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Natural family planning methods

Justine P Wu, Kimberly S McKee, Michael M McKee, Michelle A Meade, Melissa A Plegue, Ananda Sen
CONTEXT: Women with disabilities experience a higher rate of adverse pregnancy outcomes than women without disabilities. Preventing or delaying pregnancy when that is the best choice for a woman is a critical strategy to reducing pregnancy-related disparities, yet little is known about current contraceptive use among women with disabilities. METHODS: A cohort of 545 reproductive-age women with physical disabilities (i.e., difficulty walking, climbing, dressing or bathing) or sensory disabilities (i...
May 17, 2017: Perspectives on Sexual and Reproductive Health
Jema K Turk, Felisa Preskill, Alecia Fields, Uta Landy, Jody E Steinauer
OBJECTIVES: The Accreditation Council for Graduate Medical Education (ACGME) requires that obstetrics and gynecology residency programs provide access to abortion training, though residents may elect to opt out of participating due to religious or moral objections. While clinical benefits of partial participation have previously been explored, our study aimed to explore how residents navigate partial participation in abortion training and determine their limits. STUDY DESIGN: This study was qualitative in nature...
April 22, 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Matthias Unseld, Elisabeth Rötzer, Roman Weigl, Eva K Masel, Michael D Manhart
PURPOSE: Birth control is a persistent global health concern. Natural family planning (NFP) comprises methods to achieve or avoid pregnancy independent of mechanical or pharmacological intervention. The sympto-thermal method (STM) of NFP employs daily observation of cervical fluids and measurement of basal body temperature. This multi-country study was undertaken to describe the characteristics of STM users, understand their perceptions of NFP, and its perceived impact on relationships...
2017: Frontiers in Public Health
Y Song, M Zhang, N Yue, L Gan, X Chen, T Zhang, G Ren
PURPOSE: To explore the correlations between anatomic features and dose-volumetric parameters in 3DCRT and eComp whole breast irradiation and identify the feasibility of anatomic parameters to predict the planning method selection. METHODS: We compared the effectiveness between conventional three-dimensional conformal radiotherapy (3DCRT) and electronic tissue compensation (eComp) for whole breast irradiation. 3DCRT and eComp planning techniques were used to generate treatment plans for 60 whole breast patients, respectively...
June 2016: Medical Physics
Juana Aigo, Ana Ladio
BACKGROUND: Understanding how people interpret environmental change and develop practices in response to such change is essential to comprehend human resource use. In the cosmology of the American indigenous peoples, as among the Mapuche people, freshwater systems are considered a living entity, where animals have an enormous role to play in the universe of meaning. However, human adaptive responses to freshwater system dynamics are scarcely examined. In this work a survey is carried out in three Mapuche communities of Argentine Patagonia to assess their traditional knowledge of the fishes and other non-human living beings that inhabit lakes and rivers...
December 7, 2016: Journal of Ethnobiology and Ethnomedicine
Richard J Fehring, Mary Schneider
PURPOSE: The aims of this study were to determine and compare extended use-effectiveness of an online nurse-managed fertility education service program among women (and subgroups of women) seeking to avoid pregnancy. STUDY DESIGN AND METHODS: This was a 24-month prospective study of a university-based online Web site with 663 nonbreastfeeding women using an online charting system to avoid pregnancy. Participants tracked their fertility online with either cervical mucus monitoring, electronic hormonal fertility monitoring, or both fertility indicators...
January 2017: MCN. the American Journal of Maternal Child Nursing
George Mulcaire-Jones, Richard J Fehring, Megan Bradshaw, Karen Brower, Gonzaga Lubega, Paskazia Lubega
Various fertility indicators are used by natural family planning methods to identify the fertile and infertile phases of a woman's menstrual cycle: mucus observations, cycle-day probabilities, basal body temperature readings, and hormonal measures of LH and estrogen. Simplified NFP methods generally make use of a single fertility indicator such as cycle-day probabilities (Standard Days Method) or mucus observations (Billings Ovulation Method). The Couple Bead Method integrates the two simplest fertility indicators, cycle-day probabilities and mucus observations, expanding its applicability to all women, regardless of cycle regularity and length...
