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Long-Acting Reversible Contraception

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181. Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: The APPLES pilot evaluation. Full Text available with Trip Pro

Feasibility and acceptability of introducing routine antenatal contraceptive counselling and provision of contraception after delivery: The APPLES pilot evaluation. To determine the feasibility and acceptability of routine antenatal contraceptive counselling and contraception provision including long-acting reversible contraception (LARC) postpartum.Health service research evaluation.Community antenatal clinics and hospital maternity settings in National Health Service, Scotland UK.Women booked (...) for antenatal care.Contraceptive counselling with a community midwife (22 weeks' gestation) and provision of contraception (with facilitated access to LARC methods) prior to discharge from maternity hospital. Evaluation consisted of (i) self administered questionnaire (32-34 weeks) of women's views of antenatal contraceptive counselling, (ii) database review of contraceptive methods provided at discharge, and (iii) focus groups with midwives and obstetricians.Women's views on antenatal contraceptive

2017 BJOG

182. Increasing IUD and Implant Use Among Those at Risk of a Subsequent Preterm Birth: A Randomized Controlled Trial of Postpartum Contraceptive Counseling. (Abstract)

Increasing IUD and Implant Use Among Those at Risk of a Subsequent Preterm Birth: A Randomized Controlled Trial of Postpartum Contraceptive Counseling. To assess the impact of contraceptive counseling on the uptake of long-acting reversible contraception (LARC), namely, intrauterine devices and the contraceptive implant, by 3 months postpartum among women with a recent preterm birth.We enrolled patients in a single-blinded, one-to-one, randomized, controlled trial to assess the impact (...) of enhanced family planning counseling immediately after a viable preterm birth in the inpatient setting. Participants received either structured counseling with an emphasis on LARC by a family planning specialist (intervention) or routine postpartum care (control). We followed participants to the primary outcome of LARC use 3 months postpartum.We followed 121 participants for 3 months. Primary outcome data were available for 119 participants (61 intervention, 58 control). We found no demographic

2018 Women's health issues : official publication of the Jacobs Institute of Women's Health Controlled trial quality: predicted high

183. Advance notice of contraceptive availability at surgical abortion: a pilot randomised controlled trial. (Abstract)

to the intervention message, a standardised notification about the availability, effectiveness and safety of long-acting (LARC) and short-acting reversible contraception (SARC) on the day of the abortion, or to the control message, a reiteration of appointment logistics without information about contraception. At the visit, participants completed a pre-procedure survey to assess contraceptive knowledge and usefulness of the intervention. The primary outcome was knowledge of LARC availability immediately after (...) Advance notice of contraceptive availability at surgical abortion: a pilot randomised controlled trial. With advance notice about the availability and effectiveness of contraceptive methods, abortion patients have more time and information for decision-making. We assessed the impact of an informational telephone call prior to the surgical abortion visit on patient contraceptive knowledge.This was a pilot randomised controlled trial. Prior to their abortion visit, participants were randomised

2018 BMJ Sexual & Reproductive Health Controlled trial quality: uncertain

184. Postpartum contraceptive counseling for first-time adolescent mothers: a randomized controlled trial. (Abstract)

contraceptive counseling intervention emphasizing healthy birth spacing and the use of long-acting reversible contraceptives (LARC).After a baseline survey about reproductive health and pregnancy intentions, all subjects received routine postpartum contraceptive counseling. The intervention group also received the standardized counseling intervention. All participants had access to immediate postpartum contraceptive implant initiation or to intrauterine device (IUD) insertion at postpartum follow-up (...) Postpartum contraceptive counseling for first-time adolescent mothers: a randomized controlled trial. 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

2018 Archives of gynecology and obstetrics Controlled trial quality: uncertain

185. Predictors of contraceptive switching and discontinuation within the first six months of use among HER Salt Lake study participants. (Abstract)

the following: nonhormonal behavioral methods (male/female condoms, withdrawal, diaphragms, cervical caps, and fertility awareness); short-acting methods (pill, patch, ring, and injectable); and long-acting methods (intrauterine devices and contraceptive implants). Participants completed surveys at baseline and at 1, 3, and 6 months. We collected data on participant demographics, contraceptive continuation, switching, and discontinuation, as well as factors associated with these changes, including (...) discontinuation (IRR, 0.73; 95% CI, 0.57, 0.94). Selecting a short-acting method at baseline was also associated with increased likelihood of method switching (IRR, 2.29, 95% CI, 1.87, 2.80), as was having 2 or more children (IRR, 1.37; 95% CI, 1.08, 1.74). Women were less likely to switch if they were on their parents' insurance (IRR, 0.74; 95% CI, 0.56, 0.99). Among participants who switched methods, 36.9% switched to a long-acting reversible method, 31.7% switched to a short-acting hormonal method

