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Long-Acting Reversible Contraception

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81. Contraception - assessment

method, its efficacy, risks and adverse effects, advantages and disadvantages, and how to use it. Advice should be offered on long-acting reversible contraception (copper intrauterine device, levonorgestrel intrauterine system, progestogen-only injectables, progestogen-only implant, and the combined vaginal ring). Girls younger than 16 years of age should be assessed for their competency to independently consent to treatment, and it should be documented in the case notes whether or not she meets (...) by the contractor who have received information from the contractor about long acting reversible methods of contraception at the time of or within 1 month of the prescription 3 50–90% Data from: [ ] QIPP - Options for local implementation QIPP – options for local implementation No QIPP criteria were found during the review of this topic. NICE quality standards NICE quality standards Women asking for contraception from contraceptive services are given information about, and offered a choice of, all methods

2019 NICE Clinical Knowledge Summaries

82. Contraception - combined hormonal methods

received information from the contractor about long acting reversible methods of contraception at the time of or within 1 month of the prescription 3 50-90% Data from: [ ] QIPP - Options for local implementation QIPP - Options for local implementation No QIPP criteria were found during the review of this topic. NICE quality standards NICE quality standards Women asking for contraception from contraceptive services are given information about, and offered a choice of, all methods including long-acting (...) if occurs after taking the pill. Possible of the COC including . The possibility of . Advise the woman to check with a healthcare professional before starting any new drug treatment (including herbal remedies such as St John's wort). Also: Provide written information on the COC — the provides a useful with information for women using the COC. Offer verbal and/or written advice on long-acting reversible contraception (copper intrauterine device, levonorgestrel intrauterine system, progestogen-only

2019 NICE Clinical Knowledge Summaries

83. Contraception - progestogen-only methods

Achievement thresholds The contractor establishes and maintains a register of women aged 54 years or under who have been prescribed any method of contraception at least once in the last year, or other clinically appropriate interval e.g. last 5 years for an IUS 4 The percentage of women, on the register, prescribed emergency hormonal contraception one or more times in the preceding 12 months by the contractor who have received information from the contractor about long acting reversible methods (...) of contraception at the time of or within 1 month of the prescription 3 50-90% Data from: [ ] QIPP - Options for local implementation QIPP - Options for local implementation No QIPP criteria were found during the review of this topic. NICE quality standards NICE quality standards Women asking for contraception from contraceptive services are given information about, and offered a choice of, all methods including long-acting reversible contraception. Women asking for emergency contraception are told

2019 NICE Clinical Knowledge Summaries

84. Contraception - IUS/IUD

Contraception - IUS/IUD Contraception - IUS/IUD - NICE CKS Share Contraception - IUS/IUD: Summary Intrauterine contraceptives (IUCs) are long-acting reversible contraceptives (LARCs) which have a licensed duration of use of 3–10 years, depending on the device chosen. There are two types of IUC currently available in the UK: The levonorgestrel intrauterine system (LNG-IUS) — a small polyethylene T-shaped frame with a levonorgestrel reservoir around the vertical stem. The levonorgestrel (...) 2001 and issued in June 2001. Guidance on emergency contraception is no longer included but can be found as a separate CKS topic. December 1997 — written. Update Update New evidence New evidence Evidence-based guidelines Akintomide, H. (2019) Improving information on intrauterine contraception: providing advice in primary care. British Journal of General Practice. [ ] NICE (2019) CG30 Long-acting reversible contraception. National Institute for Health and Care Excellence. [ ] FSRH (2019) FSRH

2019 NICE Clinical Knowledge Summaries

85. Contraception - emergency

drug. June 2012 — minor update. The follow up and after care node has been updated to include a recommendation based on the Quality Outcomes Framework (QOF) indicators (2012). According to the QOF indicators, women should be offered verbal and/or written advice about long acting reversible contraceptives because they do not depend on the woman remembering to use them, therefore the risk of pregnancy is reduced. January 2012 — minor update. McNeil Products Ltd, in collaboration with the MHRA (2012 (...) establishes and maintains a register of women aged 54 years or under who have been prescribed any method of contraception at least once in the last year, or other clinically appropriate interval e.g. last 5 years for an IUS 4 The percentage of women, on the register, prescribed emergency hormonal contraception one or more times in the preceding 12 months by the contractor who have received information from the contractor about long acting reversible methods of contraception at the time of or within 1

2019 NICE Clinical Knowledge Summaries

86. Effects of immediate postpartum contraceptive counseling on long-acting reversible contraceptive use in adolescents Full Text available with Trip Pro

