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55,218 results match your criteria Contraception


Young key affected population in Myanmar: are there any challenges in seeking information and care for HIV/sexually transmitted infections and reproductive health?

F1000Res 2018 21;7:1515. Epub 2018 Sep 21.

Department of Medical Research, Ministry of Health and Sports, Yangon, 11191, Myanmar.

Unmet needs and barriers in seeking HIV/STI and RH information and care are present especially among young key affected population (YKAP). Therefore, the study was conducted to determine the health seeking behaviors of YKAP regarding HIV/STI and RH, and challenges in seeking health information and care. A cross-sectional, mixed-methods study was conducted at two large cities in Myanmar. Read More

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September 2018

Contraceptive use and the risk of sexually transmitted infection: systematic review and current perspectives.

Open Access J Contracept 2018 12;9:91-112. Epub 2018 Nov 12.

Global Health, Population and Nutrition, FHI 360, Durham, NC, USA,

Purpose: Evidence on the association between contraceptive use and risk of sexually transmitted infections (STIs) and bacterial vaginosis (BV) is lacking, with few prospective studies. We systematically reviewed the last 10 years' evidence on the association between contraception and STI/BV, building on the most recent systematic reviews published in 2006 and 2009.

Methods: We searched the MEDLINE and POPLINE databases for peer-reviewed articles p ublished between January 1, 2008 and January 31, 2018 reporting prospective studies that assessed the association between contraceptive use and incident STI and/or incident or recurrent BV. Read More

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November 2018

Programmatic implications of unmet need for contraception among men and young married women in northern Nigeria.

Open Access J Contracept 2018 8;9:81-90. Epub 2018 Nov 8.

UKAid/Nigeria MNCH2 Programme, Kano, Nigeria.

Purpose: The study was designed to provide programmatic recommendations for interventions to increase contraceptive prevalence in northern Nigeria. Family-planning use in North-East and North-West regions of Nigeria has remained very low, despite years of domestic and donor investments. We examine respondents' perceptions of their own need for contraception and specifically focus on young women because of their higher risk for maternal mortality. Read More

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November 2018

Venous thrombosis and hormonal contraception: what's new with estradiol-based hormonal contraceptives?

Open Access J Contracept 2018 8;9:75-79. Epub 2018 Nov 8.

Institute of Obstetrics and Gynecology, Department of Medical Area, University of Udine, Udine, Italy.

Objective: Estradiol (E2)-based hormonal contraceptives impact less than ethinylstradiol (EE) contraceptives on venous thromboembolism (VTE) in comparison to formulations with EE.

Study Design: In this article, the pharamacologic data of EE and E2 were briefly reviewed, along with the induced biologic effect. These data were then related to a recent large international prospective, controlled, non-interventional cohort active surveillance study, on the cardiovascular risk of users of different types of combined estroprogestin contraceptive (CEPC). Read More

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November 2018

Postpartum family-planning barriers and catalysts in Burkina Faso and the Democratic Republic of Congo: a multiperspective study.

Open Access J Contracept 2018 9;9:63-74. Epub 2018 Nov 9.

Institut de Recherche en Sciences de la Santé, Ouagadougou, Burkina Faso.

Purpose: To address the high unmet need for postpartum family planning (PPFP) in resource-limited settings, particularly in sub-Saharan Africa, this study aimed to identify PPFP-related barriers and catalysts to inform policies and programs to increase access to postpartum contraception.

Methods: Using qualitative methodology, we explored the perspectives of women, adolescent girls, men, religious and community leaders, service providers, and decision makers from three rural communities in Burkina Faso and three rural-urban communities in the Democratic Republic of Congo. Both countries have high unmet need for PPFP and are priority countries of the French Muskoka Fund for Maternal and Child Health. Read More

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November 2018

Maternal use of hormonal contraception and risk of childhood leukaemia - Authors' reply.

Lancet Oncol 2018 Dec;19(12):e659

Virus, Lifestyle and Genes, Danish Cancer Society Research Center, DK-2100 Copenhagen, Denmark; Department of Gynaecology, Rigshospitalet, Copenhagen, Denmark.

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December 2018

Maternal use of hormonal contraception and risk of childhood leukaemia.

Lancet Oncol 2018 Dec;19(12):e658

Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY 10032, USA; Division of Epidemiology and Biostatistics, Department of Obstetrics, Gynecology, and Reproductive Sciences, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

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December 2018

Maternal use of hormonal contraception and risk of childhood leukaemia.