2018 American Journal of Obstetrics and Gynecology

186. Targeted Video Messaging About Emergency Contraception

or ever employed in the reproductive health field Currently using long-acting reversible contraception (LARC) History of permanent sterilization (by participant or sexual partner) Previous participation in the study Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its ClinicalTrials.gov identifier (NCT (...) Contraception 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: NCT03774368 Recruitment Status : Recruiting First Posted : December 13, 2018 Last Update Posted : January 16, 2019 See Sponsor: Planned Parenthood League of Massachusetts

2018 Clinical Trials

187. Expanding Contraceptive Access for Women With Substance Use Disorders: Partnerships Between Public Health Departments and County Jails. (Abstract)

Department of Health partnered with county correctional facilities to provide comprehensive family planning education and voluntary long-acting reversible contraception (LARC) to women in 15 jails.Incarcerated women were invited to attend a comprehensive family planning education session conducted in the jail by health department nurses. The sessions included information on neonatal abstinence syndrome. The nurses explained that the women could receive intrauterine devices, implants, and injectable (...) progesterone while incarcerated and come to the health department for all contraceptive methods upon release. Between January 2014 and June 2017, nurses conducted 182 education sessions, and 794 women received a LARC. Method placement occurred in the jails or at the local health department. No adverse effects were known to have occurred.We collected pilot data to explore the accuracy and the comprehensiveness of the family planning education session and whether the incarcerated women experienced

2018 Journal of Public Health Management and Practice

188. A Pediatric Emergency Department Intervention to Increase Contraception Initiation among Adolescents. (Abstract)

the association between contraception initiation and participant characteristics.A total of 144 patients were eligible, and 100 were enrolled. In the PED, 68% (68/100) expressed interest in initiating hormonal contraception, with 70% (48/68) of interested participants indicating that long-acting reversible contraception (LARC) was their preferred method. Twenty-five percent (25/100) of participants initiated contraception during the study period, with 19 participants starting LARC. Thirty-nine percent (22/57 (...) A Pediatric Emergency Department Intervention to Increase Contraception Initiation among Adolescents. The pediatric emergency department (PED) provides care for adolescents at high risk of unintended pregnancy, but little is known regarding the efficacy of PED-based pregnancy prevention interventions. The objectives of this PED-based pilot intervention study were to 1) assess the rate of contraception initiation after contraceptive counseling and appointment facilitation in the PED during

2018 Academic Emergency Medicine

189. Factors Predicting Ineffective Contraception Use

Long Acting Reversible Contraceptives, sterilized, planning to get pregnant in the next 6 months, report acute suicide risk (assessed via the PHQ Follow-up Suicide Risk Assessment form or self-repot a suicide attempt in the past 6 months) Contacts and Locations Go to Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor. Please refer to this study by its (...) Outcome Measures : Consistent contraception use at 14-week follow-up [ Time Frame: 14-week follow-up ] Categorical (yes/no). Self report of using birth control consistently in prior month with a male sexual partner. Secondary Outcome Measures : Change in mean level of depressive symptoms from baseline to 10-week follow-up [ Time Frame: at 10-week follow-up ] 9-item PHQ-9 Depressive Symptoms Scale. Self-report measure of depressive symptoms over the past two weeks. Each item is scored 0 (not at all

2018 Clinical Trials

190. UCSF College Health Study on Contraceptive Training and Education at Community Colleges

and access among students in community colleges. Condition or disease Intervention/treatment Phase Contraception Behavioral: Contraceptive Training and Education Behavioral: Placebo Nutrition Education Not Applicable Detailed Description: In the US, young women aged 18-25 years experience high rates of unintended pregnancy and have limited knowledge of contraception or their pregnancy risks. They have little familiarity with the full range of contraceptives, particularly long-acting reversible (...) student knows these reversible methods including male condom, female condom, oral contraceptive pill, transdermal patch, vaginal ring, Depo-provera injectable, intrauterine device, subdermal implant, and emergency contraception. Secondary Outcome Measures : Change in student access to contraceptive services over 12 months, measured as whether student knows of or visited health services for contraceptives (questionnaire) [ Time Frame: Baseline, 12 months ] Change in willingness to use long-acting

