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Intrauterine Device

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81. Use and discontinuation of intrauterine contraceptive device in the Greater Accra Region of Ghana Full Text available with Trip Pro

Use and discontinuation of intrauterine contraceptive device in the Greater Accra Region of Ghana The intrauterine contraceptive device is one of the modern long-acting and reversible contraception that is very safe and effective. Yet, less than 2 % of women are using intrauterine devices in Ghana. This study therefore explored the experiences and barriers to intrauterine contraceptive device use and discontinuation in Greater Accra Region, Ghana.Intrauterine contraceptive device users (...) was created and a series of categories for the main themes that emerged from the transcripts were developed. The transcribed data was organized, coded and manually thematically analysed in word. Study results were presented in tables and quotes from respondents.Results showed that key motivations for intrauterine contraceptive device use include effectiveness, benefits, and efficacy of the device, fertility regulation, peace of mind, contraceptive method switching, health provider effects, desire for long

2018 Contraception and Reproductive Medicine

82. Factors associated with low-lying intrauterine devices: a cross-sectional ultrasound study in a cohort of African-American women. (Abstract)

Factors associated with low-lying intrauterine devices: a cross-sectional ultrasound study in a cohort of African-American women. The object of this study is to examine factors and symptoms associated with low-lying IUDs as defined by ultrasound.This is a cross-sectional sub-study of participants in the Study of Environment, Life-style, and Fibroids (SELF). SELF participants had screening ultrasounds for fibroids at study enrollment; those with an IUD in place are included in this sub-study

2018 Contraception

83. Association of Anticipated Insertional Pain With Intrauterine Device Initiation. (Abstract)

Association of Anticipated Insertional Pain With Intrauterine Device Initiation. Many providers cite pain as a barrier to intrauterine device (IUD) initiation. Our objective was to determine if young women who initiate other contraceptive methods anticipate more pain with IUD insertion than those who initiate IUDs.In this prospective cohort study, we enrolled women ages 14-24 initiating contraception at a family planning clinic. Participants rated expected pain with IUD insertion on a 0-10

2018 The Journal of Adolescent Health

84. Postpartum intrauterine devices: Clinical and programmatic review. (Abstract)

Postpartum intrauterine devices: Clinical and programmatic review. The immediate postpartum period is a critical moment for contraceptive access and an opportunity to initiate long-acting reversible contraception, which includes the insertion of an intrauterine device. The use of the intrauterine device in the postpartum period is a safe practice with few contraindications and many benefits. Although an intrauterine device placed during the postpartum period is more likely to expel compared (...) with one placed at the postpartum visit, women who initiate intrauterine devices at the time of delivery are also more likely to continue to use an intrauterine device compared with women who plan to follow up for an interval intrauterine device insertion. This review will focus on the most recent clinical and programmatic updates on postpartum intrauterine device practice. We discuss postpartum intrauterine device expulsion and continuation, eligibility criteria and contraindications, safety

2018 American Journal of Obstetrics and Gynecology

85. Satisfaction With the Intrauterine Device Insertion Procedure Among Adolescent and Young Adult Women. Full Text available with Trip Pro

Satisfaction With the Intrauterine Device Insertion Procedure Among Adolescent and Young Adult Women. To evaluate satisfaction with intrauterine device (IUD) insertion procedures among adolescent and young adult women.This secondary analysis of data from a multisite, single-blind, sham-controlled randomized trial of women having a levonorgestrel 13.5-mg IUD inserted enrolled participants from March 2015 through July 2016 at three family planning clinics in Philadelphia, Pennsylvania. Eligible

2018 Obstetrics and Gynecology Controlled trial quality: predicted high

86. ACOG Committee Opinion No. 735 Summary: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices. Full Text available with Trip Pro

ACOG Committee Opinion No. 735 Summary: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices. The phenomenon of adolescent childbearing is complex and far reaching, affecting not only the adolescents but also their children and their community. The prevalence and public health effect of adolescent pregnancy reflect complex structural social problems and an unmet need for acceptable and effective contraceptive methods in this population. In 2006-2010, 82 (...) % of adolescents at risk of unintended pregnancy were currently using contraception, but only 59% used a highly effective method, including any hormonal method or intrauterine device. Long-acting reversible contraceptives (LARC) have higher efficacy, higher continuation rates, and higher satisfaction rates compared with short-acting contraceptives among adolescents who choose to use them. Complications of intrauterine devices and contraceptive implants are rare and differ little between adolescents and women

2018 Obstetrics and Gynecology

87. ACOG Committee Opinion No. 735: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices. Full Text available with Trip Pro