Lancet Oncol 2018 Dec;19(12):e657

Department of Head and Neck Oncology, West China Hospital of Stomatology, State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China. Electronic address:

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December 2018

Low-Income Texas Women's Experiences Accessing Their Desired Contraceptive Method at the First Postpartum Visit.

Perspect Sex Reprod Health 2018 Dec 3. Epub 2018 Dec 3.

Professor, Population Research Center, University of Texas at Austin.

Context: Early access to contraception may increase postpartum contraceptive use. However, little is known about women's experiences receiving their desired method at the first postpartum visit or how access is associated with use.

Methods: In a 2014-2016 prospective cohort study of low-income Texas women, data were collected from 685 individuals who desired a reversible contraceptive and discussed contraception with a provider at their first postpartum visit, usually within six weeks of birth. Read More

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December 2018

Changes in the use of effective and long-acting reversible contraception in Vietnam.

Contraception 2018 Nov 29. Epub 2018 Nov 29.

The Ohio State University (OSU), College of Public Health (CPH), Division of Epidemiology, Cunz Hall, 1841 Neil Avenue, Columbus, OH, 43210, USA. Electronic address:

Objectives: To calculate the prevalence and identify correlates of unmet need for contraception and to assess whether prevalence of use of effective contraception and long-acting reversible contraception (LARC) has changed over time among married or cohabiting, reproductive-age women in Vietnam.

Methods: Study population was drawn from nationally-representative Multiple Indicator Cluster Surveys conducted in 2000, 2006, 2011, and 2014. Unmet need for contraception was defined as occurring when a fecund, married or cohabiting woman is not using any method of contraception but either does not want children or wants to delay birth for at least one year or until marriage. Read More

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November 2018

Quantifying disparities in access to public-sector abortion based on legislative differences within the Mexico City metropolitan area.

Contraception 2018 Nov 28. Epub 2018 Nov 28.

National Institute of Public Health, Center for Population Health Research Cuernavaca, Morelos, Mexico; Department of Obstetrics & Gynecology, Oregon Health & Science University & OHSU-PSU School of Public Health, Portland, OR, USA. Electronic address:

Objectives: In the Mexico City Metropolitan Area, only women in the city center have local access to legal first trimester abortion. We quantify how this legislative discrepancy affects access to legal, public-sector abortion across the metropolitan area.

Study Design: In this observational study we used a dataset representing 67. Read More

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November 2018
1 Read

Need for better indicators of contraception after abortion.

Authors:
Chris Smith

BMJ Sex Reprod Health 2018 Dec 4. Epub 2018 Dec 4.

School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan.

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December 2018
1 Read

Using the Theory of Planned Behavior to determine pharmacy students' intention to participate in hormonal contraception counseling services.

Curr Pharm Teach Learn 2018 Nov 24;10(11):1488-1495. Epub 2018 Aug 24.

Auburn University Harrison School of Pharmacy, Health Outcomes Research and Policy, 020 James E. Foy Hall, Auburn, AL, United States. Electronic address:

Introduction: Recent policies allow some pharmacists to prescribe hormonal birth control, which may improve access to hormonal contraceptives. This study explored associations between student pharmacists' hormonal contraception knowledge, attitudes, subjective norms, perceived behavioral control to counseling intentions, and preferred learning methods.

Methods: A cross-sectional online survey was developed to assess student pharmacists' hormonal contraception knowledge, perceptions, and counseling intentions. Read More

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November 2018

Demande de contraception en post-partum.

Rev Prat 2016 Apr;66(4):401-404

Centre gynécologie et médecine de la reproduction, hôpital Antoine- Béclère, Clamart, France.

View Article

Contraception.

Rev Prat 2016 Jan;66(1):e35-e43

Unité de gynécologie endocrinienne, hôpital Cochin-Port-Royal, 75014 Paris, France.

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January 2016

Case Report: Persistent Genital Arousal Disorder in an Adolescent Woman.

Authors:
Kelly A Curran

J Pediatr Adolesc Gynecol 2018 Dec 1. Epub 2018 Dec 1.

Section of Adolescent Medicine, Department of Pediatrics, University of Oklahoma Health Sciences Center, 1200 Children's Avenue, Suite 12204 Oklahoma City, OK. Electronic address:

Background: After several visits with unrelated complaints, a 16-year-old female disclosed symptoms of unwanted genital arousal and was diagnosed with persistent genital arousal disorder (PGAD).