February 2016: Linacre Quarterly
Chuanning Yu, Junqing Wu, Yuyan Li, Ying Zhou, Rui Zhao, Honglei Ji, Yi-Ran Li, Ying Han, Qi Tong
This study attempted to explore how informed choice on contraceptive methods influenced induced abortions among reproductive-age immigrant women in China. A total of 3230 participants were recruited in Beijing, Shanghai, and Chongqing. Information on informed choice was collected by questionnaires. The annual incidence rate (spells) of induced abortions was 0.46 (1500/3230) among the participants. The sequence from the highest score to the lowest was long-term, short-term and natural contraceptive methods (p < 0...
October 24, 2016: International Journal of Environmental Research and Public Health
Mabel L Rice
Future perspectives on children with language impairments are framed from what is known about children with specific language impairment (SLI). A summary of the current state of services is followed by discussion of how these children can be overlooked and misunderstood and consideration of why it is so hard for some children to acquire language when it is effortless for most children. Genetic influences are highlighted, with the suggestion that nature plus nurture should be considered in present as well as future intervention approaches...
November 2016: Seminars in Speech and Language
Chrishanthy Grace Jayarajah, Trudi Seneviratne
Unplanned pregnancies are a unique, yet significant risk factor in perinatal mental health. Our aim was to create an assessment tool to assess mother's views on contraception as part of the discharge planning process. We used a quantitative-qualitative approach. A clinician-guided questionnaire was completed by patients prior to their discharge from hospital and analysed using Microsoft Excel. Semi-structured interviews were used to explore views regarding family planning in greater depth. Interviews were recorded and transcribed verbatim onto Microsoft Word...
September 23, 2016: Archives of Women's Mental Health
Rafaella Brandão Dias, Rita Narriman Silva de Oliveira Boery, Alba Benemérita Alves Vilela
This study sought to analyze the knowledge of nurses about the benefits of breastfeeding for the family and describe the inclusion of family involvement in health activities associated with breastfeeding. A qualitative, exploratory and descriptive study was conducted with 8 nurses in the municipality of Itapetinga in the state of Bahia in the first semester of 2014. Semi-structured interviews were used for data gathering and the thematic content analysis technique was used for processing the data. It was found that awareness of nurses about the benefits of breastfeeding for the family corresponds to the information released by the Ministry of Health and to the data found in the literature...
August 2016: Ciência & Saúde Coletiva
Lina Čiaplinskienė, Birutė Žilaitienė, Rasa Verkauskienė, Rimantas Žalinkevičius, Žana Bumbulienė, Virginija Vanagienė, Johannes Bitzer
OBJECTIVES: The study investigated the effects on female sexual function of a progestogen-containing combined oral contraceptives (COCs) with an antiandrogenic profile taken in a continuous regimen. METHODS: In this prospective randomised single-institution study, 80 healthy women with a monogamous partner and an active sexual life were randomised into two groups for a period of 3 months. Women in the exposed group (n = 40) took a COCs containing 30 μg ethinylestradiol (EE) and 3 mg drospirenone (DRSP) in a 21/7 regimen...
October 2016: European Journal of Contraception & Reproductive Health Care
Alana Sagin, James N Kirkpatrick, Barbara A Pisani, Beth B Fahlberg, Annika L Sundlof, Nina R O'Connor
CONTEXT: Despite national requirements mandating collaboration between palliative care specialists and mechanical circulatory support (MCS) teams at institutions that place destination therapy ventricular assist devices (VAD-DT), little is known about the nature of those collaborations or outcomes for patients and families. OBJECTIVES: To assess how Centers for Medicare & Medicaid Services' (CMS) regulations have changed collaboration between palliative care and MCS teams, and how this collaboration is perceived by MCS team members...
