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Long-acting Reversible contraception

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https://www.readbyqxmd.com/read/29436865/sexual-function-and-quality-of-life-of-women-adopting-the-levonorgestrel-releasing-intrauterine-system-lng-ius-13-5%C3%A2-mg-after-abortion-for-unintended-pregnancy
#1
Salvatore Caruso, Stefano Cianci, Salvatore Giovanni Vitale, Valentina Fava, Silvia Cutello, Antonio Cianci
PURPOSE: The aim of the study was to investigate the impact of the long-acting reversible contraception (LARC) levonorgestrel-releasing intrauterine system (LNG-IUS 13.5 mg) on sexual function and quality of life (QoL) in women after having undergone abortion for unintended pregnancy. METHODS: In a prospective controlled study, 128 women aged 16-35 years received counseling to adopt LNG-IUS contraception after termination of pregnancy. The Visual Analog Scale (VAS), the Short Form-36 questionnaire (SF-36), the Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS) were used to investigate, respectively, pelvic pain levels, QoL, sexual function and sexual distress of these women at baseline (T0) and at 6 (T1) and 12 (T2) months after LNG-IUS placement...
February 13, 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29428850/exposure-to-routine-availability-of-immediate-postpartum-larc-effect-on-attitudes-and-practices-of-labor-and-delivery-and-postpartum-nurses
#2
Nerys Benfield, Felicia Hawkins, Laurie Ray, Andrea McGowan, Ketty Floyd, Dawn Africa, Myrta Barreto, Erika Levi
OBJECTIVES: Nurses play an integral role in intrapartum and postpartum patient education. This exploratory study aims to assess the attitudes, knowledge, and practices of labor and delivery and postpartum nurses regarding contraception, and evaluate for changes in these measures one year after an institutional initiative allowing routine availability of immediate postpartum long-acting reversible contraception (LARC). STUDY DESIGN: In 2014 Montefiore Medical Center began to routinely offer comprehensive immediate postpartum contraception...
February 8, 2018: Contraception
https://www.readbyqxmd.com/read/29428823/use-of-long-acting-reversible-contraception-among-adolescent-and-young-adult-women-and-receipt-of-sexually-transmitted-infection-human-immunodeficiency-virus-related-services
#3
Riley J Steiner, Karen Pazol, Andrea Swartzendruber, Nicole Liddon, Michael R Kramer, Laura M Gaydos, Jessica M Sales
PURPOSE: Long-acting reversible contraceptive (LARC) methods do not require annual clinic visits for continuation, potentially impacting receipt of recommended sexually transmitted infection (STI)/human immunodeficiency virus (HIV) services for young women. We assess service receipt among new and continuing LARC users versus moderately and less effective method users and non-contraceptors. METHODS: Using 2011-2015 National Survey of Family Growth data from sexually active women aged 15-24 years (n = 2,018), we conducted logistic comparisons of chlamydia, any STI and HIV testing, and sexual risk assessment in the past year by current contraceptive type...
February 8, 2018: Journal of Adolescent Health: Official Publication of the Society for Adolescent Medicine
https://www.readbyqxmd.com/read/29420403/use-of-long-acting-reversible-contraception-by-obstetrics-and-gynecology-residents-an-examination-of-access-for-all-women
#4
Megan L Evans, Eve Espey, Tony Ogburn, Nikki B Zite
Although long-acting reversible contraception (LARC) use is increasing in the general female population, only 12% of all women who use contraception and 4.8% of nulliparous women in the United States use either the intrauterine device (IUD) or contraceptive implant. In several studies, however, female physicians prefer LARC for contraception. In 2016, an anonymous electronic survey was administered to all U.S. obstetrics and gynecology residents before the start of the annual in-training examination administered by the Council on Resident Education in Obstetrics and Gynecology...
February 5, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29409943/pediatricians-knowledge-and-practices-related-to-long-acting-reversible-contraceptives-for-adolescent-girls
#5
Risa L Fridy, Sofya Maslyanskaya, Sylvia Lim, Susan M Coupey
OBJECTIVE: A 2014 American Academy of Pediatrics (AAP) Policy Statement identified long-acting reversible contraceptives (LARC) as first-line choices for adolescents, but pediatricians' current knowledge and practices about intrauterine devices (IUDs) and subdermal contraceptive implants (Implants) is unknown. We aimed to characterize pediatricians' knowledge and practices about LARCs for adolescents. DESIGN, SETTING, PARTICIPANTS: Cross-sectional online survey emailed to a convenience sample of AAP member pediatricians in New York, Utah, Illinois, and Kansas in 2015 & 2016...