Case: A 16-year-old female with history of depression, sexual abuse, and dysmenorrhea insistently requested etonogestrel rod removal. At two visits following implant removal, the patient disclosed the reason for her insistence: PGAD symptoms developed after implant insertion, though they worsened with removal. Read More

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December 2018
10 Reads

Gender-specific considerations in physical activity, thermogenesis and fat oxidation: implications for obesity management.

Obes Rev 2018 Dec;19 Suppl 1:73-83

Human Nutrition Unit, School of Biological Sciences, University of Auckland, Auckland, New Zealand.

With current 'one-size-fits-all' obesity prevention and management strategies proving largely ineffective, the focus has shifted towards a more tailored, individualized approach. However, investigation of the mechanisms underlying inter-individual variability in metabolic profile and response to intervention often yield conflicting results. Indeed, it is perhaps surprising that despite at least a century of recognition that sex hormones influence metabolism, firm conclusions regarding the effects of the menstrual cycle, hormonal contraception and menopause on many aspects of energy expenditure and substrate utilization remain to be drawn. Read More

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December 2018

Exposure to domestic violence and abuse and consultations for emergency contraception: nested case-control study in a UK primary care dataset.

Br J Gen Pract 2018 Dec 3. Epub 2018 Dec 3.

National Institute for Health Research Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West), University Hospitals Bristol NHS Foundation Trust, and Population Health Sciences, Bristol Medical School, University of Bristol, Bristol.

Background: Evidence of an association between exposure to domestic violence and abuse (DVA) and use of emergency contraception (EC) is lacking in the UK.

Aim: To quantify the association between exposure to DVA and consultations for EC in general practice.

Design And Setting: Nested case-control study in UK general practice. Read More

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December 2018

Unmet need for modern contraception and associated factors among reproductive age group women in Eritrean refugee camps, Tigray, north Ethiopia: a cross-sectional study.

BMC Res Notes 2018 Dec 4;11(1):851. Epub 2018 Dec 4.

Department of Public Health, College of Health Sciences, Aksum University, Aksum, Ethiopia.

Objective: Millions of women want to delay or avoid pregnancy, but they are not using contraception, especially in refugee settings. Due to lack of contraception, one fifth of reproductive age group women suffered from unwanted pregnancy and unsafe abortion, which accounted for 78% of maternal mortality in refugee camps. Therefore, the aim of this study was to assess the prevalence of unmet need for modern contraception and its associated factors among reproductive age group women in Eritrean refugee camps, Tigray, Northern Ethiopia, 2016. Read More

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December 2018
1 Read

Effects of ethinyl estradiol-containing oral contraception and other factors on body composition and muscle strength among young healthy females in Finland-A cross-sectional study.

Eur J Obstet Gynecol Reprod Biol 2018 Nov 22;232:75-81. Epub 2018 Nov 22.

Kuopio Musculoskeletal Research Unit (KMRU), University of Eastern Finland (UEF), Finland; Departments of Surgery/Orthopaedics and Traumatology and Hand Surgery, Kuopio University Hospital, Finland.

Objective: The aim of this cross-sectional study was to determine the association of hormonal contraception and other life-style factors and habits affecting body composition (BC) and muscle strength.

Study Design: We measured the body composition of 400 healthy Finnish women (aged 20-40 years) using total body dual energy x-ray absorptiometry (TB-DXA) as well as grip strength (GS [kPa]) with a hand-held dynamometer and knee extension strength (KES [kg]) between 2011 and 2014. Investigated body composition variables were appendicular skeletal mass (ASM [kg]), body mass index (BMI [kg/m]), relative skeletal muscle index (RSMI [ASM/m]), total lean mass (TLM [kg]), skeletal muscle index (SMI [TLM/weight × 100]) and fat-%. Read More

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November 2018

Self-administered lidocaine gel for local anesthesia prior to osmotic dilator placement: a randomized trial.

Contraception 2018 Nov 27. Epub 2018 Nov 27.

Stanford University, Department of Obstetrics and Gynecology, Division of Family Planning Services and Research, 300 Pasteur Drive, HG 332, Palo Alto, CA, USA 94305. Electronic address:

Objective(s): To compare pain scores during cervical dilator placement prior to dilation and evacuation (D&E) with patient-administered vaginal lidocaine gel versus lidocaine paracervical block (PCB).