Effects of immediate postpartum contraceptive counseling on long-acting reversible contraceptive use in adolescents Adolescent pregnancy is a global public health problem, particularly repeated pregnancy. The best strategy to lower prevalence of adolescent pregnancy and repeated pregnancy is promoting highly effective long-acting contraceptive methods along with special counseling programs. Long-acting reversible contraception (LARC) is the ideal contraceptive of choice for adolescents (...) . It is not known whether immediate postpartum contraceptive counseling increases postpartum LARC use in adolescents.To compare LARC use between immediate and conventional postpartum contraceptive counseling and discover predictive factors of postpartum LARC use.This prospective, randomized controlled trial was conducted among postpartum adolescents at Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand, from 1 July 2016 to 31 March 2017

2017 Adolescent health, medicine and therapeutics Controlled trial quality: predicted high

87. Contraception Insurance Coverage and Receipt of Long-Acting Reversible Contraception or Depot Medroxyprogesterone Acetate on the Day of Abortion. (Abstract)

Contraception Insurance Coverage and Receipt of Long-Acting Reversible Contraception or Depot Medroxyprogesterone Acetate on the Day of Abortion. To evaluate whether contraceptive insurance coverage for women who present for an abortion is associated with obtaining long-acting reversible contraception or depot medroxyprogesterone acetate (DMPA) on the day the abortion is completed.We conducted a prospective cohort study of women presenting for medical or surgical abortion at a single health (...) univariable, bivariable, and multivariable analysis to report our findings.Five hundred seventy-five women enrolled in our cohort between September 2015 and April 2016. One hundred twenty-eight (22%) had insurance coverage and 447 (78%) did not. In the group with insurance coverage for contraception, 38% (49/128) received a long-acting reversible contraception method or DMPA compared with 7% (33/447) in the group without insurance coverage for contraception. After adjusting for confounding, women

2017 Obstetrics and Gynecology

88. Postabortion Contraceptive Use and Continuation When Long-Acting Reversible Contraception Is Free. Full Text available with Trip Pro

Postabortion Contraceptive Use and Continuation When Long-Acting Reversible Contraception Is Free. To compare preference for long-acting contraception (LARC) and subsequent use, year-long continuation, and pregnancy among women after induced abortion who were and were not eligible to participate in a specialized funding program that provided LARC at no cost.Between October 2014 and March 2016, we conducted a prospective study of abortion patients at Planned Parenthood in Austin, Texas (located (...) likely to use and continue these methods. Low-income ineligible women were far more likely to use less effective contraception and become pregnant. Specialized funding programs can play an important role in immediate postabortion contraceptive provision, particularly in settings where state funding is limited.

2017 Obstetrics and Gynecology

89. Postabortion long-acting reversible contraception desire in women counselled using Bedsider.org versus standard counselling: a randomised trial. Full Text available with Trip Pro

Postabortion long-acting reversible contraception desire in women counselled using Bedsider.org versus standard counselling: a randomised trial. 29972363 2018 12 07 2515-2009 2018 May 30 BMJ sexual & reproductive health BMJ Sex Reprod Health Postabortion long-acting reversible contraception desire in women counselled using Bedsider.org versus standard counselling: a randomised trial. bmjsrh-2017-200047 10.1136/bmjsrh-2017-200047 Sonalkar Sarita S Department of Obstetrics and Gynecology (...) Epidemiology and Biostatistics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania, USA. Borgatta Lynn L Quorum Review, Inc., Seattle, Washington, USA. eng K12 HD001265 HD NICHD NIH HHS United States Journal Article 2018 05 30 England BMJ Sex Reprod Health 101715577 2515-1991 counseling internet post-abortion contraception Competing interests: None declared. 2019 11 30 2018 7 5 6 0 2018 7 5 6 0 2018 7 5 6 0 aheadofprint 29972363 bmjsrh-2017-200047 10.1136/bmjsrh-2017-200047

2018 BMJ Sexual & Reproductive Health Controlled trial quality: uncertain

90. Opportunity, satisfaction, and regret: Trying long-acting reversible contraception in a unique scientific circumstance. (Abstract)

Opportunity, satisfaction, and regret: Trying long-acting reversible contraception in a unique scientific circumstance. Increased use of long-acting reversible contraception (LARC) can reduce unintended pregnancies. However, significant barriers exist to LARC uptake, particularly high up-front costs. In North Carolina in 2014, we interviewed thirty-four purposively selected participants (aged 20-30 years) enrolled in a partially randomized patient preference trial to learn about (...) their experiences with and attitudes toward contraception in this unique trial context. Cost of LARC was important in participants' decision-making. Experiencing an unintended pregnancy motivated women to switch to LARC. No participants who tried LARC, even those who experienced side effects, regretted it. Several participants regretted discontinuing their LARC. Concerns about insertion and removal did not influence future willingness to try LARC. Participants discussed the importance of affordability