January 31, 2018: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/29409858/cost-of-unintended-pregnancy-in-sweden-a-possibility-to-lower-costs-by-increasing-larc-usage
#6
Sara Engstrand, Helena Kopp Kallner
OBJECTIVES: The objective of this study was to determine the cost of unintended pregnancy (UP) in Sweden and savings generated by a switch of 5% of women from short acting reversible contraception (SARC) and other methods to long acting reversible contraceptives (LARCs). STUDY DESIGN: We constructed an economic model to estimate the number and costs of UPs and contraceptive use over a 1-year period. The population consisted of all women aged 15-44years requiring reversible contraception and at risk of UP...
February 1, 2018: Contraception
https://www.readbyqxmd.com/read/29408754/elective-abortion-clinical-practice-guidelines-from-the-french-college-of-gynecologists-and-obstetricians-cngof
#7
REVIEW
Christophe Vayssière, Adrien Gaudineau, Luisa Attali, Karima Bettahar, Sophie Eyraud, Philippe Faucher, Patrick Fournet, Danielle Hassoun, Marie Hatchuel, Christian Jamin, Brigitte Letombe, Teddy Linet, Marie Msika Razon, Alexandra Ohanessian, Hélène Segain, Solène Vigoureux, Norbert Winer, Sophie Wylomanski, Aubert Agostini
The number of elective abortions has been stable for several decades. Many factors explain women's choice of abortion in cases of unplanned pregnancies. Early initiation of contraceptive use and a choice of contraceptive choices appropriate to the woman's life are associated with lower rates of unplanned pregnancies. Reversible long-acting contraceptives should be favored as first-line methods for adolescents because of their effectiveness (grade C). Ultrasound scan before an elective abortion must be encouraged but should not be obligatory (professional consensus)...
January 26, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29405858/unmet-demand-for-short-acting-hormonal-and-long-acting-reversible-contraception-among-community-college-students-in-texas
#8
Kristine Hopkins, Celia Hubert, Kate Coleman-Minahan, Amanda Jean Stevenson, Kari White, Daniel Grossman, Joseph E Potter
OBJECTIVE: To identify preferences for and use of short-acting hormonal (e.g., oral contraceptives, injectable contraception) or long-acting reversible contraception (LARC) among community college students in Texas. PARTICIPANTS: Female community college students, ages 18 to 24, at risk of pregnancy, sampled in Fall 2014░or Spring 2015 (N = 966). METHODS: We assessed characteristics associated with preference for and use of short-acting hormonal or LARC methods (i...
February 6, 2018: Journal of American College Health: J of ACH
https://www.readbyqxmd.com/read/29399422/lessons-learnt-from-the-introduction-of-the-contraceptive-implant-in-south-africa
#9
M Pleaner, C Morroni, J Smit, N Lince-Deroche, M Chersich, S Mullick, D Pillay, M Makua, H Rees
In 2014, South Africa (SA) introduced the subdermal contraceptive implant with the aim of expanding the contraceptive method mix and availability of long-acting reversible methods in the public sector. Three years on, concerns have been raised about the decline in uptake, early implant removals and challenges in service delivery. This article explores the lessons learnt from the introduction of contraceptive technologies elsewhere and applies these to the SA context. Drawing on the World Health Organization’s conceptual framework for the introduction of new contraceptive methods, and subsequent literature on the topic, lessons are classified into six cross-cutting themes...
October 1, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29397680/user-perspectives-on-implanon-nxt-in-south-africa-a-survey-of-12-public-sector-facilities
#10
D Pillay, Matthew Chersich, C Morroni, M Pleaner, O Adeagbo, N Naidoo, S Mullick, H Rees
Background. Implanon NXT, a long-acting reversible contraceptive, was introduced in South Africa (SA) in early 2014, aiming to expand the method mix and increase its effectiveness. Initial uptake was high, but has since declined considerably. In these early years after the implant’s introduction, it is important to identify reasons for the decline, and remedy gaps in services. Objectives. To determine periods of use, reasons for the use and early removal of the implant Implanon NXT. Methods. In 2016, we recruited 152 women from six clinics in the City of Johannesburg, and six in North West Province, SA...