Study Design: We conducted an unblinded randomized trial of women≥18years of age undergoing surgical abortion at≥16weeks gestation in two outpatient clinics. We randomized participants to receive self-administered lidocaine gel 2% 20mL intravaginally 15-30min before procedure initiation, or lidocaine 1% 12mL PCB immediately prior to dilator placement. Read More

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November 2018

Prospective quantification of Fetomaternal hemorrhage with dilation and evacuation procedures.

Contraception 2018 Nov 27. Epub 2018 Nov 27.

Department of Obstetrics and Gynecology; University of California, Davis; 4860, Y Street, Suite 2500; Sacramento, CA, USA. Electronic address:

Objective: To describe fetomaternal hemorrhage (FMH) during second trimester dilation and evacuation (D&E) to evaluate if Rh-immune globulin (RhIG) 100 mcg (used in the United Kingdom) and 300 mcg (used in the United States) provide adequate prophylaxis.

Study Design: We conducted an exploratory prospective descriptive study of women undergoing D&E between 15weeks 0days and 23weeks 6days gestation. Enrolled participants had Kleihauer-Betke testing on specimens obtained before and after D&E. Read More

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November 2018

Social Ecological Factors of Sexual Subjectivity and Contraceptive Use and Access Among Young Women in the Northwest Territories, Canada.

J Sex Res 2018 Nov 30:1-10. Epub 2018 Nov 30.

d Women and Gender Studies Institute, University of Toronto; and Equity Studies, University of Toronto.

Adolescent women in the Northwest Territories (NWT), Canada, experience many sexual health challenges that are linked to a history of colonization and intergenerational effects of trauma. This study was informed by social ecological theory and explored how young women in the NWT develop sexual subjectivity within the context of contraception use and access during this time of decolonization. A total of 41 participants (aged 13 to 17 years) attended the Fostering Open eXpression among Youth (FOXY) body-mapping intervention in six NWT communities and then completed semistructured interviews. Read More

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November 2018

Two year continuation rates of contraceptive methods in France: a cohort study from the French national health insurance database.

Eur J Contracept Reprod Health Care 2018 Nov 30:1-6. Epub 2018 Nov 30.

e Gynecology-Obstetric Department , Hospital Loire Vendée Ocean , Challans , France.

Objective: The aim of this study was to evaluate the continuation rates of reimbursed contraceptive methods in French real-world conditions.

Methods: A retrospective cohort study using a representative sample of the national health insurance database, the General Sample of Beneficiaries (Echantillon Généralistes des Bénéficiaires [EGB]), was performed between 2006 and 2012. Selected women were ≥15 years of age and had started a reimbursed contraceptive method between 2009 and 2012 without prior reimbursement for an implant or an intrauterine contraceptive method between 2006 and 2008. Read More

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November 2018
1 Read

Emergency contraception and risk habits in a university population.

Eur J Contracept Reprod Health Care 2018 Nov 30:1-7. Epub 2018 Nov 30.

c Unit for Research , Primary Health Care Management , Palma , Spain.

Objective: The aim of our study was to determine the self-reported prevalence of use of emergency contraception (EC), identify factors associated with EC use, and measure the prevalence in university students of pregnancy and abortion among users and non-users of EC.

Methods: A cross-sectional descriptive study of university students using a self-administered questionnaire was carried out in 2016. The main dependent variable was EC use at any time. Read More

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November 2018
1 Read

Contraception and abortion knowledge, attitudes and practices among adolescents from low and middle-income countries: a systematic review.

BMC Health Serv Res 2018 Nov 29;18(1):909. Epub 2018 Nov 29.

Department of Epidemiology & Biostatistics, School of Public Health, University of Zambia, Lusaka, Zambia.

Background: Adolescents face significant barriers to contraception access and utilization that result in adverse health effects of early pregnancy and childbirth. Unsafe abortions continue to occur partly due to failure to prevent pregnancies, with Sub-Saharan Africa contributing the most significant burden of all unsafe abortions among young people globally, of which a quarter occurs in those aged 15-19 years. We aimed to conduct a systematic review of the contraceptive and abortion knowledge, attitudes and practices of adolescents in low and middle-income countries to increase the understanding of the sexual and reproductive health dynamics that they face. Read More

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November 2018
2 Reads

Medicaid Family Planning Expansions: The Effect of State Plan Amendments on Postpartum Contraceptive Use.

