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post partum contraception

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https://www.readbyqxmd.com/read/29778586/comparison-of-an-additional-early-visit-to-routine-postpartum-care-on-initiation-of-long-acting-reversible-contraception-a-randomized-trial
#1
Caitlin Bernard, Leping Wan, Jeffrey F Peipert, Tessa Madden
OBJECTIVE: To investigate whether an early 3-week postpartum visit in addition to the standard 6-week visit increases LARC initiation by 8weeks postpartum compared to the routine 6-week visit alone. STUDY DESIGN: We enrolled pregnant and immediate postpartum women into a prospective randomized, non-blinded trial comparing a single 6-week postpartum visit (routine care) to two visits at 3 and 6weeks postpartum (intervention), with initiation of contraception at the 3-week visit, if desired...
May 17, 2018: Contraception
https://www.readbyqxmd.com/read/29760943/high-parity-predicts-use-of-long-acting-reversible-contraceptives-in-the-extended-postpartum-period-among-women-in-rural-uganda
#2
Ronald Anguzu, Hassard Sempeera, Juliet N Sekandi
Background: The use of implants and Intra-uterine devices (IUD) during the post-partum period is very low in Uganda especially in rural settings. Long-acting reversible contraceptives (LARC) are known to be the most cost-effective for prevention of unintended pregnancy and unsafe abortions. This study aimed at determining the factors associated with long-acting reversible contraceptive use among women in the extended postpartum period in rural Uganda. Methods: We conducted a household-based, cross-sectional study among 400 women in two rural communities in Mityana district, central Uganda...
2018: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29598824/an-integrated-community-health-worker-intervention-in-rural-nepal-a-type-2-hybrid-effectiveness-implementation-study-protocol
#3
Sheela Maru, Isha Nirola, Aradhana Thapa, Poshan Thapa, Lal Kunwar, Wan-Ju Wu, Scott Halliday, David Citrin, Ryan Schwarz, Indira Basnett, Naresh Kc, Khem Karki, Pushpa Chaudhari, Duncan Maru
BACKGROUND: Evidence-based medicines, technologies, and protocols exist to prevent many of the annual 300,000 maternal, 2.7 million neonatal, and 9 million child deaths, but they are not being effectively implemented and utilized in rural areas. Nepal, one of South Asia's poorest countries with over 80% of its population living in rural areas, exemplifies this challenge. Community health workers are an important cadre in low-income countries where human resources for health and health care infrastructure are limited...
March 29, 2018: Implementation Science: IS
https://www.readbyqxmd.com/read/29201426/unmet-need-for-modern-contraceptives-and-associated-factors-among-women-in-the-extended-postpartum-period-in-dessie-town-ethiopia
#4
Masresha Tegegn, Mastewal Arefaynie, Tenaw Yimer Tiruye
Background: The contraceptive use of women in the extended postpartum period is usually different from other times in a woman's life cycle due to the additional roles and presence of emotional changes. However, there is lack of evidence regarding women contraceptive need during this period and the extent they met their need. Therefore, the objective of this study was to assess unmet need for modern contraceptives and associated factors among women during the extended postpartum period in Dessie Town, North east Ethiopia in December 2014...
2017: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29187158/associations-of-intimate-partner-violence-with-postnatal-health-practices-in-bihar-india
#5
Sabrina C Boyce, Lotus McDougal, Jay G Silverman, Yamini Atmavilas, Diva Dhar, Katherine Hay, Anita Raj
BACKGROUND: Reducing neonatal mortality is a global priority, and improvements in postnatal health (PNH) practices in India are needed to do so. Intimate partner violence (IPV) may be associated with PNH practices, but little research has assessed this relationship. METHODS: A cross-sectional analysis of data from a representative household sample of mothers of neonates 0-11 months old in Bihar, India was conducted. The relationship between lifetime IPV experience (physical violence only, sexual violence only, or both physical and sexual violence) and PNH practices [clean cord care, kangaroo mother care, early initiation of breastfeeding (EIBF), delayed bathing, receipt of a postnatal care visit, exclusive breastfeeding, and current post-partum contraceptive use] was assessed using multivariate logistic regression...
