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Long-acting Reversible contraception

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https://www.readbyqxmd.com/read/29211490/contraception-among-active-component-service-women-u-s-armed-forces-2012-2016
#1
Shauna Stahlman, Catherine T Witkop, Leslie L Clark, Stephen B Taubman
This report summarizes the annual prevalence of permanent sterilization, as well as use of long- and short-acting reversible contraceptives (LARCs and SARCs, respectively), contraceptive counseling services, and use of emergency contraception from 2012 through 2016 among active component U.S. service women. Overall, 262,907 (76.2%) women of childbearing potential used either a LARC or a SARC at some time during the surveillance period. From 2012 through 2016, permanent sterilization decreased from 4.2% to 3...
November 2017: MSMR
https://www.readbyqxmd.com/read/29209864/pharmacists-and-prescribers-neonatal-abstinence-syndrome-nas-prevention-behaviors-a-preliminary-analysis
#2
Nicholas E Hagemeier, Ivy A Click, Heather Flippin, Holly Gilliam, Alexandra Ross, Jeri Ann Basden, Ronald Carico
Background Maternal opioid use and neonatal abstinence syndrome (NAS) incidence have increased markedly in the US in recent years. Objectives (1) To assess prescribers' and community pharmacists' guideline-based NAS prevention behaviors; (2) to describe providers' perceptions of contraceptive appropriateness in female patients of childbearing age. Method Cross-sectional study of 100 randomly selected primary care physicians, 100 prescribers authorized to engage in in-office treatment of opioid use disorders with buprenorphine, 100 pain management clinic directors, and 100 community pharmacists in Tennessee (N = 400 providers total) to evaluate self-reported engagement in 15 NAS prevention behaviors and perceived appropriateness of 8 contraceptive methods in opioid using women of childbearing age...
December 5, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/29204458/etonogestrel-implant-to-leave-or-stay-a-case-series
#3
Margaret Thew
Long-acting reversible contraception, which include etonogestrel subdermal hormonal implants, has high efficiency rates in preventing teen pregnancy. Although these numbers are increasing, teens have the lowest long-acting reversible contraception usage rate of any group, which the American Congress of Obstetricians and Gynecologists addressed with recommendations for Nexplanon placement for teens. The American Congress of Obstetricians and Gynecologists has recommended support for increased use and training of practitioners and pediatricians to gain momentum...
2017: Global Pediatric Health
https://www.readbyqxmd.com/read/29201430/evaluation-of-the-challenges-faced-in-increasing-contraceptive-access-within-a-community-college-population
#4
EDITORIAL
Jacqueline Lamme, Alison Edelman, Emily Padua, Jeffrey T Jensen
Background: Research demonstrates removing barriers to access, decreasing costs and offering same-day placement of long-acting reversible contraception (LARC) increases contraceptive uptake in young women. For those in community college (CC), LARC utilization might reduce the risk of dropout and improve degree completion. We identified a local school who had documented an unmet need for on-campus services through a recent student assessment. We then established an on-campus, same day contraceptive clinic at the CC as part of a clinical trial...
2017: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29201419/patterns-of-postpartum-contraceptive-use-among-somali-immigrant-women-living-in-minnesota
#5
Amy Millar, Rachel Isaksson Vogel, Sabrina Bedell, Maureen Ayers Looby, Jessica L Hubbs, Bernard L Harlow, Rahel Ghebre
Background: The postpartum period is a crucial time to provide family planning counseling and can decrease incidence of adverse reproductive outcomes. The purpose of this study was to characterize patterns of postpartum contraception and to investigate long acting reversible contraceptive (LARC) use among Somali women living in a metropolitan area of Minnesota in an effort to provide better family planning and reproductive health counseling in this growing immigrant population. Methods: A retrospective chart review was conducted of Somali women who delivered between January 1, 2011 and December 31, 2014...
2017: Contraception and Reproductive Medicine
https://www.readbyqxmd.com/read/29198766/the-adolescent-champion-model-primary-care-becomes-adolescent-centered-via-targeted-quality-improvement
#6
Margaret Riley, Vani Patterson, Jennifer C Lane, Katharine McDonald Won, Lauren Ranalli
OBJECTIVE: To evaluate the effects of implementing the Adolescent Champion model, a novel quality improvement program targeted at helping primary care sites become more adolescent-centered. STUDY DESIGN: Nine primary care sites from pediatrics, family medicine, and medicine-pediatrics implemented the Adolescent Champion model. Each site identified a multidisciplinary champion team to undergo training on adolescent-centered care, deliver prepackaged trainings to other staff and providers, make youth-friendly site changes, implement a standardized flow to confidentially screen for risky behaviors, and complete a quality improvement project regarding confidentiality practices...
November 29, 2017: Journal of Pediatrics
https://www.readbyqxmd.com/read/29171248/methods-of-contraception-the-nurse-s-role-in-providing-care-and-advice
#7
Sally Kelsey
Most women require contraception during their reproductive years, and many methods are available. Women should have access to all of these methods and be encouraged to take an active role in decision-making about their choice of contraceptive, within medical eligibility constraints. Long-acting reversible contraceptives are more effective than user-dependent methods, such as condoms, and should be offered to all women during contraceptive consultations. In primary care settings, nurses often provide much basic contraception care and advice...
