59,609 results match your criteria Contraception

"I'm not going to be a guinea pig:" medical mistrust as a barrier to male contraception for Black American men in Los Angeles, CA.

Contraception 2021 Jun 9. Epub 2021 Jun 9.

The Lundquist Institute at Harbor-UCLA Medical Center, Torrance, CA.

Background: Racial disparities in unintended pregnancy and contraceptive use in the United States are not mediated by access to family planning services alone. Rather, a history of medical mistrust underlies Black Americans' adoption of new medical technologies, inclusive of contraception. Efforts to develop hormonal male contraceptives need to incorporate Black Americans' experiences and perspectives so that new contraceptives enable their reproductive goals and promote gender equity. Read More

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Termination of Pregnancy Services in Irish General Practice from January 2019 to June 2019.

Contraception 2021 Jun 9. Epub 2021 Jun 9.

Broadlane Family Practice, 72 Great William O'Brien St, Blackpool, Cork, T23 EDX9.

Objective: To describe how a general-practitioner-delivered community medical abortion service is provided in Ireland, including a description of the unique model of care delivered within the framework of new legislation. To investigate the characteristics and contraceptive choices of women attending in the first six months of the service.

Study Design: Twenty-seven general practitioners conducted a retrospective chart review. Read More

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Contraception 2021 Jun 9. Epub 2021 Jun 9.

Department of Obstetrics and Gynecology, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Objective: To assess how women's reproductive history, contraceptive experience and need of abortion care are associated with priorities for contraception.

Study: Design In this cross-sectional survey study, we gathered information on women's history of births and abortions, previous use and satisfaction with contraceptive methods, and features of contraceptive methods they value most. Women were recruited at public family planning and outpatient abortion clinics in the capital region of Helsinki, Finland. Read More

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Contraceptive decision making among pregnancy-capable individuals with opioid use disorder at a tertiary care center in Massachusetts.

Contraception 2021 Jun 9. Epub 2021 Jun 9.

Boston Medical Center, Department of Obstetrics, Gynecology, Boston, MA, 02118.

Objective: To explore contraceptive decision making among recently pregnant patients with a history of opioid use disorder.

Study Design: We conducted semi-structured qualitative interviews, based on principles of the Ottawa Decision Support Framework, with 20 recently pregnant individuals diagnosed with opioid use disorder at a tertiary care medical center in Massachusetts. We audio-recorded the interviews and they were transcribed verbatim. Read More

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Exploring experience of and engagement in coercive pregnancy behaviors among sexually active young men from five clinics in Baltimore, MD.

Contraception 2021 Jun 9. Epub 2021 Jun 9.

Johns Hopkins University, School of Medicine 1800 Orleans Street, Baltimore, MD 21287, USA. Electronic address:

Objectives: To explore young men's perceived experience of coercive pregnancy behaviors by female partners, and engagement in and behavioral overlap of these occurrences in this sample.

Study Design: Heterosexually active young men aged 15-24 (n=39), recruited from three primary care and two sexually transmitted disease clinics in Baltimore, MD city over a two-week period, were surveyed on their perceived experience of and engagement in coercive pregnancy behaviors, attitudes about women, and background characteristics.

Results: Of 130 invited, sixty-six (51%) agreed to participate, 39 of whom were heterosexual young men; 87% were non-Hispanic Black and 59% were aged 20-24. Read More

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Providing universal access to modern contraceptive methods: An extended cost-effectiveness analysis of meeting the demand for modern contraception in Ethiopia.

Soc Sci Med 2021 May 25;281:114076. Epub 2021 May 25.

Bergen Centre for Ethics and Priority Setting, Institute of Global Public Health and Primary Care, University of Bergen, Årstadveien 21, 5009, Bergen, Norway; Harvard T.H. Chan School of Public Health, Harvard University, 677 Huntington Ave, Boston, MA, 02115, United States. Electronic address:

Despite recent advances in access to and use of modern contraception in Ethiopia, further improvement is needed, particularly among poorer women. This extended cost-effectiveness analysis investigated the health outcomes, their distribution, and financial risk protection associated with meeting the demand for modern contraception for all Ethiopian women. We developed five Markov models with wealth quintile-specific input data to investigate the effects of meeting this demand and followed a hypothetical cohort of 1,252,000 women through their reproductive lives from ages 15-49 years. Read More

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Medical contraindications to combined hormonal contraceptive use among women using methods prescribed by a pharmacist.