November 29, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29179744/levels-trends-and-correlates-of-unmet-need-for-family-planning-among-postpartum-women-in-indonesia-2007-2015
#6
Siswanto Agus Wilopo, Althaf Setyawan, Anggriyani Wahyu Pinandari, Titut Prihyugiarto, Flourisa Juliaan, Robert J Magnani
BACKGROUND: Although Indonesia has relatively high contraceptive prevalence, postpartum family planning (PP-FP) has not been a particular point of emphasis. This article reports the results of analyses undertaken in order to (1) better understand levels and trends in unmet need for family planning among postpartum women, (2) assess the extent to which unmet need is concentrated among particular population sub-groups, and (3) assess the policy priority that PP-FP should have in relation to other interventions...
November 28, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/29147590/paroxysmal-nocturnal-hemoglobinuria-in-pregnancy-a-dilemma-in-treatment-and-thromboprophylaxis
#7
Arpan Patel, Athira Unnikrishnan, Martina Murphy, Robert Egerman, Sarah Wheeler, Ashley Richards, John Wingard
Paroxysmal nocturnal hemoglobinuria (PNH) is a hematologic disorder characterized by an acquired somatic mutation in the phosphatidylinositol glycan class A gene which leads to a higher risk for increased venous and arterial thrombosis. Current treatment for PNH includes eculizumab. Pregnant patients who have PNH have higher risk for thrombosis and hemorrhage with both pregnancy and their underlying PNH. Treatment frequently poses conundrum. The safety and efficacy of eculizumab during pregnancy and breast feeding have not been extensively studied and contraception has been recommended due to potential for teratogenicity...
2017: Case Reports in Hematology
https://www.readbyqxmd.com/read/28987552/is-infection-an-independent-risk-factor-for-venous-thromboembolism-a-population-based-case-control-study
#8
Kevin P Cohoon, Aneel A Ashrani, Daniel J Crusan, Tanya M Petterson, Kent R Bailey, John A Heit
BACKGROUND: The independent association of recent infection with venous thromboembolism is uncertain. The study aims were to test both overall infection (site unspecified) and specific infection sites as potential risk factors for deep vein thrombosis and pulmonary embolism adjusting for other known venous thromboembolism factors. METHODS: By using Rochester Epidemiology Project resources, we identified all Olmsted County, Minnesota, residents with objectively diagnosed incident deep vein thrombosis or pulmonary embolism over the 13-year period 1988 to 2000 (cases; n = 1303) and 1 to 2 residents without venous thromboembolism matched to each case on age, sex, and incident venous thromboembolism date (controls; n = 1494)...
March 2018: American Journal of Medicine
https://www.readbyqxmd.com/read/28798892/a-novel-combined-mother-infant-clinic-to-optimize-post-partum-maternal-retention-service-utilization-and-linkage-to-services-in-hiv-care-in-rural-rwanda
#9
Neza Guillaine, Wilberforce Mwizerwa, Jackline Odhiambo, Bethany L Hedt-Gauthier, Lisa R Hirschhorn, Placidie Mugwaneza, Jean Paul Umugisha, Felix Rwabukwisi Cyamatare, Christine Mutaganzwa, Neil Gupta
BACKGROUND AND OBJECTIVES: Despite recent improvements in accessibility of services to prevent mother-to-child transmission of HIV, maternal retention in HIV care remains a challenge in the post-partum period. This study assessed service utilization, program retention, and linkage to routine services, as well as clinical outcomes for mothers and infants, following implementation of an integrated mother-infant clinic in rural Rwanda. METHODS: We conducted a retrospective cohort study of all HIV-positive mothers and their infants enrolled in the integrated clinics in two rural districts between July 1, 2012, and June 30, 2013...
2017: International Journal of MCH and AIDS
https://www.readbyqxmd.com/read/28558671/prevalence-and-determinants-of-unintended-pregnancies-amongst-women-attending-antenatal-clinics-in-pakistan
#10
Muhammad Atif Habib, Camille Raynes-Greenow, Sidrah Nausheen, Sajid Bashir Soofi, Muhammad Sajid, Zulfiqar A Bhutta, Kirsten I Black
BACKGROUND: Unintended pregnancies are a global public health concern and contribute significantly to adverse maternal and neonatal health, social and economic outcomes and increase the risks of maternal deaths and neonatal mortality. In countries like Pakistan where data for the unintended pregnancies is scarce, studies are required to estimate its accurate prevalence and predictors using more specific tools such as the London Measure of Unplanned Pregnancies (LMUP). METHODS: We conducted a hospital based cross sectional survey in two tertiary care hospitals in Pakistan...