November 22, 2017: Nursing Standard
https://www.readbyqxmd.com/read/29166843/stagnant-contraceptive-sales-after-the-zika-epidemic-in-brazil
#8
Luis Bahamondes, Moazzam Ali, Ilza Monteiro, Arlete Fernandes
OBJECTIVES: Our aim was to assess national hormonal and non-hormonal contraceptive sales in Brazil after the Zika virus outbreak. METHODS: Pharmaceutical companies based in Brazil provided data on monthly sales from September 2016 to June 2017. Data from both the public and private sectors were obtained about sales of registered, available modern contraceptive methods: combined oral contraceptive pill; progestin-only pill; vaginal and transdermal contraceptives; injectable contraceptives; long-acting reversible contraceptive (LARC) methods, including the copper-releasing intrauterine device, the levonorgestrel-releasing intrauterine system and the etonogestrel-releasing subdermal implant; and emergency contraceptive pills...
November 23, 2017: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29162531/mylarc-a-theory-based-interactive-smartphone-app-to-support-adolescents-use-of-long-acting-reversible-contraception
#9
Sarah E Timmons, Emily Birchfield Shakibnia, Melanie A Gold, Samantha Garbers
STUDY OBJECTIVE: Develop and test the feasibility of a Health Belief Model theory-based interactive smartphone application (app) aimed at providing information and support to adolescents with long-acting reversible contraception (LARC). DESIGN, SETTING, PARTICIPANTS, INTERVENTIONS: Using a mixed-method design, we conducted 30 in-person interviews with adolescent LARC users who were enrolled in School-Based Health Centers (SBHCs) in New York City. Interviews were conducted in two phases: during Phase 1, 12 participants viewed a pilot version of the app (MyLARC); during Phase 2, 18 additional participants interacted with an expanded version of the app...
November 18, 2017: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29162140/using-a-multi-state-learning-community-as-an-implementation-strategy-for-immediate-postpartum-long-acting-reversible-contraception
#10
Carla L DeSisto, Cameron Estrich, Charlan D Kroelinger, David A Goodman, Ellen Pliska, Christine N Mackie, Lisa F Waddell, Kristin M Rankin
BACKGROUND: Implementation strategies are imperative for the successful adoption and sustainability of complex evidence-based public health practices. Creating a learning collaborative is one strategy that was part of a recently published compilation of implementation strategy terms and definitions. In partnership with the Centers for Disease Control and Prevention and other partner agencies, the Association of State and Territorial Health Officials recently convened a multi-state Learning Community to support cross-state collaboration and provide technical assistance for improving state capacity to increase access to long-acting reversible contraception (LARC) in the immediate postpartum period, an evidence-based practice with the potential for reducing unintended pregnancy and improving maternal and child health outcomes...
November 21, 2017: Implementation Science: IS
https://www.readbyqxmd.com/read/29161892/the-speak-up-salon-project-using-hair-stylists-as-lay-health-educators-about-unintended-pregnancy
#11
Susan Roberts-Dobie, Addie Rasmusson, Mary E Losch
The Speak UP! Salon Project trained 126 hair stylists from 60 salons as lay health educators to increase knowledge about contraceptives and inform clients about financial support for long-acting reversible contraceptives at local family planning clinics. Stylists' informal social support system, combined with the rapport built with clients over time, make them excellent candidates for lay health educator projects. This 3-year salon-based intervention was implemented in nine counties in a Midwestern state. Results from a subsample of participants who completed an online questionnaire (n = 177) indicate that hair stylists are a feasible method to link target populations to health information and to the health care system...
February 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/29159411/long-acting-reversible-contraceptives-for-adolescents-more-complex-than-first-line
#12
Maya Michelle Kumar
No abstract text is available yet for this article.
November 20, 2017: JAMA Pediatrics
https://www.readbyqxmd.com/read/29148890/changes-in-the-use-of-long-acting-reversible-contraceptive-methods-among-u-s-nulliparous-women-results-from-the-2006-2010-2011-2013-and-2013-2015-national-survey-of-family-growth
#13
Timothy O Ihongbe, Saba W Masho
OBJECTIVE: Nulliparous women in the United States have high rates of unintended pregnancy comparable with parous women. Long-acting reversible contraceptives (LARCs) are recommended as first-line contraceptive choices to reduce unintended pregnancy. However, use of LARCs among nulliparous women has been low. This study aims to examine changes in the prevalence of current LARC use among sexually experienced U.S. nulliparous women across the time period of 2006-2010, 2011-2013, and 2013-2015, and examine correlates of use...
November 17, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/29146631/frequency-of-6-week-follow-up-appointment-scheduling-after-intrauterine-device-insertion
#14
Abigail Bernard, Catherine L Satterwhite, Madhuri Reddy
INTRODUCTION: Long-acting reversible contraception (LARC) is widely recommended to reduce unintended pregnancy in the USA. As intrauterine device (IUD) use increases, evaluating the role of post-insertion follow-up is important. METHODS: A retrospective patient record review was conducted to assess the follow-up experience of women who had an IUD placed at the University of Kansas Medical Center from 1 January to 30 June 2015. Data were collected on patient demographics, IUD placement, follow-up visit attendance, and outcomes in the 12 months following placement...