Contraception 2021 Jun 8. Epub 2021 Jun 8.

Center for Health Systems Effectiveness, Oregon Health & Science University.

Objective: To determine whether pharmacist prescription of combined hormonal contraception is associated with inappropriate prescription to women with medical contraindications.

Study Design: We conducted a retrosopective cohort study of all short-acting, hormonal contraceptive users (pill, patch, ring, injectable) in Oregon's All Payer All Claims database from January 1, 2016 to December 31, 2018. Our primary outcome was the proportion of women receiving a combined hormonal method who had a Medical Eligibility Category (MEC) 3 or 4 condition. Read More

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Predictors of underachieved and overachieved fertility among women with completed fertility in Ghana.

PLoS One 2021 11;16(6):e0250881. Epub 2021 Jun 11.

Regional Institute for Population Studies, University of Ghana, Accra, Ghana.

Background: A woman's ability to achieve her preferred family size is critical in addressing issues of high fertility in sub-Saharan Africa. The socio-cultural context in sub-Saharan Africa presents some difficulty for the attainment of preferred fertility for many women. Few studies in sub-Saharan Africa have examined the extent to which women are unable to achieve their preferred family sizes. Read More

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Birth Control Access and Selection among Youths Experiencing Homelessness in the United States: A Review.

Health Soc Work 2021 Jun 11. Epub 2021 Jun 11.

Youths experiencing homelessness (YEH) become pregnant at five times the general population rate. Education, social, and health care systems struggle to adequately address this young community's sexual and reproductive health needs, yet social workers are well positioned across sectors to address their sexual and reproductive health and well-being. A growing body of literature exists on the factors affecting YEH's access and selection of birth control, prompting the present review that aimed to understand this process and inform better attuned sexual and reproductive health approaches. Read More

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Initiation of Long-Acting Reversible Contraception in Hospitalized Adolescents in the United States.

Hosp Pediatr 2021 Jun 10. Epub 2021 Jun 10.

Division of General Pediatrics and Adolescent Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objectives: To analyze factors associated with the initiation of long-acting reversible contraception (LARC) among adolescent patients in inpatient settings in the United States.

Methods: This study is a secondary data analysis of the national Kids' Inpatient Database 2016 data ( = 4200 hospitals). Eligible patients were hospitalized girls 10 to 20 years old. Read More

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Regional and residential disparities in knowledge of abortion legality and availability of facility-based abortion services in Ethiopia.

Contraception 2021 Jun 7. Epub 2021 Jun 7.

Department of Population Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe St., Baltimore, MD, 21205, USA.

Objectives: To generate regional, residential, and nationally representative estimates of knowledge of abortion legality and availability among women of reproductive age in Ethiopia, and examine how knowledge varies across regions and by urban/rural residence.

Study Design: Our study draws on data from a nationally representative, cross-sectional survey implemented in 2019 in each of Ethiopia's regional and administrative states, yielding a sample of 8,837 women aged 15-49. We compare weighted estimates and regional distributions of three outcomes: 1) general awareness and 2) correct knowledge of the abortion law, and 3) knowledge of facility-based abortion service availability. Read More

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Tubal Factor Infertility and its Impact on Reproductive Freedom of African American Women.

Am J Obstet Gynecol 2021 Jun 7. Epub 2021 Jun 7.

Wayne State University School of Medicine, Department of Obstetrics and Gynecology.

In the past, the reproductive freedom of African American women was hindered by forced reproduction and sterilization campaigns. Unfortunately, these involuntary practices have now mostly been replaced by inequality due to disproportionate tubal factor infertility rates within African American communities. The purpose of our work is to describe the inequities in increased rates of pelvic inflammatory disease and tubal factor infertility as it relates to African American women. Read More

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Influence of the different hormonal status changes during their life on fat mass localisation in women: a narrative review.

