6,511 results match your criteria Contraception[Journal]


Auricular acupuncture as an adjunct for pain management during first trimester abortion: a randomized, double-blinded, three arm trial.

Contraception 2018 Dec 7. Epub 2018 Dec 7.

Dept. of Obstetrics and Gynecology, Columbia University Irving Medical Center (CUIMC), NY, NY; Heilbrunn Dept. of Population & Family Health, Mailman School of Public Health, CUIMC. Electronic address:

Objectives: To assess pain-management using auricular acupuncture as an adjunct to ibuprofen and paracervical block during first trimester uterine aspiration, and to assess auricular acupuncture's effect on anxiety.

Study Design: This randomized, double-blinded, three-arm trial enrolled women undergoing uterine aspiration for spontaneous or induced abortion. Study participants were randomized 1:1:1 to receive auricular acupuncture, placebo, or usual care alone. Read More

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December 2018
2 Reads

A pilot study of levonorgestrel concentrations and bleeding patterns in women with epilepsy using a levonorgestrel IUD and treated with antiepileptic drugs.

Contraception 2018 Dec 4. Epub 2018 Dec 4.

Department of Obstetrics and Gynecology, Columbia University Irving Medical Center, New York City, NY 10032, USA. Electronic address:

Objectives: We explored levonorgestrel (LNG) concentrations, bleeding patterns and endometrial thickness in women with epilepsy (WWE) initiating a LNG-intrauterine device (IUD) co-administered with antiepileptic drugs (AEDs).

Study Design: This pilot study included 20 WWE ages 18 to 45 years with well-controlled seizures and stable AED regimens initiating a 52 mg LNG-IUD (20mcg/d initial release). We collected blood and measured endometrial thickness before IUD placement and 21 days, 3 and 6 months thereafter. Read More

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December 2018

Retraction notice to "Maintaining rigor in research: flaws in a recent study and a reanalysis of the relationship between state abortion laws and maternal mortality in Mexico" [Contraception 95/1 (2017) 105-111].

Contraception 2019 Jan;99(1):71

Center for Health Systems Research, National Institute of Public Health, Av. Universidad 655, Cuernavaca, Morelos, Mexico; Institute for Health Metrics and Evaluation, University of Washington, 2301 5th Ave Suite 600, Seattle, WA, USA.

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January 2019
1 Read

How soon is too soon or watch the donut not the hole.

Authors:
Anita L Nelson

Contraception 2019 Jan;99(1):70

Western University of Health Sciences. Electronic address:

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January 2019

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
1 Read

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
2 Reads

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
2 Reads

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
1 Read

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
11 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
1 Read

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
5 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
2.335 Impact Factor

Barriers and outcomes associated with unfulfilled requests for permanent contraception following vaginal delivery.

Contraception 2018 Nov 19. Epub 2018 Nov 19.

University of Rochester Medical Center, 601 Elmwood Ave, Box 668, Rochester, NY 14642. Electronic address:

Objectives: To identify barriers to postpartum permanent contraception procedures after vaginal delivery and to explore contraceptive and reproductive outcomes of women who experience unfulfilled requests.

Study Design: We performed a retrospective cohort study of women requesting postpartum permanent contraception after vaginal delivery from 7/1/11 to 6/30/14 at Strong Memorial Hospital in Rochester, NY. We ascertained patient characteristics and outcomes through electronic medical records and birth certificate data search. Read More

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November 2018
1 Read

Impact of training level on postplacental levonorgestrel 52 mg intrauterine device expulsion.

Contraception 2018 Nov 16. Epub 2018 Nov 16.

Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH 44109. Electronic address:

Objective: To determine the association between provider training level and postplacental intrauterine device (IUD) outcomes following insertion instruction by email only.

Study Design: We conducted a single-center chart review of demographics, insertion and clinical outcomes within 6 months of delivery for 116 patients who underwent postplacental levonorgestrel 52 mg IUD placement from October 1, 2016, to March 31, 2017.

Results: We confirmed IUD retention, removal or expulsion in 87 of 116 (75. Read More

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November 2018
1 Read

Support for and interest in alternative models of medication abortion provision among a national probability sample of U.S. women.

Contraception 2018 Nov 9. Epub 2018 Nov 9.

Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, Oakland, CA 94612, USA.

Objective: The objective was to assess women's personal interest in and support for three alternative models of medication abortion (MA) provision.

Study Design: Using an online survey of a U.S. Read More

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November 2018

Medical abortion in the late first trimester: a systematic review.

Contraception 2018 Nov 13. Epub 2018 Nov 13.

Oregon Health & Science University, Department of Obstetrics & Gynecology, 3181 SW Sam Jackson Park Rd, Portland, OR 97239.

Objective: To describe the efficacy, safety, and acceptability of medical abortion in the late first trimester.

Study Design: We searched PubMed and Cochrane databases for articles in any language that examined the success of medical abortion at gestational ages (>63 to≤84 days gestation). We sought articles that compared: medical abortion with surgical abortion at this gestational age, combination mifepristone and misoprostol and/or misoprostol alone); different dosages of misoprostol; different routes of misoprostol administration; frequency of dosing; and location of medical abortion (in health care facility vs. Read More

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November 2018
5 Reads

A phase 2b multicenter, randomized, double-blind, placebo-controlled clinical trial to evaluate the efficacy and safety of vaginal rings containing nomegestrol acetate or etonogestrel and 17β-estradiol in the treatment of women with primary dysmenorrhea.

Contraception 2018 Nov 12. Epub 2018 Nov 12.

Reprovision Clinical Consultancy, Beethovengaarde 111, 5344, CE, Oss, The Netherlands. Electronic address:

Objective: To evaluate the effect of investigational vaginal rings containing nomegestrol acetate (NOMAC) plus 17β-estradiol (E2) or etonogestrel (ENG) plus E2 in women with moderate to severe primary dysmenorrhea.

Study Design: This was a Phase 2b randomized, placebo-controlled, multicenter, double-blind study. We randomized participants to one of five treatment groups: four hormonal rings and one placebo ring. Read More

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November 2018
1 Read

Continuation of self-injected versus provider-administered contraception in Senegal: a nonrandomized, prospective cohort study.

Contraception 2018 Nov 12. Epub 2018 Nov 12.

Ministère de la Santé et de l'Action Sociale, Dakar, Senegal.

Objectives: The primary objective of this study was to compare the 12-month continuation rate for women who self-injected subcutaneous depot-medroxyprogesterone acetate (DMPA-SC) with that for women receiving intramuscular depot-medroxyprogesterone acetate (DMPA-IM) from a provider. This research contributes to the broader goal of identifying solutions to support women to use contraception for their full desired duration.

Study Design: Participants were clients from 13 clinics in the Dakar and Thiés regions of Senegal who had decided to use injectable contraception prior to enrollment. Read More

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November 2018

Hormonal contraception, breastfeeding, and bedside advocacy: the case for patient-centered care.

Contraception 2018 Nov 10. Epub 2018 Nov 10.

University of North Carolina School of Medicine, Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Carolina Global Breastfeeding Institute, Gillings School of Public Health.

Postpartum contraceptive decision-making is complex, and recommendations may be influenced by breastfeeding intentions. While biologically plausible, concerns about the adverse impact of hormonal contraception on breast milk production have not been supported by the clinical evidence to date. However, the data have limitations. Read More

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November 2018
5 Reads

The effect of immediate postpartum levonorgestrel contraceptive implant use on breastfeeding and infant growth: a randomized controlled trial.

Contraception 2018 Nov 6. Epub 2018 Nov 6.

University of California, San Francisco, Department of Obstetrics, Gynecology and Reproductive Sciences, San Francisco, California.

Objective: This study assessed whether immediate postpartum insertion of levonorgestrel contraceptive implants is associated with a difference in infant growth from birth to 6 months, onset of lactogenesis, or breastfeeding continuation at 3 and 6 months postpartum compared to delayed insertion at 6 to 8 weeks postpartum.

Study Design: We conducted a randomized trial of women in Uganda who desired contraceptive implants postpartum. We randomly assigned participants to receive either immediate (within 5 days of delivery) or delayed (6 to 8 weeks postpartum) insertion of a two-rod levonorgestrel contraceptive implant system. Read More

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November 2018
2 Reads

Reporting sterilization as a current contraceptive method among sterilized women: lessons learned from a population with high sterilization rates, Rajasthan, India.