2018 Clinical Trials

191. Barriers and outcomes associated with unfulfilled requests for permanent contraception following vaginal delivery. (Abstract)

long-acting reversible contraception, and 13 (22.8%) became pregnant.Fewer than half of women obtained desired postpartum permanent contraception after vaginal delivery, with logistical issues and obesity being the most common reported barriers. Health care providers should advocate for access to postpartum permanent contraception, as well as discuss prenatally the individualized probability of nonfulfillment and importance of alternative contraceptive plans.Logistical barriers and inappropriate (...) Barriers and outcomes associated with unfulfilled requests for permanent contraception following vaginal delivery. To identify barriers to postpartum permanent contraception procedures after vaginal delivery and to explore contraceptive and reproductive outcomes of women who experience unfulfilled requests.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

2018 Contraception

192. Immediate Postpartum Insertion of Contraceptive Intrauterine Devices

: Mirena Intrauterine System Early Phase 1 Detailed Description: Between 40-57% of women report having unprotected intercourse prior to the 6 week postpartum visit. Immediate postpartum long-acting reversible contraception (LARC) is extremely important in preventing short-interval and unintended pregnancies. The postpartum period is an excellent time for intrauterine device (IUD) or implant insertion as women are often highly motivated to prevent unwanted pregnancies at this time. Per the American (...) Immediate Postpartum Insertion of Contraceptive Intrauterine Devices Immediate Postpartum Insertion of Contraceptive Intrauterine Devices - 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. Immediate Postpartum

2018 Clinical Trials

193. Effect of contraceptive choice on rapid repeat pregnancy. (Abstract)

Effect of contraceptive choice on rapid repeat pregnancy. To describe the prevalence of rapid repeat pregnancy (RRP), defined as repeat pregnancy within 18 months of delivery, in a large health system and to determine the impact of contraceptive method on RRP.Retrospective cohort.The prevalence of RRP among patients who delivered in August 2014 (n=804) was 27.2%. After controlling for age and sociodemographic characteristics, women experiencing RRP were less likely to have used long-acting (...) reversible contraception (LARC) [adjusted odds ratio (aOR) 0.45, 95% confidence interval (CI) 0.24-0.85, p=.014; RRP in 19% of implant and 18% of IUD users)] and more likely to have been prescribed a progestin-only pill (aOR 5.106, 95% CI 2.157-12.083, p<.001; RRP in 53% of users) compared to women choosing all other reversible contraceptive methods.Postpartum LARC decreases the odds of RRP, while a prescription for progestin-only pills is not protective.Copyright © 2018 Elsevier Inc. All rights reserved.

2018 Contraception

194. Changing Patterns of Contraceptive Use and the Decline in Rates of Pregnancy and Birth Among U.S. Adolescents, 2007-2014. Full Text available with Trip Pro

%), long-acting reversible contraception including intrauterine device and implant (1%-7%), withdrawal (15%-26%), and withdrawal in combination with other methods (7%-17%). Pill use rose and then fell over time. Level of sexual activity did not change over time. The decline in pregnancy risk among women aged 15-19 was entirely attributable to improvements in contraceptive use.Improvements in contraceptive use-including increases in use of long-acting reversible contraception and withdrawal (...) Changing Patterns of Contraceptive Use and the Decline in Rates of Pregnancy and Birth Among U.S. Adolescents, 2007-2014. To investigate the influence of sexual activity and contraceptive use on the decline in adolescent birth rates and pregnancy rates since 2007.We estimated trends in pregnancy risk from 2007 to 2014 using national data on behaviors of women aged 15-19.In 2007-2014, increases occurred in use of one or more contraceptive methods at last sex (78%-88%), dual method use (24%-33

2018 The Journal of Adolescent Health

195. Contraception after Abortion and Risk of Repeated Unintended Pregnancy among Health Plan Members Full Text available with Trip Pro

of women aged 15 to 44 years having abortions in KPNC, to determine contraception initiation within 90 days. Demographic and clinical characteristics (age, race/ethnicity, gravidity, parity, contraceptive method initiated, and pregnancies within 12 months) were collected from electronic health records. Descriptive statistics, χ2 tests, t-tests, and logistic regression models assessed predictors of long-acting reversible contraception (LARC) initiation and having another unintended pregnancy within 12 (...) Contraception after Abortion and Risk of Repeated Unintended Pregnancy among Health Plan Members Optimizing access to effective contraception at the time of abortion can reduce repeated unintended pregnancies.To assess contraception initiation and repeated unintended pregnancies among women receiving abortions in Kaiser Permanente Northern California (KPNC) facilities and through outside contracted facilities.A retrospective cohort study was conducted using a randomized proportional sample