Arch Physiol Biochem 2021 Jun 10:1-6. Epub 2021 Jun 10.

Université Clermont Auvergne, CRNH, AME2P, Clermont-Ferrand, France.

Context: Independently of the total body fat mass, upper body fat mass deposition is strongly associated with cardiometabolic comorbidities. The mechanisms underlying fat mass localisation are not fully understood, but evidences indicate sex-specific fat mass distribution. Currently, data on women are scarce and the link between hormonal status changes during their life and fat mass distribution is overlooked. Read More

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Dynamics of Emergency Contraceptive Use in Accra, Ghana.

Stud Fam Plann 2021 Jun 10. Epub 2021 Jun 10.

Recent data suggest increasing rates of emergency contraception (EC) use in Ghana, particularly in urban areas. In 2018, we collected survey data from 3,703 sexually experienced women aged 16-44 years living in low-income settlements of Accra. We estimated the prevalence of lifetime and current EC use. Read More

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Analysis of Postpartum Uptake of Long-Acting Reversible Contraceptives Before and After Implementation of Medicaid Reimbursement Policy.

Matern Child Health J 2021 Jun 9. Epub 2021 Jun 9.

Department of Gynecology and Obstetrics, Jane Fonda Center for Adolescent Reproductive Health, Emory University School of Medicine, 46 Armstrong Street SE, Atlanta, GA, 30303, USA.

Objectives: The postpartum period is a time of high unmet contraception need. Providing long-acting reversible contraception (LARC), particularly in the immediate postpartum period, is one strategy to meet contraceptive needs. This practice may also prevent unintended and short interpregnancy interval pregnancies. Read More

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Post-abortion family planning use, method preference, and its determinant factors in Eastern Africa: a systematic review and meta-analysis.

Syst Rev 2021 Jun 9;10(1):172. Epub 2021 Jun 9.

School of Midwifery, College of Health Sciences, Woldia University, P.O.Box: 400, Woldia, Ethiopia.

Background: Utilization of post-abortion family planning is very critical to reduce high levels of unintended pregnancy, which is the root cause of induced abortion. In Eastern Africa, it is estimated that as many as 95% of unintended pregnancies occurred among women who do not practice contraception at all. Therefore, this meta-analysis aimed to assess post-abortion family planning utilization and its determinant factors in Eastern Africa. Read More

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Exposure to alirocumab during the first trimester of pregnancy: A case report.

Birth Defects Res 2021 Jun 8. Epub 2021 Jun 8.

Service of Endocrinology, Diabetes and Metabolism, Department of Medicine, Lausanne University Hospital & University of Lausanne, Lausanne, Switzerland.

Background: Familial hypercholesterolemia can be efficiently treated with combined lipid-lowering drugs. Lipid-lowering drugs are usually withdrawn for pregnancy and breastfeeding, ideally preconception, followed by lipid apheresis, however, careful plans can be precipitated due to unexpected pregnancy.

Case: A 28-year old woman with familial hypercholesterolemia due to heterozygous LDLR mutations had an LDL-cholesterol level at 14. Read More

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Identifying Opportunities to Discuss Pre-Exposure Prophylaxis During Contraceptive Coaching Discussions With Urban Adolescent Women.

J Adolesc Health 2021 Jun 5. Epub 2021 Jun 5.

Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania; PolicyLab, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Craig Dalsimer Division of Adolescent Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Purpose: HIV pre-exposure prophylaxis (PrEP) reduces HIV transmission and is approved for adolescents aged 12-17 years. Adolescent girls and young women (AGYW) have modest PrEP uptake rates, while many receive reproductive health counseling. We sought to identify opportunities for incorporating PrEP education in contraceptive counseling delivered to AGYW. Read More

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Age disparities in unmet need for contraception among all sexually active women in Colombia: Demographic Health Survey 2015.