Contraception 2018 Oct 31. Epub 2018 Oct 31.

Indian Institute of Health Management Research.

Objective: Measuring current use of contraception relies on self-reported responses from survey respondents. Reporting validity may be affected by women's interpretation of the question and may vary by background characteristics of women. The study aims to understand levels and patterns of underreporting of female sterilization in a population with high sterilization rates. Read More

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October 2018
1 Read

Cognitive interviews to improve a patient-centered contraceptive effectiveness poster.

Contraception 2018 Dec 7;98(6):528-534. Epub 2018 Jul 7.

Department of Health Policy and Management, University of North Carolina at Chapel Hill, 135 Dauer Drive, 1101 McGavran-Greenberg Hall, CB #7411, Chapel Hill, NC, 27599-7411, United States.

Objectives: To refine the Centers for Disease Control and Prevention (CDC)'s contraceptive education poster using patient-centered design.

Study Design: We conducted cognitive interviews with 26 women aged 18-44 living in North Carolina who spoke and read English and had ever had sex. We interviewed women about both a CDC and a patient-centered poster in alternating order. Read More

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December 2018
4 Reads

Access to emergency contraception in Kansas City clinics.

Contraception 2018 Dec 3;98(6):482-485. Epub 2018 Jul 3.

University of Kansas School of Medicine.

Objective: To assess the accessibility of ulipristal acetate (UPA) and copper intrauterine devices (IUDs) for emergency contraception (EC) in reproductive health centers in the Kansas City metropolitan area.

Study Design: Using a secret shopper method, two female investigators called the reproductive health centers listed as EC providers on the nonprofit website bedsider.org that were located within 25 miles of the University of Kansas Medical Center. Read More

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December 2018
1 Read

Feasibility study of family planning services screening as clinical decision support at an urban Federally Qualified Health Center network.

Contraception 2019 Jan 15;99(1):27-31. Epub 2018 Oct 15.

The Institute for Family Health, 2006, Madison, Avenue, NY, NY 10035. Electronic address:

Objective: The objective was to assess the feasibility of an intervention introducing family planning services screening clinical decision support to improve provision of contraception and/or preconception services for women of reproductive age in our primary care Federally Qualified Health Center (FQHC) network.

Study Design: We implemented a family planning services screening prompt for support staff to ask women 13-44 years at nonobstetric visits at specified time intervals. The response was displayed in the electronic medical record for the provider to review, linked to a documentation tool. Read More

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January 2019

Response to "study of contraceptive mobile app fails to provide convincing findings".

Contraception 2018 Oct 15. Epub 2018 Oct 15.

NaturalCycles Nordic AB, Luntmakargatan 26, S-111 37 Stockholm, Sweden. Electronic address:

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October 2018
5 Reads

"It's her body": low-income men's perceptions of limited reproductive agency.

Contraception 2018 Oct 15. Epub 2018 Oct 15.

Center for Research on Healthcare, University of Pittsburgh, 200 McKee Place, Suite 600, Pittsburgh, PA 15213, USA; Center for Women's Health Research and Innovation, University of Pittsburgh, 4200 Fifth Ave, Pittsburgh, PA 15260, USA; Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System, University Drive (151C), Pittsburgh, PA 15240, USA.

Objectives: While some attention has been paid to men's contraceptive use and attitudes in international contexts, relatively little is known about the attitudes towards contraception and pregnancy of low-income, urban men in the U.S.

Study Design: We conducted semi-structured interviews with 58 low-income men in Pittsburgh, PA, to explore their perspectives on contraception, pregnancy, fatherhood, and relationships. Read More

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October 2018

A PATH to action perhaps?

Authors:
Anita L Nelson

Contraception 2018 Oct 13. Epub 2018 Oct 13.

Western University of Health Sciences. Electronic address:

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October 2018

Estimating six-cycle efficacy of the Dot app for pregnancy prevention.

Contraception 2019 Jan 11;99(1):52-55. Epub 2018 Oct 11.