J Womens Health (Larchmt) 2018 Nov 28. Epub 2018 Nov 28.

Department of Behavioral Sciences and Health Education, Rollins School of Public Health, Emory University , Atlanta, Georgia .

Objective: To determine the effect of state Medicaid family planning (FP) programs transitioning from a Section 1115 waiver to a State Plan Amendment (SPA) on reproductive health outcomes.

Materials And Methods: Data were from the Pregnancy Risk Assessment Monitoring System on 75,082 women who had a live birth between 2007 and 2013 and were living in one of nine states. We performed a difference-in-differences analysis to quantify the effect of the transition on postpartum contraceptive (PPC) use and unintended births (UBs). Read More

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November 2018
1 Read

Pharmaceuticals and modern statecraft in South Africa: the cases of opium, thalidomide and contraception.

Med Humanit 2018 Dec;44(4):253-262

History, University of Johannesburg, Auckland Park, South Africa.

This article provides a history of three pharmaceuticals in the making of modern South Africa. Borrowing and adapting Arthur Daemmrich's term 'pharmacopolitics', we examine how forms of pharmaceutical governance became integral to the creation and institutional practices of this state. Through case studies of three medicaments: opium (late 19th to early 20th century), thalidomide (late 1950s to early 1960s) and contraception (1970s to 2010s), we explore the intertwining of pharmaceutical regulation, provision and consumption. Read More

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December 2018

Prevalence of adverse birth outcome and associated factors among women who delivered in Hawassa town governmental health institutions, south Ethiopia, in 2017.

Reprod Health 2018 Nov 26;15(1):193. Epub 2018 Nov 26.

Department of Midwifery, College of Medicine and Health Sciences, Hawassa University, P.O. Box 1560, Hawassa, Ethiopia.

Background: Most pregnancies are unplanned in Ethiopia. This is due to ignorance of the types and efficacy of each method of contraception they are associated with vast and unpredictable complications. Most of the time, these complications result in adverse birth outcomes. Read More

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November 2018
6 Reads

Unintended pregnancy and subsequent postpartum long-acting reversible contraceptive use in Zimbabwe.

BMC Womens Health 2018 Nov 26;18(1):193. Epub 2018 Nov 26.

University of California, Berkeley School of Public Health, Berkeley, USA.

Background: The postpartum period is an opportune time for contraception adoption, as women have extended interaction with the reproductive healthcare system and therefore more opportunity to learn about and adopt contraceptive methods. This may be especially true for women who experience unintended pregnancy, a key target population for contraceptive programs and programs to eliminate mother-to-child HIV transmission. Among women in Zimbabwe surveyed in 2014, we examined the relationship between pregnancy intention associated with a woman's most recent pregnancy, and her subsequent postpartum contraceptive use. Read More

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November 2018
1 Read

Knowledge and use of family planning among men in rural Uganda.

BMC Public Health 2018 Nov 26;18(1):1294. Epub 2018 Nov 26.

African Community Center for Social Sustainability (ACCESS), Nakaseke, Uganda.

Background: Unmet need for family planning exceeds 33% in Uganda. One approach to decreasing unmet need is promoting male involvement in family planning. Male disapproval of use of family planning by their female partners and misconceptions about side effects are barriers to family planning globally and in Uganda in particular. Read More

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November 2018
5 Reads

The history of universal access to emergency contraception in Peru: a case of politics deepening inequalities.

Reprod Health Matters 2018 Nov 26:1-4. Epub 2018 Nov 26.

b Co-ordinator of the Legal Program, Promsex , Lima , Peru.

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November 2018
1 Read

Misconceptions and current use of contraception among women of reproductive age in six major cities in Nigeria.

Eur J Contracept Reprod Health Care 2018 Nov 26:1-6. Epub 2018 Nov 26.

e Department of Clinical Pharmacy and Practice , College of Pharmacy, Qatar University , Doha , Qatar.

Objectives: The aims of this study were to assess the determinants of family planning misconceptions and modern contraceptive use, and the influence of misconceptions on the use of modern contraceptive methods.

Methods: We reviewed and analysed data collected between October 2010 and March 2011 among a representative household sample of 13,575 women of reproductive age (15-49 years) in six urban cities in Nigeria. Multiple linear and logistic regression models were used to examine the predictors of misconceptions and current use of contraception and the association between misconceptions and modern contraceptive use. Read More

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November 2018
1 Read

Manipulation of the oestrous cycle of the bitch-what works… for now.