2018 The Permanente journal

196. Safety, Quality, and Acceptability of Contraceptive Subdermal Implant Provision by Community Health Extension Workers Versus Nurses and Midwives in Nigeria: Protocol for a Quasi-Experimental, Noninferiority Study Full Text available with Trip Pro

contraceptive subdermal implants. There is a lack of rigorous evidence on the safety of long-acting reversible contraceptive provision, such as implants, among lower cadres of health providers.This study aimed to compare implant provision by CHEWs versus nurses and midwives up to 14 days post insertion.The quasi-experimental, noninferiority study will take place in public sector facilities in Kaduna and Ondo States. In each state, we will select 60 facilities, and from these, we will select a total of 30 (...) Safety, Quality, and Acceptability of Contraceptive Subdermal Implant Provision by Community Health Extension Workers Versus Nurses and Midwives in Nigeria: Protocol for a Quasi-Experimental, Noninferiority Study As part of its Family Planning 2020 commitment, the Nigerian government is aiming for a contraceptive prevalence rate of 36% by 2018, and in 2014, approved a policy to allow community health extension workers (CHEWs), in addition to doctors, nurses, and midwives, to provide

2018 JMIR Research Protocols

197. 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 (...) and providers were purposively selected from eight private family planning clinics in the Greater Accra Region. Semi-structured interview guides were used for in-depth interviews during data collection. The interviews were audio-taped to ascertain accurate accounts of the interviews and recordings replayed for analytical responses. Field assistants transcribed the interviews conducted themselves and read through the transcripts produced twice to increase familiarity with the dataset. A list of code labels

2018 Contraception and Reproductive Medicine

198. Contraceptive method use among women and its association with age, relationship status and duration: findings from the third British National Survey of Sexual Attitudes and Lifestyles (Natsal-3) Full Text available with Trip Pro

participating in the third British National Survey of Sexual Attitudes and Lifestyles were used to describe contraceptive use grouped as: unreliable method or none; barrier methods; oral/injectable hormonal methods; and long-acting reversible contraception. A total of 4456 women at risk of pregnancy were used to examine associations between contraception use, age, relationship type and duration. Age-stratified odds ratios for contraceptive use by relationship type and duration were estimated using binary (...) logistic regression.Some 26.0% of 16-49-year-olds used hormonal contraception as their usual method. Use of hormonal and barrier methods was highest in the youngest age group and decreased with age; the reverse was true for use of unreliable methods or none. Barrier method use was higher in short-term relationships among younger participants; this was not seen among older respondents. Duration was more strongly associated with usual contraceptive method than relationship type; this pattern was more

2018 BMJ Sexual & Reproductive Health

199. Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences Full Text available with Trip Pro

sample (69%). Participants reported low lifetime use of long acting reversible contraception (LARC) (ranging from 5 to 12%). Participants preferred hormonal injections first (40%), followed by IUDs (17%). Reasons for preferences of injections and LARC were similar: not needing to remember, side effects, and long-term effectiveness.Most of the study population participants stated they would utilize contraception, particularly Tier 1 LARC methods, if freely available; however, high rates of unintended (...) Pregnant or recently pregnant opioid users: contraception decisions, perceptions and preferences Multiple factors are linked to extremely high unintended pregnancy rates among women who use opioids, including various barriers to contraception adherence. These include patient level barriers such as lack of knowledge and education about highly effective contraception, and potential provider barriers. Using a mixed-methods framework to examine the contraception-related perceptions and preferences

2018 Contraception and Reproductive Medicine

200. Reported contraceptive use in the month of becoming pregnant among U.S. abortion patients in 2000 and 2014. Full Text available with Trip Pro

in the month the pregnancy began were condoms (28% and 24% in 2000 and 2014, p<.001) followed by the pill (14% and 13%, p=.12). There was a statistically significant increase in the proportion of abortion patients who reported using long-acting reversible methods in the month they got pregnant (0.1% in 2000 vs. 1% in 2014, p<.001), and the estimated number of abortions attributed to these users was greater in 2014 than in 2000 (9500 vs. 1800).Contraceptive use patterns of abortion patients were similar (...) Reported contraceptive use in the month of becoming pregnant among U.S. abortion patients in 2000 and 2014. The objective was to determine whether types of contraceptive methods used by abortion patients in the month they became pregnant changed between 2000 and 2014.We used secondary data from the 2000 (n=10,015) and 2014 (8177) Abortion Patient Surveys. Patients were asked which contraceptive methods they had last used and when they had stopped or if they were still using them. The main

2018 Contraception

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