Institute for Reproductive Health, Georgetown University, 1825 Connecticut Ave. NW Suite 699, Washington, DC 20009, USA. Electronic address:

Objective: To assess six-cycle perfect and typical use efficacy of Dynamic Optimal Timing (Dot), an algorithm-based fertility app that identifies the fertile window of the menstrual cycle using a woman's period start date and provides guidance on when to avoid unprotected sex to prevent pregnancy.

Study Design: We are conducting a prospective efficacy study following a cohort of women using Dot for up to 13 cycles. Study enrollment and data collection are being conducted digitally within the app and include a daily coital diary, prospective pregnancy intentions and sociodemographic information. Read More

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January 2019

Counseling and referrals for women with unplanned pregnancies at publicly funded family planning organizations in Texas.

Contraception 2019 Jan 1;99(1):48-51. Epub 2018 Oct 1.

Population Research Center and the Department of Sociology, University of Texas at Austin, 305 E. 23rd Street, Stop G1800, Austin, TX, 78712.

Objectives: To compare pregnancy options counseling and referral practices at state- and Title X-funded family planning organizations in Texas after enforcement of a policy restricting abortion referrals for providers participating in state-funded programs, which differed from Title X guidelines to provide referrals for services upon request.

Study Design: Between November 2014 and February 2015, we conducted in-depth interviews with administrators at publicly funded family planning organizations in Texas about how they integrated primary care and family planning services, including pregnancy options counseling and referrals for unplanned pregnancies. We conducted a thematic analysis of transcripts related to organizations' pregnancy options counseling and referral practices, and compared themes across organizations that did and did not receive Title X funding. Read More

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January 2019
6 Reads

Women's preferences for permanent contraception method and willingness to be randomized for a hypothetical trial.

Contraception 2019 Jan 26;99(1):56-60. Epub 2018 Sep 26.

University of California, Davis, Sacramento, CA, USA. Electronic address:

Objective: To understand women's preferences for permanent contraception by salpingectomy or tubal occlusion following standardized counseling and evaluate the practicality of a future randomized trial.

Study Design: We invited pregnant and non-pregnant women planning permanent contraception at the University of California, Davis (UCD) and University of Tennessee (UT) Obstetrics and Gynecology clinics to participate. We enrolled women when they received routine counseling and signed procedure consent. Read More

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January 2019
2 Reads

Intended pregnancy after receiving vs. being denied a wanted abortion.

Contraception 2019 Jan 21;99(1):42-47. Epub 2018 Sep 21.

Advancing New Standards in Reproductive Health, Department of Obstetrics, Gynecology & Reproductive Sciences, University of California, San Francisco, Oakland, CA.

Objectives: To understand how having or being denied an abortion affects the likelihood of trying to become pregnant, overall pregnancy rates, and the rate and timing of an intended pregnancy in the future.

Study Design: The Turnaway Study is a prospective cohort study of women who received or were denied a wanted abortion. Women were recruited from one of 30 US abortion facilities. Read More

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January 2019

Pill, patch or ring? A mixed methods analysis of provider counseling about combined hormonal contraception.

Contraception 2018 Sep 15. Epub 2018 Sep 15.

Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco, California; Department of Family and Community Medicine, University of California San Francisco, San Francisco, California; Bixby Center for Global Reproductive Health, University of California San Francisco, San Francisco, California.

Objective: In this study we aimed to investigate the content and process of contraceptive counseling surrounding combined hormonal contraceptive (CHC) methods (combined oral contraceptives, the ring, and the patch).

Study Design: We performed a mixed methods analysis of data collected as part of the Patient-Provider Communication about Contraception study, in which reproductive age women and their providers were recruited at several San Francisco Bay Area clinics from 2009-2012. Participants completed pre- and post-visit surveys, and had their visits audio recorded and transcribed. Read More

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September 2018

No one to turn to: low social support and the incidence of undesired pregnancy in the United States.

Contraception 2018 Oct 2;98(4):275-280. Epub 2018 Jul 2.

Department of Sociology and Institute for Social Research, University of Michigan, Ann Arbor, 500 S State Street, Ann Arbor, MI, USA 48109. Electronic address:

Objective: Young women may experience social barriers to achieving their reproductive goals. This analysis explored whether low social support may contribute to the high incidence of undesired pregnancy in young women in the United States.