Reprod Domest Anim 2018 Nov;53 Suppl 3:44-52

Centre d'Etudes en Reproduction des Carnivores (CERCA), Ecole Nationale Vétérinaire d'Alfort, Paris, France.

Manipulation of the oestrous cycle of the bitch is a common request of pet owners for different reasons. On one side, clients may be interested in temporally preventing oestrus until the bitch has finished the performance career, or to manage the kennel in the presence of a stud dog and to avoid undesirable breeding. Additionally, clients with no interest to use their animal for breeding, may, for ethical reasons, prefer to avoid elective surgery such as ovariectomy, to control reproduction. Read More

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November 2018
1 Read

Isotretinoin exposure in pregnant women in Korea.

Obstet Gynecol Sci 2018 Nov 12;61(6):649-654. Epub 2018 Oct 12.

Department of Obstetrics and Gynecology, Cheil General Hospital and Women's Healthcare Center, Dankook University School of Medicine, Seoul, Korea.

Objective: Isotretinoin is a notorious teratogen otherwise used for the treatment of acne vulgaris. Some countries, including those in North America and the European Union, implemented the pregnancy prevention program (PPP); however, no PPP has yet been established in South Korea. So the aim of this study was to evaluate the rate of pregnant women exposed to isotretinoin among the callers of the Korean Mother Safe Counseling Center. Read More

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November 2018
1 Read

Contraceptive knowledge and use among women with intellectual, physical, or sensory disabilities: A systematic review.

Disabil Health J 2018 Nov 9. Epub 2018 Nov 9.

OHSU-PSU School of Public Health, Portland, OR, USA; Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, OR, USA; Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, OR, USA.

Background: Women spend most of their reproductive years avoiding pregnancy. However, we know little about contraceptive knowledge and use among women with disabilities, or about strategies to improve contraceptive knowledge and decision-making in this population.

Objective: To systematically review published literature on women with disabilities and: 1) contraceptive knowledge; 2) attitudes and preferences regarding contraception; 3) contraceptive use; 4) barriers and facilitators to informed contraceptive use; and 5) effectiveness of interventions to improve informed contraceptive decision-making and use. Read More

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November 2018
1 Read

N 366 - Prise en charge gynécologique du cancer du sein et de l'ovaire héréditaire.

J Obstet Gynaecol Can 2018 Nov;40(11):1511-1527

Toronto (Ont.).

Objectif: La présente opinion de comité énumère les recommandations pour la prise en charge gynécologique des femmes ayant reçu un diagnostic de syndrome du cancer du sein et de l'ovaire héréditaire (CSOH) en ce qui a trait au dépistage, à la contraception, à la chimioprophylaxie, aux facteurs à considérer pour la fertilité, à la chirurgie de réduction du risque et aux soins post-ovariectomie.

Utilisateurs Cibles: La présente opinion de comité s'adresse aux gynécologues oncologues, aux gynécologues généralistes, aux médecins de famille, aux conseillers en génétique, aux infirmières autorisées, infirmières praticiennes, aux résidents et aux autres fournisseurs de soins.

Population Cible: Les femmes adultes (18 ans et plus) présentant une mutation des gènes BRCA1 ou BRCA2 ou d'autres gènes associés au cancer de l'ovaire. Read More

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November 2018
3 Reads

No. 366-Gynaecologic Management of Hereditary Breast and Ovarian Cancer.

J Obstet Gynaecol Can 2018 Nov;40(11):1497-1510

Toronto, ON.

Objective: This Committee Opinion outlines the gynaecologic management recommendations for women diagnosed with hereditary breast and ovarian cancer syndrome (HBOC) with respect to screening, contraception, chemoprophylaxis, fertility considerations, risk-reducing surgery, and post-oophorectomy care.

Intended Users: This Committee Opinion is designed for gynaecologic oncologists, general gynaecologists, family physicians, genetic counsellors, registered nurses, nurse practitioners, residents, and health care providers.

Target Population: Adult women (18 years and older) with a pathogenic germline variant in the BRCA1, BRCA2, and other ovarian cancer-associated genes. Read More

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November 2018
3 Reads

"So that's why I'm scared of these methods": Locating contraceptive side effects in embodied life circumstances in Burundi and eastern Democratic Republic of the Congo.