Women Health 2021 Jun 8:1-10. Epub 2021 Jun 8.

School of Medicine, Universidad De Los Andes, Bogotá, Colombia.

The Unmet need for contraception increases unintended pregnancies and jeopardizes women's health and reproductive rights. Social determinants are associated with an unmet need for contraception. Still, it is unclear if age is a social determinant of disparities in reproductive health-related outcomes in all Colombian women regardless of marital status. Read More

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An Educational Intervention to Raise Awareness of Contraceptive Options Among Young People.

J Womens Health (Larchmt) 2021 Jun 8. Epub 2021 Jun 8.

Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, School of Medicine, University of California, San Francisco, San Francisco, California, USA.

Young people in the United States know little about contraceptive options available to them, although method use is sensitive to individual preferences, and method switching is common. For young people to gain reproductive autonomy, a first step is to be aware of different contraceptives, including hormonal and nonhormonal methods. We tested whether an educational intervention delivered on community college campuses was effective in increasing contraceptive awareness. Read More

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The efficacy, acceptability and continuation of postpartum, post-abortive progestin-only pill: a pioneering prospective multicentric study from Turkey.

J Turk Ger Gynecol Assoc 2021 Jun 8. Epub 2021 Jun 8.

Ministry of Health of Turkey, General Directorate of Reproductive Health and Woman's Health, Ankara, Turkey.

Objective: The aim of this study was to evaluate the efficacy, side-effects and continuation rate of the desogestrel-progestin-only-pill (POP) in postpartum and post-abortive Turkish women its relation with breast-feeding.

Material And Methods: In this prospective multicentric study women who delivered (or had surgical abortion) and wanted to receive POP for contraception were recruited to the study. The follow-up visits were scheduled at 3rd, 6th and 9th months. Read More

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The new low-dose transdermal contraceptive system (Twirla): results from preclinical and Phase III trials.

Anita L Nelson

Ther Deliv 2021 Jun 8. Epub 2021 Jun 8.

Obstetrics & Gynecology, Western University of Health Sciences, Pomona, CA 91766, USA.

A new low-dose, once-a-week contraceptive transdermal delivery system (TDS) with 2.3-mg ethinyl estradiol (EE) and 2.6-mg levonorgestrel (LNG; Twirla) has recently been approved by the US FDA for contraception of women with BMI <30 kg/m. Read More

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Pain scores at the insertion of the 52 MG levonorgestrel-releasing intrauterine system among nulligravidas and parous women.

Eur J Contracept Reprod Health Care 2021 Jun 7:1-5. Epub 2021 Jun 7.

Department of Obstetrics and Gynecology, Federal University of Minas Gerais, Belo Horizonte, Brazil.

Purpose: This study aimed to assess the pain scores at the insertion of the 52 mg levonorgestrel-releasing intrauterine system (LNG-IUS) among nulligravidas, parous women with previous vaginal delivery and parous women with elective caesarean-delivery without any previous labour or cervix dilation.

Materials And Methods: The present research is a prospective, single-cohort study that included 413 women aged 15-49 years who opted for LNG-IUS placement for contraception or treatment of heavy menstrual bleeding. Women who participated in the present study were not submitted to any pharmacological pain-relieving intervention to perform the procedure. Read More

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Use of Protection for Unwanted Pregnancy and Sexually Transmitted Infections in Six Birth Cohorts in Norway 2020: A Descriptive Study.

Sex Cult 2021 May 31:1-29. Epub 2021 May 31.

Department of Psychology, University of Oslo, Olso, Norway.

This study describes the use of contraception and protection for sexually transmitted infections (STIs) in six different birth cohorts of the general population in Norway. The results are based on a 2020 national web panel survey among 18-89 year-olds in Norway (n = 4160). For respondents born within 1931-1950 versus those born within 1990-2002, there was a significant increase in the use of protection against unwanted pregnancy and STIs during sexual intercourse, and a significant drop in the proportion of those who did not use any protection at all. Read More

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Adolescents' and Young Adults' Ability to Self-Screen for Contraindications to Hormonal Contraception and the Role of Chronic Illness.