ACOG Committee Opinion No. 735: Adolescents and Long-Acting Reversible Contraception: Implants and Intrauterine Devices. The phenomenon of adolescent childbearing is complex and far reaching, affecting not only the adolescents but also their children and their community. The prevalence and public health effect of adolescent pregnancy reflect complex structural social problems and an unmet need for acceptable and effective contraceptive methods in this population. In 2006-2010, 82 (...) % of adolescents at risk of unintended pregnancy were currently using contraception, but only 59% used a highly effective method, including any hormonal method or intrauterine device. Long-acting reversible contraceptives (LARC) have higher efficacy, higher continuation rates, and higher satisfaction rates compared with short-acting contraceptives among adolescents who choose to use them. Complications of intrauterine devices and contraceptive implants are rare and differ little between adolescents and women

2018 Obstetrics and Gynecology

88. Recent Intrauterine device use and the risk of precancerous cervical lesions and cervical cancer. Full Text available with Trip Pro

Recent Intrauterine device use and the risk of precancerous cervical lesions and cervical cancer. Understanding the effect of contraceptives on the development of precancerous lesions of the cervix and cervical cancer may provide information that is valuable to women in contraceptive decision-making. The purpose of this study was to evaluate the association between recent intrauterine device (IUD) use (by type) and cervical intraepithelial neoplasia 2, 3, adenocarcinoma in situ or cancer (CIN2

2018 Contraception

89. Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report. Full Text available with Trip Pro

Sigmoid colon translocation of an intrauterine device misdiagnosed as a colonic polyp: A case report. Intrauterine contraceptive devices (IUDs) are recommended as a means of contraception. Translocation of IUD is a rare and serious complication. Colonic inflammatory mass caused by translocated IUD initially misdiagnosed as a colonic polyp is extremely rare and has not been reported yet.This report presents a case of sigmoid colon translocation of intrauterine device on a 37-year-old female (...) patient. Colonoscopy was performed due to her complain of repeated blood in stools and subsequently the patient was misdiagnosed as a sigmoid colon polyp. Nonetheless, the "polyp" was not able to be removed endoscopically.Sigmoid colon translocation of an intrauterine device.To further clarify the diagnosis, computed tomography (CT) scan was performed and the "polyp" was confirmed to be caused by a translocated IUD.The translocated IUD was removed easily by surgery, and the patient recovered soon

2018 Medicine

90. Intrauterine Device Insertion Before and After Mandated Health Care Coverage: The Importance of Baseline Costs. (Abstract)

Intrauterine Device Insertion Before and After Mandated Health Care Coverage: The Importance of Baseline Costs. To evaluate changes in out-of-pocket cost for intrauterine device (IUD) placement before and after mandated coverage of contraceptive services and to examine how changes in out-of-pocket cost influence IUD insertion as a function of baseline cost.We conducted a cross-sectional pre-post analysis at the plan level using a large deidentified medical claims database to analyze our primary

2018 Obstetrics and Gynecology

91. Impact of training level on Postplacental Levonorgestrel 52mg intrauterine device expulsion. Full Text available with Trip Pro

Impact of training level on Postplacental Levonorgestrel 52mg intrauterine device expulsion. To determine the association between provider training level and postplacental intrauterine device (IUD) outcomes following insertion instruction by email only.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.We

2018 Contraception

92. Training contraceptive providers to offer intrauterine devices and implants in contraceptive care: a cluster randomized trial. Full Text available with Trip Pro

Training contraceptive providers to offer intrauterine devices and implants in contraceptive care: a cluster randomized trial. US unintended pregnancy rates remain high, and contraceptive providers are not universally trained to offer intrauterine devices and implants to women who wish to use these methods.We sought to measure the impact of a provider training intervention on integration of intrauterine devices and implants into contraceptive care.We measured the impact of a continuing medical (...) education-accredited provider training intervention on provider attitudes, knowledge, and practices in a cluster randomized trial in 40 US health centers from 2011 through 2013. Twenty clinics were randomly assigned to the intervention arm; 20 offered routine care. Clinic staff participated in baseline and 1-year surveys assessing intrauterine device and implant knowledge, attitudes, and practices. We used a difference-in-differences approach to compare changes that occurred in the intervention sites

2018 American Journal of Obstetrics and Gynecology Controlled trial quality: uncertain

93. Use of Copper Intrauterine Device in Transgender Male Adolescents. (Abstract)

Use of Copper Intrauterine Device in Transgender Male Adolescents. Transgender men need contraception if engaging in intercourse with a cis-gender male partner. The copper IUD is an effective, non-hormonal contraceptive well suited for trans-males even while utilizing gender affirming hormone therapy. A gender-neutral medical facility with well-trained and sensitive staff is the ideal setting to provide such contraceptive care.Copyright © 2018. Published by Elsevier Inc.