Study Design: Using 6 months of data from a prospective cohort of 970 women ages 18-22 years in the United States, we described contraceptive use and applied multivariable logistic regression and standardization to estimate adjusted odds and absolute risk of undesired pregnancy among women reporting low social support versus higher social support. Read More

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October 2018
2 Reads

Estimating abortion incidence among adolescents and differences in postabortion care by age: a cross-sectional study of postabortion care patients in Uganda.

Contraception 2018 Dec 11;98(6):510-516. Epub 2018 Sep 11.

Guttmacher Institute, 125 Maiden Lane, New York, NY 10038. Electronic address:

Objectives: To provide the first estimate of adolescents' abortion incidence in Uganda and to assess differences in the abortion experiences and morbidities of adolescent and nonadolescent postabortion care (PAC) patients.

Study Design: We used the age-specific Abortion Incidence Complications Method, drawing from three surveys conducted in Uganda in 2013: a nationally representative Health Facilities Survey (n=418), a Health Professionals Survey (n=147) and a Prospective Morbidity Survey of PAC patients (n=2169). Multivariable logistic and Cox proportional hazard models were used to compare adolescent and nonadolescent PAC patients on dimensions including pregnancy intention, gestational age, abortion safety, delays to care, severity of complications and receipt of postabortion family planning. Read More

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December 2018
9 Reads

Society of Family Planning clinical recommendations: contraception after surgical abortion.

Contraception 2019 Jan 6;99(1):2-9. Epub 2018 Sep 6.

Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA. Electronic address:

These recommendations present an evidence-based assessment of provision of contraceptives at the time of surgical abortion. Most methods of contraception, including the intrauterine devices (IUD), implant, depot medroxyprogesterone injection, oral contraceptive pill, contraceptive patch, monthly vaginal ring, barrier methods and some permanent methods, can be safely initiated immediately after first- or second-trimester surgical abortion. Provision of postabortion contraceptives, particularly IUDs and implants, substantially reduces subsequent unintended pregnancy. Read More

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January 2019
1 Read

Medicaid and receipt of interval postpartum long-acting reversible contraception.

Contraception 2019 Jan 5;99(1):32-35. Epub 2018 Sep 5.

Department of Obstetrics and Gynecology, MetroHealth Medical Center, Case Western Reserve University, Cleveland, OH. Electronic address:

Objective: We sought to evaluate the impact of insurance type on receipt of an interval postpartum LARC, controlling for demographic and clinical factors.

Study Design: This is a retrospective cohort study of 1072 women with a documented plan of LARC for contraception at time of postpartum discharge. This is a secondary analysis of 8654 women who delivered at 20 weeks or beyond from January 1, 2012, through December 31, 2014, at an urban teaching hospital in Ohio. Read More

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January 2019
6 Reads

Hormonal contraception and breast cancer.

Contraception 2018 Sep;98(3):171-173

Memorial Sloan Kettering Cancer Center, New York, NY, USA.

The recent Danish cohort study reported a 20% increased risk of breast cancer among current and recent hormonal contraception users. These results are largely consistent with previous studies. This study did not report on stage of disease at diagnosis, and it is not clear to what extent the apparent increased risk may be due to a small advance in the timing of diagnosis. Read More

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September 2018
8 Reads

Family planning provision in pharmacies and drug shops: an urgent prescription.

Contraception 2018 Nov 28;98(5):379-382. Epub 2018 Aug 28.

FHI 360, Division of Health Services Research, 359 Blackwell Street, Suite 200, Durham, North Carolina, USA.

Drug shops and pharmacies have long been recognized as the first point of contact for health care in developing countries, including family planning (FP) services. Drug shop operators and pharmacists should not be viewed as mere merchants of short-acting contraceptive methods, as this ignores their capacity for increasing uptake of FP services and methods in a systematic and collaborative way with the public sector, social marketing groups and product distributors. We draw on lessons learned from the rich experience of earlier efforts to promote a variety of public health interventions in pharmacies and drug shops. Read More

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November 2018
2 Reads

Feasibility of patent and proprietary medicine vendor provision of injectable contraceptives: preliminary results from implementation science research in Oyo and Nasarawa, Nigeria.

Contraception 2018 Nov 23;98(5):460-462. Epub 2018 Aug 23.

Population Council D.C.