Soc Sci Med 2018 Sep 20;220:264-272. Epub 2018 Sep 20.

Swiss Tropical and Public Health Institute, Soccinstrasse 57, Basel, 4051, Switzerland; University of Basel, Petersplatz 1, Basel, 4003, Switzerland. Electronic address:

Contraceptive side effects (SE) are often portrayed as either unproblematic trade-offs for pregnancy prevention or misconceptions and fears that negatively affect individuals' contraceptive decisions. Little attention is given, however, to wider, socially-rooted meanings and rationales for these feared and experienced SE. Through inductive analysis of in-depth interviews conducted with women and men from rural Burundi and South Kivu province, Democratic Republic of the Congo between 2013 and 2016, we locate contraceptive SE narratives in individuals' broader and changing life circumstances. Read More

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September 2018
3 Reads

Misalignment of sexual and reproductive health priorities among older Latino adolescents and their mothers.

Contraception 2018 Nov 21. Epub 2018 Nov 21.

Women's and Gender Studies, University of Texas at El Paso, El Paso, TX, USA.

Objective: The study describes maternal and adolescent perspectives on sexual decision-making and the role of mothers in shaping use of contraception for the prevention of unplanned pregnancies and STIs among older Latino adolescents.

Study Design: Researchers used a semi-structured interview guide to conduct focus group discussions with 21 mother-adolescent Latino dyads (n=42). Latino adolescents ages 17-19 were eligible for the study. Read More

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November 2018
7 Reads

Predictors of Post-abortion Contraception Use in Cambodia.

Contraception 2018 Nov 21. Epub 2018 Nov 21.

London School of Hygiene and Tropical Medicine.

Objective: To evaluate which characteristics collected at the point of abortion are associated with contraceptive use over the extended post-abortion period for women in Cambodia.

Methods: The study includes a cohort of 500 women who attended a Marie Stopes International Cambodia clinic for an induced abortion. The primary outcomes are use of effective contraception≥80% of the time over the four and 12-month period post-abortion. Read More

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November 2018
1 Read

An in-depth analysis of the use of shared decision making in contraceptive counseling.

Contraception 2018 Nov 21. Epub 2018 Nov 21.

University of California, San Francisco, Department of Family and Community Medicine, 1001 Potrero Ave., San Francisco, CA 94110; University of California, San Francisco, Advancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, 1330 Broadway, Suite 1100, Oakland, CA 94612; University of California, San Francisco, Department of Epidemiology & Biostatistics, 1001 Potrero Ave., San Francisco, CA 94110. Electronic address:

Objective(s): Shared Decision Making (SDM) has emerged as a useful tool to promote patient-centered communication and is highly applicable to contraceptive decision making. Little is known about how SDM is operationalized in contraceptive counseling. This study aimed to explore and describe how SDM is used in the contraceptive counseling context. Read More

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November 2018
1 Read

Steroid reservoir loss during removal of perforated Levonorgestrel 52mg intrauterine device.

Contraception 2018 Nov 21. Epub 2018 Nov 21.

Department of Obstetrics and Gynecology, University of Illinois College of Medicine at Rockford, Rockford, IL 61107, USA.

A 22-year-old G1P1 Caucasian female had hysteroscopic removal of a perforated intrauterine device during which the steroid reservoir of the intrauterine device was lost. Isolated steroid reservoirs are radiolucent on plain film radiography. We located the reservoir in the peritoneal cavity with magnetic resonance imaging and removed it via laparoscopy. Read More

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November 2018
1 Read

Effect of contraceptive choice on rapid repeat pregnancy.

Contraception 2018 Nov 21. Epub 2018 Nov 21.

Department of Obstetrics and Gynecology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104. Electronic address:

Objective: To describe the prevalence of rapid repeat pregnancy (RRP), defined as repeat pregnancy within 18months of delivery, in a large health system, and to determine the impact of contraceptive method on RRP.

Study Design: Retrospective cohort.

Results: The prevalence of rapid repeat pregnancy among patients who delivered in August 2014 (n=804) was 27. Read More

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November 2018
3 Reads

Changing disparities in teen birth rates and repeat birth rates in Georgia: implications for teen pregnancy prevention.

Contraception 2018 Nov 21. Epub 2018 Nov 21.

Jane Fonda Center, Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA.

Objective: To understand teen birth trends in Georgia by racial and geographic factors.