October 1, 2017: South African Medical Journal, Suid-Afrikaanse Tydskrif Vir Geneeskunde
https://www.readbyqxmd.com/read/29393708/choice-of-contraception-at-6-8-weeks-postpartum-in-south-eastern-hungary
#11
Melinda Vanya, Iván Devosa, Katalin Barabás, György Bártfai, Zoltan Kozinszky
OBJECTIVES: The aims of the study were to describe the sociodemographic determinants, breastfeeding- and sexual life-related predictive factors of contraceptive use at 6-8 weeks postpartum. METHODS: A prospective, web-based questionnaire survey was carried out by distributing an access code to women immediately after delivery at the Department of Obstetrics and Gynaecology, the University of Szeged, Szeged, Hungary, between 1 September 2013 and 1 May 2015. RESULTS: In total, 1875 women were invited to participate in the study, 632 of whom refused or were excluded and 644 were not sexually active...
February 2, 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29377757/contraceptive-method-use-and-chlamydia-positivity-among-california-family-planning-clients-the-case-for-new-multipurpose-prevention-technologies
#12
Lauren A Hunter, Lauren Nelson, Joan M Chow, Bethany Young Holt, Heidi M Bauer
BACKGROUND: Adolescent girls and young women experience high rates of sexually transmitted infection (STI) with currently available contraceptive methods, yet few studies examine the burden of chlamydial infection by contraceptive method used. MATERIALS AND METHODS: In this cross-sectional analysis, we linked July 2012-June 2013 claims from a publicly-funded family planning program in California to chlamydia laboratory test results. Female clients were classified by the most effective contraceptive method reported by providers during the year: tier 1 (high-efficacy permanent or long-acting reversible methods), tier 2 (shorter-acting hormonal methods), or tier 3 (barrier methods, emergency contraception, or natural family planning)...
January 29, 2018: Journal of Women's Health
https://www.readbyqxmd.com/read/29371100/the-zika-contraception-access-network-a-feasibility-programme-to-increase-access-to-contraception-in-puerto-rico-during-the-2016-17-zika-virus-outbreak
#13
Eva Lathrop, Lisa Romero, Stacey Hurst, Nabal Bracero, Lauren B Zapata, Meghan T Frey, Maria I Rivera, Erin N Berry-Bibee, Margaret A Honein, Judith Monroe, Denise J Jamieson
BACKGROUND: Prevention of unintended pregnancy is a primary strategy to reduce adverse pregnancy and birth outcomes related to Zika virus infection. The Zika Contraception Access Network (Z-CAN) aimed to build a network of health-care providers offering client-centred contraceptive counselling and the full range of reversible contraception at no cost to women in Puerto Rico who chose to prevent pregnancy during the 2016-17 Zika virus outbreak. Here, we describe the Z-CAN programme design, implementation activities, and baseline characteristics of the first 21 124 participants...
January 19, 2018: Lancet. Public Health
https://www.readbyqxmd.com/read/29368791/contraceptive-care-of-obese-women
#14
Jessica Elizabeth Morse, Prutha Rohit Pathak
Importance: In the United States, 27% of reproductive-aged women are overweight, and 35% are obese. Until recently, contraceptive research excluded women greater than 130% of their ideal body weight. Gaps in data limit evidence-based decision making for effective contraceptive counseling and management in this rapidly growing population. Objectives: The aims of this summary are to review the benefits, adverse effects, and risk factors associated with contraceptive methods in obese women, with special attention to effectiveness, and provide contraceptive management and counseling recommendations for best clinical practice...
January 2018: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/29355492/racial-and-ethnic-differences-in-patterns-of-long-acting-reversible-contraceptive-use-in-the-united-states-2011-2015
#15
Renee D Kramer, Jenny A Higgins, Amy L Godecker, Deborah B Ehrenthal
OBJECTIVE: To investigate whether demographic, socioeconomic, and reproductive health characteristics affect long-acting reversible contraceptive (LARC) use differently by race-ethnicity. Results may inform the dialogue on racial pressure and bias in LARC promotion. STUDY DESIGN: Data derived from the 2011-2013 and 2013-2015 National Surveys of Family Growth (NSFG). Our study sample included 9321 women aged 15-44. Logistic regression analyses predicted current LARC use (yes vs...