May 30, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/28375776/advances-in-contraception-new-options-for-postpartum-women
#11
REVIEW
Rebecca L Taub, Jeffrey T Jensen
short interval repeat pregnancy increases maternal and neonatal morbidity, and provision of postpartum contraception provides primary protection against these adverse outcomes. Confusion regarding effects on breast feeding and thrombosis risk delaying initiation of contraception in the immediate post-partum interval. Delaying contraception provision until the 6-week postpartum visit misses many women who either do not attend or have resumed ovulation and/or intercourse prior to this visit. Because of this, recent studies have looked into initiation of highly effective contraceptive methods at earlier intervals including immediately postpartum...
May 2017: Expert Opinion on Pharmacotherapy
https://www.readbyqxmd.com/read/28032523/hiv-status-fertility-intentions-and-contraception-in-the-era-of-expanded-access-to-antiretroviral-therapy-a-case-study-of-rural-mozambique
#12
Victor Agadjanian, Sarah R Hayford
Provision of effective contraception to HIV-positive women of reproductive age is critical to effective management of HIV infection and prevention of both vertical and horizontal HIV transmission in developing countries. This exploratory retrospective study examines contraceptive use during the prolonged post-partum period in a sample of 285 HIV-positive and HIV-negative women who gave birth at four rural maternity clinics in a high HIV-prevalence region in Mozambique. Multivariate analyses show no significant variations by HIV status in contraceptive timing (mean time to first contraceptive use of 7...
May 2018: Global Public Health
https://www.readbyqxmd.com/read/27966404/-ischemic-stroke-in-young-women
#13
REVIEW
M S Ekker, M J H Wermer, N P Riksen, C J M Klijn, F E de Leeuw
- In virtually all age groups, the incidence of ischemic stroke is higher in men. However, in women aged between 25-49 years the prevalence is higher than in men. Female-specific risk factors and disorders may explain this peak.- Pregnancy and the post-partum period are associated with physiological changes which can increase blood coagulation. Complications during pregnancy may also increase the risk of ischaemic stroke.- Migraine with aura and antiphospholipid syndrome are disorders which are also associated with an increased risk of ischaemic stroke...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27796939/a-new-endoscopic-method-of-retrieval-of-a-migrated-and-transmurally-embedded-intrauterine-contraceptive-device-in-the-rectum
#14
T S Chandrasekar, B J Gokul, K Raja Yogesh, S Sathiamoorthy, M S Prasad, T C Viveksandeep, M Ahmed Ali
A 45-year-old lady presented with left lower quadrant abdominal pain and hematochezia of 1 month duration. She had Copper-T, an intrauterine contraceptive device (IUCD) inserted in the immediate post-partum period 25 years ago elsewhere and was lost to follow up. CT abdomen done 2 weeks earlier before reporting to us revealed a migrated and translocated IUCD embedded in the right lateral wall of the rectum. On colonoscopy, an area of friable mucosal nodule was noticed in the right lateral wall 10 cm from the anal verge but the IUCD was not visible intraluminally...
November 2016: Indian Journal of Gastroenterology: Official Journal of the Indian Society of Gastroenterology
https://www.readbyqxmd.com/read/27543078/family-planning-knowledge-attitudes-and-practices-in-refugee-and-migrant-pregnant-and-post-partum-women-on-the-thailand-myanmar-border-a-mixed-methods-study
#15
Patricia Salisbury, Layla Hall, Sibylla Kulkus, Moo Kho Paw, Nay Win Tun, Aung Myat Min, Kesinee Chotivanich, Somjet Srikanok, Pranee Ontuwong, Supachai Sirinonthachai, François Nosten, Shawn Somerset, Rose McGready
BACKGROUND: Lack of data in marginalized populations on knowledge, attitudes and practices (KAP) hampers efforts to improve modern contraceptive practice. A mixed methods study to better understand family planning KAP amongst refugee and migrant women on the Thailand-Myanmar border was conducted as part of an ongoing effort to improve reproductive health, particularly maternal mortality, through Shoklo Malaria Research Unit (SMRU) antenatal and birthing services. METHODS: Cross-sectional surveys and focus group discussions (FGDs) in currently pregnant women; and in-depth interviews (IDIs) in selected post-partum women with three children or more; were conducted...