Study Design: We analyzed overall birth and repeat teen birth rates by race, urban/rural status, and adequacy of obstetric care from 2008-2016 using vital records from all Georgia counties.

Results: Overall birth rates among teens analyzed decreased dramatically in Georgia, from 45. Read More

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November 2018
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Postpartum contraceptive counseling for first-time adolescent mothers: a randomized controlled trial.

Arch Gynecol Obstet 2018 Nov 23. Epub 2018 Nov 23.

Department of Obstetrics and Gynecology, University of Pennsylvania School of Medicine, 3400 Spruce St, Philadelphia, PA, 19104, USA.

Purpose: Rapid repeat pregnancy is common among adolescent mothers and is associated with increased risks of adverse perinatal and maternal outcomes. Increasing contraceptive uptake among postpartum adolescents may decrease these outcomes through pregnancy prevention. This randomized controlled trial of 100 postpartum adolescent women assessed the effect of a standardized immediate postpartum contraceptive counseling intervention emphasizing healthy birth spacing and the use of long-acting reversible contraceptives (LARC). Read More

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November 2018
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Use of short acting reversible contraception in adolescents: The pill, patch, ring and emergency contraception.

Authors:
Nadia Saldanha

Curr Probl Pediatr Adolesc Health Care 2018 Nov 20. Epub 2018 Nov 20.

Division of Adolescent Medicine, Cohen Children's Medical Center, Northwell Health, 410 Lakeville Road, Suite 108, New Hyde Park, New York, NY 11042, United State; Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Hempstead, New York, United State. Electronic address:

Long acting reversible contraception (LARC) is the recommend form of birth control for adolescents by both the American Academy of Pediatrics and the American Congress of Obstetrics and Gynecology, but the majority of adolescents continue to use short acting reversible contraception (SARC) such as the oral contraceptive pill, vaginal ring, and transdermal patch. For this reason, it is important for medical providers to be familiar with how to prescribe and manage SARC in adolescents, paying particular attention to which patients are eligible to use them, which benefits the methods have outside of contraception, what side effects to be aware of, and special considerations for adolescents. Many adolescents will choose not to use any form of hormonal contraception-thus having a knowledge about and comfort with use of emergency contraception is of equal importance. Read More

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November 2018
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Epilepsy in Pregnancy.

Neurol Clin 2019 Feb;37(1):53-62

Department of Neurology, Mount Sinai Downtown, 10 Union Square East Suite 5D, New York, NY 10003, USA.

Epilepsy is a prevalent, chronic, and serious neurologic disease affecting many women of childbearing age. Specific concerns, including contraception, fertility, teratogenic risk of antiepileptic drugs, delivery, and breastfeeding, are addressed in this article. Evidence-based counseling and management strategies are provided to help clinicians and women with epilepsy through the different stages of pregnancy. Read More

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February 2019
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Cell phone ownership and modern contraceptive use in Burkina Faso: implications for research and interventions using Mobile technology.

Contraception 2018 Nov 20. Epub 2018 Nov 20.

Department of Population Family and Reproductive Health, Johns Hopkins University, 615 N Wolfe Street, Baltimore, MD 21205, United States. Electronic address:

Objectives: With over 420 million unique cell phone subscribers in Sub-Saharan Africa, the opportunities to use personal cell phones for public health research and interventions are increasing. We assess the association between cell phone ownership and modern contraceptive use among women in Burkina Faso to understand the opportunity to track family planning indicators using cell phone surveys or provide family planning interventions remotely.

Study Design: We analyzed data from a cross-sectional, nationally representative population-based survey of women of reproductive age in Burkina Faso, the Performance Monitoring and Accountability 2020 (PMA2020) Round 4, which was conducted between November 2016 and January 2017. Read More

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November 2018
4 Reads

Incidence of uterine rupture in second trimester abortion with gemeprost alone compared to mifepristone and gemeprost.

Contraception 2018 Nov 20. Epub 2018 Nov 20.

Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.

Objectives: To compare uterine rupture rates in women having a medical abortion receiving gemeprost alone to those receiving mifepristone plus gemeprost.

Study Design: We reviewed the records of women undergoing medical abortion at 13 0/7-23 6/7weeks from January 2007 to December 2014 at a single center in Italy. Prior to January 2011, we used gemeprost 1mg vaginally every 3h up to a maximum of 5 doses. Read More

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November 2018
1 Read