July 8, 2016: Journal of Pain and Symptom Management
Mervi Halttunen-Nieminen, Terhi Piltonen, Heidi Alenius, Laura Apukka, Elise Kosunen, Kirsi Pietilä, Sinikka Sihvo, Piia Vuorela, Eija Väänänen, Tiina Yli-Kivistö
There are no age limits for the start or use of contraception. Prior gynecological examination or cervical smear is not needed. Condom is the only method that protects from sexually transmitted diseases. An increase in the risk of venous thromboembolism (VTE) is associated only with combined contraceptives. However, the risk is remarkably higher with pregnancy, puerperium or with smoking. The most effective reversible methods are intrauterine devices (IUD) and implants, as these do not depend on daily memory...
2016: Duodecim; Lääketieteellinen Aikakauskirja
Kerry Mutch, Abigail Methley, Shahd Hamid, Perry Moore, Anu Jacob
AIM: Neuromyelitis optica (NMO) is a rare neuro-inflammatory condition characterized by acute relapses causing severe visual or physical disability. The impact on family members and their experiences have not been studied. The study aims were to explore the lived experience of partners of people with NMO and to investigate potential carer burden in this population. METHOD: A mixed-method design was used; 11 partners of people with NMO completed semi-structured interviews; 54 partners completed Zarit Burden Interview and Hospital Anxiety and Depression Scale...
July 3, 2016: Disability and Rehabilitation
S K Kathpalia
BACKGROUND: India was one of the first countries to launch a formal family planning program. Initially, the main thrust of the program was on sterilization but subsequently it has got evolved and now the stress is to bring about awareness of contraception and make informed choices. Emergency contraception has been included in its armamentarium. This study was conducted to find out about the awareness among the cases who report for induced abortion. METHODS: A total of 784 willing cases were enrolled in the study; there were no exclusion criteria except unwillingness...
April 2016: Medical Journal, Armed Forces India
Autumn S Davidson, Camille Fabiyi, Shiferaw Demissie, Hiwot Getachew, Melissa L Gilliam
Objective Ethiopia is home to an increasingly large refugee population. Reproductive health care is a critical issue for these groups because refugee women are at high risk for unmet family planning needs. Efforts to expand contraceptive use, particularly long acting reversible contraceptive (LARC) methods are currently underway in several Ethiopian refugee camps. Despite availability of LARC methods, few refugee women opt to use them. The purpose of this study was to explore how culture influences contraceptive attitudes and behaviors, particularly towards LARC methods, among Ethiopia's refugee populations...
May 20, 2016: Maternal and Child Health Journal
Julia Andrea Behrman, Abigail Weitzman
This article explores the effects of the 2010 Haiti earthquake on women's reproductive health, using geocoded data from the 2005 and 2012 Haiti Demographic and Health Surveys. We use geographic variation in the destructiveness of the earthquake to conduct a difference-in-difference analysis. Results indicate that heightened earthquake intensity reduced use of injectables-the most widely used modern contraceptive method in Haiti-and increased current pregnancy and current unwanted pregnancy. Analysis of impact pathways suggests that severe earthquake intensity significantly increased women's unmet need for family planning and reduced their access to condoms...
March 2016: Studies in Family Planning
L R Joshi
BACKGROUND: Family planning (FP) is one of the major components of reproductive health and its goal is to prevent unwanted pregnancies and regulate wanted pregnancies, thereby ensuring the health of mothers and children. It also aims at regulating the population in order to maintain the vital balance between development and the environment. Ideally, FP depends on the efforts of a couple where the man and woman are equally responsible and accountable. In reality, however, this is not the case...
September 2015: Journal of Nepal Health Research Council
Richard J Fehring
The purpose of this study was to determine the influence of contraception, abortion, and natural family planning (NFP) on divorce rates of US women of reproductive age. The variables of importance of religion and frequency of church attendance were also included in the analysis. The study involved 5,530 reproductive age women in the (2006-2010) National Survey of Family Growth who indicate that they were ever married. Among the women who ever used NFP only 9.6 percent were currently divorced compared with the 14...
August 2015: Linacre Quarterly
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