Background: Nigerian policymakers are debating task-shifting injectable contraceptive services to Patent and Proprietary Medicine Vendors (PPMVs).

Methodology: One hundred fifty-two PPMVs were trained to provide injectable contraceptives in Oyo and Nasarawa states. Data were collected before and 1, 3 and 9 months posttraining. Read More

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November 2018

DMPA-SC: an emerging option to increase women's contraceptive choices.

Contraception 2018 Nov 23;98(5):375-378. Epub 2018 Aug 23.

Women's Health Consultant, USA. Electronic address:

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November 2018
5 Reads

The Management of a patient with a fragmented intrauterine device embedded within the cervical canal.

Contraception 2019 Jan 20;99(1):67-69. Epub 2018 Aug 20.

Gynecologic Oncology Associates and the Women's Cancer Research Foundation, Newport Beach, CA 92663. Electronic address:

A 28-year-old woman presented with a malpositioned intrauterine device (IUD) that was fragmented and significantly entrenched within the cervical canal and myometrium. IUD malposition with concomitant device fragmentation and embedded segments, albeit rare, should be a consideration given the device's prevalence. Read More

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January 2019

Beyond intent: exploring the association of contraceptive choice with questions about Pregnancy Attitudes, Timing and How important is pregnancy prevention (PATH) questions.

Contraception 2019 Jan 17;99(1):22-26. Epub 2018 Aug 17.

The University of Utah.

Objectives: To explore women's responses to PATH questions (Pregnancy Attitudes, Timing and How important is pregnancy prevention) about hypothetical pregnancies and associations with contraceptive method selection among individuals who present as new contraceptive clients and desire to prevent pregnancy for at least 1 year.

Study Design: The HER Salt Lake Contraceptive Initiative provided no-cost contraception to new contraceptive clients for 1 year at family planning health centers in Salt Lake County. Those who wanted to avoid pregnancy for at least 1 year and completed the enrollment survey are included in the current study. Read More

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January 2019
1 Read

Continuation of subcutaneous or intramuscular injectable contraception when administered by facility-based and community health workers: findings from a prospective cohort study in Burkina Faso and Uganda.

Contraception 2018 Nov 17;98(5):423-429. Epub 2018 Aug 17.

PATH, PO Box 7404, Kampala, Uganda. Electronic address:

Objective: The aim of this study was to examine continuation of subcutaneous and intramuscular depot medroxyprogesterone acetate (DMPA-SC and DMPA-IM) when administered by facility-based health workers in Burkina Faso and Village Health Teams (VHTs) in Uganda.

Study Design: Participants were family planning clients of health centers (Burkina Faso) or VHTs (Uganda) who had decided to initiate injectable use. Women selected DMPA-SC or DMPA-IM and study staff followed them for up to four injections (providing 12 months of pregnancy protection) to determine contraceptive continuation. Read More

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November 2018
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First-trimester aspiration abortion practices: a survey of United States abortion providers.

Contraception 2019 Jan 17;99(1):10-15. Epub 2018 Aug 17.

Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, KS-3, Boston, MA 02215. Electronic address:

Objectives: To assess whether first-trimester aspiration abortion practices of US providers agree with evidence-based policy guidelines.

Study Design: We sent surveys by mail or electronically to all abortion facilities in the United States identified via professional networks and websites from June through December 2013. Administrators reported on the volume of procedures performed at their site(s) through 13 weeks 6 days' gestation and on clinic services. Read More

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January 2019
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Planned, unplanned and in-between: the meaning and context of pregnancy planning for young people.

Contraception 2019 Jan 16;99(1):16-21. Epub 2018 Aug 16.

Sexual Health and Reproductive Equity Program, School of Social Welfare, University of California, Berkeley, 110 Haviland Hall MC 7400, Berkeley, CA 94720-7400, USA. Electronic address:

Objective: To understand how young people conceptualize planned, unplanned and "in-between" pregnancies.

Methods: We conducted individual qualitative interviews with 50 young (ages 18-24) women and their male partners (n=100) in the San Francisco Bay Area to investigate prospective pregnancy intentions. In this analysis, we focused on participants' conceptualization of planned and unplanned pregnancies, as well as a status in between planned and unplanned. Read More

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January 2019