetts All-Payer Claims Database to identify women aged 15-44 years with and without intellectual and developmental disabilities who were continuously enrolled in a private commercial insurance plan, Medicaid, or Medicare in 2012. We calculated the percentage of women aged 15-44 years who were not medically or surgically sterile and were provided 1) highly effective, long-acting reversible contraception (LARC, the intrauterine device or subdermal implant); or 2) prescriptions for moderately effective methods (pill, patch, ring, shot, or diaphragm)...
August 6, 2018: Obstetrics and Gynecology
Benjamin Lang, Tatiana Josephy, Elizabeth Micks, Erin McCoy, Sarah Prager
IN BRIEF Women with type 2 diabetes are less likely to receive prescriptions for contraceptives despite the fact that diabetes is associated with an increased risk of maternal and fetal complications. In the largest case series to date examining use of the levonorgestrel-releasing intrauterine device (LNG-IUD) in women with type 2 diabetes, we demonstrate that the LNG-IUD is safe and effective and does not affect glycemic control in women with type 2 diabetes. In this study of 115 women under the age of 55 years with type 2 diabetes who had an LNG-IUD placed between 2007 and 2012, we found low rates of pregnancies, expulsions, and other complications in every age category and disease stratification...
July 2018: Clinical Diabetes: a Publication of the American Diabetes Association
Caitlin Bernard, Chelsea Pekny, Christabell O Omukagah, Christian O Bernard, Imran Manji, Sonak D Pastakia, Astrid Christoffersen-Deb
OBJECTIVE: Integration of services is a promising way to improve access to contraception in sub-Saharan Africa, but few studies have evaluated this strategy to increase access to contraception among women requiring anticoagulation. Our objective was to evaluate a model of care integrating contraceptive counseling and provision within an anticoagulation management clinic in Eldoret, Kenya to determine the impact on LARC use. STUDY DESIGN: We performed a prospective observational study of reproductive-age women referred for integrated services from the anticoagulation management clinic at Moi Teaching and Referral Hospital from March 2015 to March 2016...
August 1, 2018: Contraception
K M Tote, V T Raziano, K M Wall, S Cordes, I Ofotokun, L B Haddad
OBJECTIVE(S): Effective contraceptive method use is important for HIV-positive women to meet fertility goals, prevent unintended pregnancy, and reduce risk of vertical HIV transmission. Our objective was to evaluate factors associated with HIV-positive women's contraceptive method use at last coitus defined as more effective (Tier 1 and 2 methods (T1/2)) versus less effective (Tier 3 or No method (T3/None)) by the US Medical Eligibility Criteria for contraception use. STUDY DESIGN: HIV-positive women, recruited from an HIV clinic in Atlanta, Georgia between 2013-2014, completed a survey of demographic, clinical, and reproductive health characteristics surrounding contraception...
July 31, 2018: Contraception
Kathryn J LaRoche, Eva Gross, Grace Sheehy, Angel M Foster
BACKGROUND: Although the contraceptive vaginal ring (CVR) has been available in Canada since 2001, overall use and availability remain low compared with other combined hormonal contraceptive methods. We aimed to explore women's experiences with the CVR in Ontario as well as factors that influenced their decisions to choose the method and continue/discontinue use. METHODS: We conducted a multimethod qualitative study that consisted of an anonymous online survey and in-depth telephone interviews with a subset of survey participants...
July 27, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Anne Narayan, Jeanelle Sheeder, Maryam Guiahi
PURPOSE: Many providers cite pain as a barrier to intrauterine device (IUD) initiation. Our objective was to determine if young women who initiate other contraceptive methods anticipate more pain with IUD insertion than those who initiate IUDs. METHODS: In this prospective cohort study, we enrolled women ages 14-24 initiating contraception at a family planning clinic. Participants rated expected pain with IUD insertion on a 0-10 scale. IUD and implant initiators additionally rated experienced pain and whether they would recommend their method, both after procedure and at 6 months...
July 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
Anindita Dasgupta, Niranjan Saggurti, Mohan Ghule, Elizabeth Reed, Balaiah Donta, Madhusudana Battala, Saritha Nair, Julie Ritter, Velhal Gajanan, Jay Silverman, Anita Raj
Background: The existing literature on the intersection between women's reports of spousal intimate partner violence (IPV) and contraceptive use in South Asia is conflicted. Results vary based on method of contraception use and form of violence (physical or sexual), and few examine the relationship between IPV and various methods of modern spacing contraceptive (MSC) use. This study examines associations between IPV and MSC use among a sample of married, not-currently pregnant couples in rural Maharashtra, India (n=861)...
July 26, 2018: Sexual Health
Christine M Pennesi, Brian Kenney, Rajan Thakkar, Christina Ching, Geri Hewitt, Katherine McCracken
BACKGROUND: Heavy, prolonged menstrual bleeding is common in adolescents and results from a variety of etiologies. CASE: A 13-year-old, virginal female was referred for prolonged, heavy vaginal bleeding despite combined oral contraceptive use and elected management with a levonorgestrel intrauterine device. A pre-procedure exam revealed a plastic foreign body embedded in the posterior vaginal fornix, however, attempted removal in the office was unsuccessful. Subsequent computed tomography (CT) of the pelvis revealed a vaginal foreign body, complex adnexal mass, and hydroureter...