November 16, 2017: Journal of Family Planning and Reproductive Health Care
https://www.readbyqxmd.com/read/29146297/pregnancy-intention-and-contraceptive-use-among-women-by-class-of-obesity-results-from-the-2006-2010-and-2011-2013-national-survey-of-family-growth
#15
Brian T Nguyen, Jennifer L Elia, Cathrine Y Ha, Bliss E Kaneshiro
OBJECTIVE: Conflicting research findings on the association of obesity and pregnancy intention may be due to their collective definition of obesity at a body mass index of 30 kg/m(2) or greater. However, obese women with a BMI of 40 kg/m(2) or greater may be both behaviorally and clinically different from obese women with a lower BMI. This study reexamines this relationship, stratifying by class of obesity; the study also explores variations in contraceptive use by class of obesity given their potential contribution to the incidence of unintended or unwanted pregnancy...
November 13, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29139352/-contraception-for-young-women-with-focus-on-long-acting-reversible-contraceptives
#16
EDITORIAL
Pernille Ravn, Kresten Rubeck Petersen
Long-acting, reversible contraceptives are about 20 times more effective in terms of contraceptive efficacy than oral hormonal contraceptives, patch or vaginal ring are. Long-acting, reversible contraceptives are not associated with serious adverse events but induce changes in menstrual bleeding pattern in about 75% of the users. The progestogen intrauterine device is effective in the treatment of menor-rhagia and dysmenorrhoea. Increased use of long-acting reversible contraceptives is expected to reduce unplanned pregnancies and legal abortions in all ages...
November 13, 2017: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/29136172/assessing-the-contraceptive-supply-environment-in-kinshasa-drc-trend-data-from-pma2020
#17
S Babazadeh, S Lea, P Kayembe, P Akilimali, L Eitmann, P Anglewicz, J Bertrand
Performance Monitoring and Accountability 2020 (PMA2020) is a population-based and facility-based survey program conducted in 11 countries to track contraceptive use dynamics and the supply environment. Annual data collection provides trend data unavailable from any other source. Two-stage cluster sampling was used to select 58 enumeration areas in Kinshasa; data were collected in 2014, 2015 and 2016 from three to six service delivery points (SDPs) per EA. Of the 228-248 SDPs surveyed each year, only two-thirds reported to offer family planning (FP) services...
November 10, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29133985/effects-of-immediate-postpartum-contraceptive-counseling-on-long-acting-reversible-contraceptive-use-in-adolescents
#18
Kasemsis Kaewkiattikun
Background: Adolescent pregnancy is a global public health problem, particularly repeated pregnancy. The best strategy to lower prevalence of adolescent pregnancy and repeated pregnancy is promoting highly effective long-acting contraceptive methods along with special counseling programs. Long-acting reversible contraception (LARC) is the ideal contraceptive of choice for adolescents. It is not known whether immediate postpartum contraceptive counseling increases postpartum LARC use in adolescents...
2017: Adolescent Health, Medicine and Therapeutics
https://www.readbyqxmd.com/read/29133336/psychological-behavioural-and-physiological-effects-of-three-long-acting-reversible-contraception-larc-methods-protocol-for-an-ancillary-study-of-the-echo-randomised-trial
#19
Mandisa Singata-Madliki, G Justus Hofmeyr, Florence Carayon-Lefebvre d'Hellencourt, Theresa Anne Lawrie
INTRODUCTION: This is the protocol for an ancillary study to the multicentre Evidence for Contraceptive Options and HIV Outcomes (ECHO) Trial, a three-arm randomised trial comparing the effects of depot medroxyprogesterone acetate (DMPA), the levonorgestrel (LNG) implant and the copper intrauterine device (IUD) on HIV incidence (NCT02550067 pre-results). The ancillary study will compare other non-contraceptive effects of these three long-acting, reversible contraceptions about which there is little existing comparative evidence...
November 12, 2017: BMJ Open
https://www.readbyqxmd.com/read/29121000/meeting-summary-state-and-local-implementation-strategies-for-increasing-access-to-contraception-during-zika-preparedness-and-response-united-states-september-2016
#20
Charlan D Kroelinger, Lisa Romero, Eva Lathrop, Shanna Cox, Isabel Morgan, Meghan T Frey, Lee Warner, Kathryn M Curtis, Karen Pazol, Wanda D Barfield, Dana Meaney-Delman, Denise J Jamieson
Zika virus infection during pregnancy is a cause of microcephaly and other serious brain abnormalities (1). To support state and territory response to the threat of Zika, CDC's Interim Zika Response Plan outlined activities for vector control; clinical management of exposed pregnant women and infants; targeted communication about Zika virus transmission among women and men of reproductive age; and primary prevention of Zika-related adverse pregnancy and birth outcomes by prevention of unintended pregnancies through increased access to contraception...
November 10, 2017: MMWR. Morbidity and Mortality Weekly Report
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