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Long acting reversible contraception

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https://www.readbyqxmd.com/read/29329988/rethinking-medicaid-coverage-and-payment-policy-to-promote-high-value-care-the-case-of-long-acting-reversible-contraception
#1
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
#2
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
#3
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
https://www.readbyqxmd.com/read/29313191/paths-to-parenthood-among-self-identified-bisexual-individuals-in-the-united-states
#4
Jessamyn Bowling, Brian Dodge, Elizabeth Bartelt, Megan Simmons, J Dennis Fortenberry
Bisexual parents have been notably absent from prior research on parenting, despite comprising the largest proportion of parents among "lesbian, gay, and bisexual" (LGB) individuals. Indeed, recent national probability data indicate that young bisexual women are more likely than their heterosexual counterparts to report having at least one child. Intentions to have children, patterns of family planning and contraception use, and related issues have important implications for health and healthcare-related decisions and priorities among bisexual parents...
January 8, 2018: Archives of Sexual Behavior
https://www.readbyqxmd.com/read/29284699/what-factors-contribute-to-postabortion-contraceptive-uptake-by-young-women-a-program-evaluation-in-10-countries-in-asia-and-sub-saharan-africa
#5
Janie Benson, Kathryn Andersen, Joan Healy, Dalia Brahmi
BACKGROUND: Unintended pregnancy disproportionately affects young women and adolescents in developing countries. The abortion care setting offers a unique opportunity for adolescents and young women to access a full range of contraceptive services. This evaluation assesses the factors that influence contraceptive uptake among adolescents and young women seeking abortion care in health facilities. METHODS: Following provider training, we analyzed client log book data from 921,918 abortion care cases in 4,881 health facilities in 10 countries from July 2011 through June 2015...
December 28, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29243249/retrospective-observational-study-of-interventions-to-improve-acceptance-of-long-acting-reversible-contraception-following-abortion-at-lusaka-teaching-hospital-zambia
#6
Swebby Macha, Mutinta Muyuni, Scholastica Nkonde, Karla S Pádua, Anibal Faundes
OBJECTIVE: To evaluate long-acting reversible contraceptive (LARC) uptake immediately after abortion at Lusaka University Teaching Hospital, Zambia in the period following an intervention to increase the acceptance of LARC. METHODS: The present retrospective, observational study reviewed the clinical records of all patients admitted to the Lusaka University Teaching Hospital for an incomplete abortion or for a legal induced abortion between January 1 and December 31, 2016...
December 15, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/29231790/uptake-of-postabortion-care-services-and-acceptance-of-postabortion-contraception-in-puntland-somalia
#7
Kingsley Chukwumalu, Meghan C Gallagher, Sabine Baunach, Amy Cannon
Unsafe abortion is responsible for at least 9% of all maternal deaths worldwide; however, in humanitarian emergencies where health systems are weak and reproductive health services are often unavailable or disrupted, this figure is higher. In Puntland, Somalia, Save the Children International (SCI) implemented postabortion care (PAC) services to address the issue of high maternal morbidity and mortality due to unsafe abortion. Abortion is explicitly permitted by Somali law to save the life of a woman, but remains a sensitive topic due to religious and social conservatism that exists in the region...
December 12, 2017: Reproductive Health Matters
https://www.readbyqxmd.com/read/29229650/improving-contraceptive-access-use-and-method-mix-by-task-sharing-implanon-insertion-to-frontline-health-workers-the-experience-of-the-integrated-family-health-program-in-ethiopia
#8
Yewondwossen Tilahun, Candace Lew, Bekele Belayihun, Kidest Lulu Hagos, Mengistu Asnake
In 2009, the Ethiopian Federal Ministry of Health launched an Implanon scale-up program with the goal of improving the availability of long-acting reversible contraceptive (LARC) methods at the community level. The Integrated Family Health Program (IFHP) supported the ministry to train Health Extension Workers (HEWs), a cadre of frontline health workers, on Implanon insertion. Prior to this task-sharing initiative, HEWs were only permitted to provide short-acting contraceptive methods; Implanon insertion services were only available at higher-level health facilities, such as health centers and above...
December 8, 2017: Global Health, Science and Practice
https://www.readbyqxmd.com/read/29211490/contraception-among-active-component-service-women-u-s-armed-forces-2012-2016
#9
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
#10
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
#11
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
Maya Michelle Kumar
No abstract text is available yet for this article.
November 20, 2017: JAMA Pediatrics
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