January 17, 2018: Contraception
https://www.readbyqxmd.com/read/29351797/evaluating-the-impact-of-a-quality-management-intervention-on-post-abortion-contraceptive-uptake-in-private-sector-clinics-in-western-kenya-a-pre-and-post-intervention-study
#16
Susy Wendot, Rachel H Scott, Inviolata Nafula, Isaac Theuri, Edward Ikiugu, Katharine Footman
BACKGROUND: Integration of family planning counselling and method provision into safe abortion services is a key component of quality abortion care. Numerous barriers to post-abortion family planning (PAFP) uptake exist. This study aimed to evaluate the effect of a quality management intervention for providers on PAFP uptake. METHODS: We conducted a pre- and post-intervention study between November 2015 and July 2016 in nine private clinics in Western Kenya. We collected baseline and post-intervention data using in-person interviews on the day of procedure, and follow-up telephone interviews to measure contraceptive uptake in the 2 weeks following abortion...
January 19, 2018: Reproductive Health
https://www.readbyqxmd.com/read/29336516/neglect-of-attention-to-reproductive-health-in-women-with-hiv-infection-contraceptive-use-and-unintended-pregnancies-in-the-swiss-hiv-cohort-study
#17
K Aebi-Popp, V Mercanti, C Voide, J Nemeth, A Cusini, B Jakopp, D Nicca, M Rasi, A Bruno, A Calmy, B Martinez de Tejada
OBJECTIVES: Women with HIV infection are mainly of reproductive age and need safe, effective and affordable contraception to avoid unintended pregnancies. The aim of this study was to evaluate contraceptive use and unintended pregnancies in this population in Switzerland. METHODS: A self-report anonymous questionnaire on contraceptive methods, adherence to them, and unintended pregnancies was completed by women included in the Swiss HIV Cohort Study (SHCS) between November 2013 and June 2014...
January 16, 2018: HIV Medicine
https://www.readbyqxmd.com/read/29329988/rethinking-medicaid-coverage-and-payment-policy-to-promote-high-value-care-the-case-of-long-acting-reversible-contraception
#18
Veronica X Vela, Elizabeth W Patton, Darshak Sanghavi, Susan F Wood, Peter Shin, Sara Rosenbaum
CONTEXT: Long-acting reversible contraception (LARC) is the most effective reversible method to prevent unplanned pregnancies. Variability in state-level policies and the high cost of LARC could create substantial inconsistencies in Medicaid coverage, despite federal guidance aimed at enhancing broad access. This study surveyed state Medicaid payment policies and outreach activities related to LARC to explore the scope of services covered. METHODS: Using publicly available information, we performed a content analysis of state Medicaid family planning and LARC payment policies...
January 9, 2018: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/29329962/reported-contraceptive-use-in-the-month-of-becoming-pregnant-among-u-s-abortion-patients-in-2000-and-2014
#19
Rachel K Jones
OBJECTIVES: To determine whether types of contraceptive methods used by abortion patients in the month they became pregnant changed between 2000 and 2014. STUDY DESIGN: We used secondary data from the 2000 (n=10,015) and 2014 (8177) Abortion Patient Surveys. Patients were asked which contraceptive methods they had last used and when they had stopped or if they were still using them. The main outcome variable was type of contraceptive method used in the month the pregnancy began...
January 9, 2018: Contraception
https://www.readbyqxmd.com/read/29318602/effect-of-family-planning-interventions-on-couple-years-of-protection-in-malawi
#20
Clara Lemani, Nenani Kamtuwanje, Billy Phiri, Ilene S Speizer, Kavita Singh, Olive Mtema, Ndidza Chisanu, Jennifer H Tang
OBJECTIVE: The primary objective was to assess the effect of family planning interventions at two health facilities in Malawi on couple years of protection (CYP). METHODS: A prospective quasi-experimental design was used to compare CYP and uptake of long-acting reversible contraception (LARC) between two intervention facilities (Area 25 Health Center and Kasungu District Hospital) and two nonintervention facilities (Mkanda Health Center and Dowa District Hospital)...
January 9, 2018: International Journal of Gynaecology and Obstetrics
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