2018 Contraception

94. Hysteroscopic removal of intrauterine devices in pregnancy. Full Text available with Trip Pro

Hysteroscopic removal of intrauterine devices in pregnancy. To introduce and demonstrate an approach to the hysteroscopic removal of retained intrauterine devices (IUDs) in pregnancy. Pregnancy risks associated with retained IUDs are also discussed, specifically spontaneous abortion and preterm labor.A step-by-step explanation of the procedure with surgical video footage.Academic medical center.We present four patients undergoing hysteroscopic removal of IUDs in pregnancy. All patients have

2018 Fertility and Sterility

95. Intracranial hypertension after Chiari decompression resolving after removal of a levonorgestrel-releasing intrauterine device: case report. Full Text available with Trip Pro

Intracranial hypertension after Chiari decompression resolving after removal of a levonorgestrel-releasing intrauterine device: case report. Levonorgestrel-releasing intrauterine devices (LIUDs) are thought to release this progestin locally in the uterus to limit side effects. Authors here present a case of treatment-refractory hydrocephalus and pseudomeningocele (PMC), both of which fully resolved after LIUD removal.A 35-year-old woman with an implanted LIUD developed symptomatic PMC

2018 Journal of Neurosurgery

96. Why did the Japanese Government take so long to approve the intrauterine contraceptive device? Full Text available with Trip Pro

Why did the Japanese Government take so long to approve the intrauterine contraceptive device? While the majority of East Asian countries embraced the modern intrauterine device (IUD) during the 1960s, the sale and distribution of the IUD in Japan was not authorized until 1974. In this paper, I address why the Japanese Government took so long to permit the use of the IUD. Firstly, I examine scientific debates in Japan during the early 1950s on the efficacy of the IUD and associated health risks

2018 Reproductive Biomedicine & Society Online

97. The levonorgestrel intrauterine device in Australia: analysis of prescribing data 2008–2012 Full Text available with Trip Pro

The levonorgestrel intrauterine device in Australia: analysis of prescribing data 2008–2012 Unplanned pregnancy is a significant problem in Australia. Local data pertaining to use of the levonorgestrel-releasing intra-uterine device (LNG-IUD), and associated factors are limited. The aim of this analysis was to calculate prescribing rates of the LNG-IUD in Australia, including trends in prescribing and associations with socio-demographic factors, in order to increase understanding regarding

2018 BMC women's health

98. Misoprostol for Cervical Ripening Before Copper Intrauterine Device Removal

Misoprostol for Cervical Ripening Before Copper Intrauterine Device Removal Misoprostol for Cervical Ripening Before Copper Intrauterine Device Removal - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more (...) . Misoprostol for Cervical Ripening Before Copper Intrauterine Device Removal The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03600064 Recruitment Status : Recruiting First Posted : July 25, 2018 Last Update Posted : July 25

2018 Clinical Trials

99. Clinical characteristic and intraoperative findings of uterine perforation patients in using of intrauterine devices (IUDs) Full Text available with Trip Pro

Clinical characteristic and intraoperative findings of uterine perforation patients in using of intrauterine devices (IUDs) Intrauterine devices (IUDs) are the most popular form of contraception used worldwide; however, IUD is not risk-free. IUD migrations, especially uterine perforations, were frequently occurred in patients. The aim of this study was to investigate the clinical characteristics and intraoperative findings in patients with migrated IUDs.29 cases of uterine perforation (...) groups. Majority of contraceptive intrauterine devices was the copper-releasing IUDs. Furthermore, patients who used V-shaped IUD showed significantly higher incidence of pelvic adhesions when compared with the users of O-shaped IUDs.Unique clinical characteristics of IUD migration were identified in patients with uterine perforation. Hysteroscopy and/or laparoscopy were the effective approaches to remove the migrated IUDs. Improving operating skills is required at the lower level of health care

2018 Gynecological surgery

100. Calcified retained intrauterine device in the setting of a vesicovaginal fistula Full Text available with Trip Pro

Calcified retained intrauterine device in the setting of a vesicovaginal fistula 29552499 2019 02 26 2214-4420 17 2018 Mar Urology case reports Urol Case Rep Calcified retained intrauterine device in the setting of a vesicovaginal fistula. 106-108 10.1016/j.eucr.2018.01.023 Scambia Jillian R JR Division of Urology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA. Lombardo Lindsay L Division of Urology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA. Division (...) Reports 2018 01 31 United States Urol Case Rep 101626357 2214-4420 Intrauterine device Transabdominal fistula repair Vaginal foreign bodies Vesicovaginal fistula 2018 01 10 2018 01 21 2018 3 20 6 0 2018 3 20 6 0 2018 3 20 6 1 epublish 29552499 10.1016/j.eucr.2018.01.023 S2214-4420(18)30011-1 PMC5850877 Obstet Gynecol. 2010 Nov;116(5):1079-87 20966692 Int J Radiat Oncol Biol Phys. 2014 May 1;89(1):88-95 24725693 Int Urogynecol J. 2014 Dec;25(12):1699-706 25062654

2018 Urology case reports

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