August 19, 2016: Reproductive Health
https://www.readbyqxmd.com/read/27527531/feasibility-acceptability-and-uptake-of-postpartum-intrauterine-contraceptive-devices-in-southern-nigeria
#16
MULTICENTER STUDY
Jedidiah D K Sodje, Nosakhare O Enaruna, Alfred E Ehigiegba, Caleb O Aromeh, Moronke Atamewalen
OBJECTIVE: To evaluate the effect of postpartum intrauterine contraceptive device (PPIUD) implantation on existing low contraceptive uptake and utilization in Nigeria. METHODS: A prospective analytical cohort study was conducted at eight medical facilities in southern Nigeria between June 1, 2014 and May 31, 2015. Patients undergoing delivery during the study period were considered for eligibility and the exclusion criteria included any contraindications to PPIUD implantation...
November 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/27403930/type-1-hyperlipoproteinemia-due-to-compound-heterozygous-rare-variants-in-gckr
#17
Shilpa Shetty, Chao Xing, Abhimanyu Garg
BACKGROUND: Type 1 hyperlipoproteinemia (T1HLP) is a rare, autosomal recessive disorder characterized by extreme elevations in serum triglyceride (TG) levels. Despite considerable progress in identifying several causal genes for T1HLP, such as LPL, APOC2, APOA5, LMF1, and GPIHBP1, the molecular basis of some extremely rare patients presenting with T1HLP remains obscure. CASE DESCRIPTION: We report a 58-year-old Hispanic female who initially presented with serum TG of 4740 mg/dL at age 23 years when she was 3 weeks postpartum and was taking an oral contraceptive for 2 weeks...
November 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27377453/a-comprehensive-review-of-the-clinical-approach-to-pregnancy-and-systemic-lupus-erythematosus
#18
REVIEW
Maria Grazia Lazzaroni, Francesca Dall'Ara, Micaela Fredi, Cecilia Nalli, Rossella Reggia, Andrea Lojacono, Francesca Ramazzotto, Sonia Zatti, Laura Andreoli, Angela Tincani
Nowadays, most of the young women affected by Systemic Lupus Erythematosus (SLE) can carry out one or more pregnancies thanks to the improvement in treatment and the consequent reduction in morbidity and mortality. Pregnancy outcome in these women has also greatly improved in the last decades. A correct timing for pregnancy (tailored on disease activity and established during a preconception counselling), together with a tight monitoring during the three trimesters and the post-partum period (to timely identify and treat possible obstetric complications or maternal disease flares), as well as the concept of multidisciplinary management, are currently milestones of the management of pregnancy in SLE patients...
November 2016: Journal of Autoimmunity
https://www.readbyqxmd.com/read/27321859/recommendations-for-the-evaluation-and-management-of-patients-with-rheumatic-autoimmune-and-inflammatory-diseases-during-the-reproductive-age-pregnancy-postpartum-and-breastfeeding
#19
Juan Antonio Martínez López, M Luz García Vivar, Rafael Cáliz, Mercedes Freire, María Galindo, Maria Victoria Hernández, Francisco Javier López Longo, Víctor Martínez Taboada, Jose María Pego Reigosa, Esteban Rubio, Elisa Trujillo, Paloma Vela-Casasempere
OBJECTIVE: To develop recommendations on the evaluation and management of patients with rheumatic autoimmune and inflammatory diseases during the reproductive age, pregnancy, post-partum and breastfeeding based on the best evidence and experience. METHODS: Recommendations were generated using nominal group and Delphi techniques. An expert panel of 12 rheumatologists was established. A systematic literature review and a narrative review (websites, clinical guidelines and other relevant documentation) were performed and presented to the panel in its 1(st) meeting to be discussed and to help define recommendations...
September 2017: Reumatología Clinica
https://www.readbyqxmd.com/read/27306565/the-effect-of-assisted-reproductive-technology-on-ocular-assessments
#20
Jitendtra Kumar Singh Parihar, Jaya Kaushik, Vaibhav Kumar Jain, Nikita Naredi, Sapna Raina
PURPOSE: The aim was to study the various ocular assessments in women undergoing assisted reproductive techniques (ART). METHODS: A total of 117 women with infertility were enrolled for study and the ART protocol was followed. The outcome measures were intraocular pressure (IOP), central corneal thickness, corneal endothelial cell counts, Schirmer I test done at baseline (V0), post-oral contraceptive (V1), post-GnRH agonist induction phase (V2), post-conception (V3), third trimester of pregnancy (V4) and three months post-partum (V5)...
November 2016: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
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