J Adolesc Health 2021 Jun 3. Epub 2021 Jun 3.

Indiana University School of Medicine, Department of Pediatrics/Adolescent Medicine, Indianapolis, Indiana.

Purpose: Multiple states allow pharmacists to prescribe hormonal contraception but can have age restrictions. The study objective was to examine how age influences adolescents' and young adults' (AYAs) ability to self-report potential contraindications to hormonal contraception compared with physician reports (our "gold standard").

Methods: Between February 2017 and August 2018, girls aged 14-21 years and their physicians were recruited in outpatient adolescent primary and subspecialty care clinics. Read More

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"This is not my decision; I have no alternative". Perceptions and experiences of marriage age and family planning among Syrian women and men: a primary care study.

Prim Health Care Res Dev 2021 Jun 7;22:e25. Epub 2021 Jun 7.

Social Anthropology Department, Faculty of Arts and Sciences, Hatay Mustafa Kemal University, Hatay, Turkey.

Purpose: Reproductive health includes the capability to reproduce and the freedom to decide. In this context, both women and men have rights. In this study, it is aimed to reveal the obstacles in using these rights and to describe perceptions on marriage and family planning (FP) of Syrian women and men and to increase awareness for developing new policies on the Primary Health Care. Read More

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The Etonogestrel Implant in Adolescents: Factors Associated with Removal for Bothersome Bleeding in the First Year after Insertion.

J Pediatr Adolesc Gynecol 2021 Jun 2. Epub 2021 Jun 2.

Children's Hospital Colorado, Department of Pediatrics, Section of Adolescent Medicine, 13123 E. 16(th) Ave, Box -25, Aurora, Colorado 80045, USA; University of Colorado School of Medicine, 13001 E. 17th Pl, Aurora, CO 80045, USA. Electronic address:

Study Objective: Hormonal pills can temporarily improve the side effect of breakthrough bleeding on the etonogestrel implant. The aims of this study were to determine demographic factors that are associated with bothersome bleeding and to evaluate the impact of prescribing temporizing measures on implant continuation.

Design: Retrospective chart review SETTING: The research was conducted in an Adolescent Medicine primary and specialty care clinic, an adolescent family planning clinic, and a clinic that cares for parenting adolescents. Read More

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Predictors of modern contraceptive usage among sexually active rural women in Ethiopia: A multi-level analysis.

Arch Public Health 2021 Jun 4;79(1):93. Epub 2021 Jun 4.

Department of Statistics, Faculty of Natural and Computational Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Background: Ethiopia is one of the Sub-Saharan Africa countries with the lowest modern contraceptive prevalence rate and the highest fertility rate. This study aimed to assess individual and community-level predictors of modern contraceptive use among sexually active rural women in Ethiopia.

Data And Methods: A sample of 9450 sexual active rural women aged 15-49 was extracted from the 15, 683 nationally representative samples of 2016 Ethiopian Demographic and Health Survey (EDHS). Read More

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Understanding how social norms affect modern contraceptive use.

BMC Public Health 2021 Jun 4;21(1):1061. Epub 2021 Jun 4.

The University of Washington, Seattle, USA.

Background: An aim of this study is to introduce a practitioner-friendly behavior model. Few theories of health behavior explicitly take the effect of social norms on behavior into account. Generally, theories that do take social norms into account assume that the effect of social norms on behavior operates through motivation. Read More

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Barriers and motivators of contraceptive use among young people in Sub-Saharan Africa: A systematic review of qualitative studies.

PLoS One 2021 4;16(6):e0252745. Epub 2021 Jun 4.

Department of Population and Behavioural Sciences, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.

Background: In sub-Saharan Africa, about 80% of young women either use a traditional method or do not use any form of contraception at all. The objectives of this review were to ascertain the barriers and motivators of contraceptive use among young people in Sub-Saharan Africa.

Materials And Methods: We conducted electronic literature searches in PubMed, EMBASE, Ebsco/PsycINFO and Scopus. Read More

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