July 21, 2018: Journal of Pediatric and Adolescent Gynecology
Benjamin E Jewett, Rick L Wallace, Olga Sarkodie
There has been much discussion about the relationship between hormonal contraceptives and the development of pseudotumor cerebri (PTC). Some have claimed that progestin-containing contraceptives, such as levonorgestrel intrauterine devices, are linked to PTC. However, the relationship and mechanism of PTC following the use of progestin-containing contraceptives remain controversial. We present a case of PTC following implantation of Nexplanon® (etonogestrel) (Merck Sharp & Dohme BV, Haarlem, The Netherlands), a progestin contraceptive...
May 18, 2018: Curēus
Lisa M Goldthwaite, Erica P Cahill, Amy J Voedisch, Paul D Blumenthal
The immediate postpartum period is a critical moment for contraceptive access and an opportunity to initiate long-acting reversible contraception, which includes the insertion of an intrauterine device. The use of the intrauterine device in the postpartum period is a safe practice with few contraindications and many benefits. Although an intrauterine device placed during the postpartum period is more likely to expel compared with one placed at the postpartum visit, women who initiate intrauterine devices at the time of delivery are also more likely to continue to use an intrauterine device compared with women who plan to follow up for an interval intrauterine device insertion...
July 19, 2018: American Journal of Obstetrics and Gynecology
Chelsey B Coles, Catherine D Shubkin
PURPOSE OF REVIEW: Teenage pregnancy rates in the United States remain at epidemic proportions. To help stem the tide of adolescent pregnancy, both the American Academy of Pediatrics and American College of Obstetricians and Gynecologists have released policy statements that long-acting reversible contraceptives (LARC) be considered the first-line option for contraception in adolescents. Despite the recommendations and efficacy, LARCs are utilized by less than 5% of American teens. The purpose of this review is to elucidate the barriers to adolescent access to LARC, which are broken down into provider, patient, and cultural barriers...
July 19, 2018: Current Opinion in Pediatrics
Helena Kopp Kallner
Long-acting reversible contraception-intrauterine devices and contraceptive implants-offers the highest protection against unintended pregnancies. In addition, the use of reversible hormonal contraception has added health benefits for women in both the short and the long term. This review will give an overview of the benefits of reversible contraception as well as an evidence-based recommendation on how it should be used to benefit women the most.
2018: F1000Research
Alyssa R Goldbach, Sana Hava, Harshad Patel, Mansoor Khan
Intrauterine devices (IUDs) are the most common form of contraceptive used worldwide. The imaging features of IUDs and their potential complications are crucial to recognize in order to determine adequate positioning and ultimately function of the IUD. Herein, we report a rare case of a copper IUD embedded in the left fallopian tube that required surgical removal. Only a few such cases have been reported in the literature to date.
August 2018: Radiology case reports
Ibrahim Halil Bozkurt, Ismail Basmaci, Tarik Yonguc, Ozgu Aydogdu, Mehmet Erhan Aydin, Ertugrul Sefik, Tansu Degirmenci
Intrauterine device (IUD) insertion is a long-acting and one of the most effective modes of reversible contraception. Complications that most commonly arise following IUD insertion are failed insertion, pain, vasovagal reactions, infection, menstrual abnormalities, and expulsion. In this paper, we present the case of a woman who experienced hydronephrosis due to the migration of IUD into the ureter after 30 years of insertion. To the best of our knowledge, this is the third such case reported in the literature...
June 2018: Eurasian Journal of Medicine
Meegle S Mathew, Joyal Davis, Kuruvilla Joseph
Fluorescent copper quantum clusters (CuQCs) have received great interest in recent times due to their attractive features, such as water solubility, low cost, wide availability of Cu and good biocompatibility. Recently, considerable efforts have been devoted to the preparation and applications of CuQCs. Herein, we report a simple one-pot green method for the preparation of fluorescent CuQCs using a plant-derived protein, gluten, as a stabilizing agent. Gluten, a naturally abundant, low-cost and sustainable plant-protein derived from wheat, was employed both as a reducing and stabilizing agent to produce blue emitting CuQCs...
August 6, 2018: Analyst
Hui Ye, Shujuan Huang, Qichang Zhou, Jie Yu, Changlei Xi, Longlei Cao, Peiyun Wang, Zhilin Gong
RATIONALE: Rectal foreign bodies are not an uncommon finding in outpatient departments globally. Most such objects are inserted through the anus. Occasionally, a foreign body may be ingested and may successfully pass through the entire gastrointestinal tract and be held up in the rectum. In extremely rare cases, foreign bodies in adjacent tissues or organs can penetrate the rectal wall and enter the rectal lumen. We report a rare case that the IUCD had migrated and was embedded in the rectal wall...
July 2018: Medicine (Baltimore)
Nora V Becker
The Affordable Care Act (ACA) mandates that prescription contraceptives be covered by private health insurance plans with no cost sharing. Using medical and prescription claims from a large national insurer, I estimate individual claim rates and out-of-pocket (OOP) costs of prescription contraceptives for 329,642 women aged 13 to 45 who were enrolled in private health insurance between January 2008 and December 2013. I find that OOP spending on contraceptives has decreased sharply since the implementation of the ACA mandate...
2018: Journal of Policy Analysis and Management
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