2018 Women & health

91. The Effect of Peer Education in Dispelling Myths and Misconceptions about Long-Acting Reversible Contraception among Ethiopian Youth. (Abstract)

The Effect of Peer Education in Dispelling Myths and Misconceptions about Long-Acting Reversible Contraception among Ethiopian Youth. Robust evidence, including systematic reviews and recommendations from the 2016 Lancet Commission on Adolescent Health and Wellbeing, does not wholly support the unambiguous endorsement of peer-led community-based interventions. This study evaluated the effectiveness of an intensive three-day training for peer educators (PE) on dispelling myths and misconceptions (...) about long-acting reversible contraceptives (LARCs) among Ethiopian youth. Post-training, PEs conducted demand-generation activities with their peers to encourage LARCs referrals. A convenience purposive sampling technique was used to select 20 health centers where peer educators referred clients: 10 each in Amhara and Tigray regions. The health centers were randomly allocated to the intervention (five) and non-intervention (five) study arms. Data were abstracted from the peer educators' monthly

2018 African journal of reproductive health Controlled trial quality: uncertain

92. Feasibility of Immediate Postpartum Long-acting Reversible Contraception Implementation

Feasibility of Immediate Postpartum Long-acting Reversible Contraception Implementation Feasibility of Immediate Postpartum Long-acting Reversible Contraception Implementation - 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. Feasibility of Immediate Postpartum Long-acting Reversible Contraception Implementation 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. Read our for details. ClinicalTrials.gov Identifier: NCT03774797 Recruitment Status : Enrolling by invitation First Posted : December 13, 2018 Last Update Posted : December 13, 2018 Sponsor: University

2018 Clinical Trials

93. Medicaid and receipt of interval postpartum long-acting reversible contraception. Full Text available with Trip Pro

Medicaid and receipt of interval postpartum long-acting reversible contraception. We sought to evaluate the impact of insurance type on receipt of an interval postpartum LARC, controlling for demographic and clinical factors.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

2018 Contraception

94. High parity predicts use of long-acting reversible contraceptives in the extended postpartum period among women in rural Uganda Full Text available with Trip Pro

High parity predicts use of long-acting reversible contraceptives in the extended postpartum period among women in rural Uganda The use of implants and Intra-uterine devices (IUD) during the post-partum period is very low in Uganda especially in rural settings. Long-acting reversible contraceptives (LARC) are known to be the most cost-effective for prevention of unintended pregnancy and unsafe abortions. This study aimed at determining the factors associated with long-acting reversible (...) contraceptive use among women in the extended postpartum period in rural Uganda.We conducted a household-based, cross-sectional study among 400 women in two rural communities in Mityana district, central Uganda. Eligible women were aged 15 to 45 years who had childbirth within 12 months of study enrollment in September 2014. The outcome variable was self-reported use of a LARC method, either IUD or implants in the extended postpartum period. The main independent variables were previous childbirths (parity

2018 Contraception and Reproductive Medicine

95. Patient-Perceived Autonomy and Long-Acting Reversible Contraceptive Use: A Qualitative Assessment in a Midwestern, University Community Full Text available with Trip Pro

Patient-Perceived Autonomy and Long-Acting Reversible Contraceptive Use: A Qualitative Assessment in a Midwestern, University Community Long-acting reversible contraceptives (LARCs) are the most effective contraceptives and are first-line recommendations for most women. However, young women use these methods at relatively low rates. Given concern with contraceptive coercion, an underexamined factor contributing to LARC attitudes is women's perceived reproductive and bodily autonomy in regard (...) to LARC. We conducted focus group discussions and interviews regarding LARC perceptions and knowledge with 50 women between the ages of 18 and 29. We used a modified grounded theory approach to analyze young women's impressions of autonomy in relation to contraceptives more generally and LARC more specifically, both among ever-users and never-users. Four themes emerged regarding women's perceived autonomy with LARC. Control over pregnancy, active participation versus external agent, control over

2018 BioResearch open access

96. Long-acting reversible contraceptive use in the post-abortion period among women seeking abortion in mainland China: intentions and barriers Full Text available with Trip Pro

Long-acting reversible contraceptive use in the post-abortion period among women seeking abortion in mainland China: intentions and barriers This study aimed to describe the intentions of and barriers to the use of long-acting reversible contraceptives (LARCs) in the post-abortion period among women seeking abortion in mainland China.A cross-sectional study was conducted from July 2015 to December 2015 using a waiting room questionnaire. A total of 381 women seeking abortions were recruited

2018 Reproductive health

97. Racial and Ethnic Differences in Patterns of Long-Acting Reversible Contraceptive Use in the United States, 2011-2015. Full Text available with Trip Pro

Racial and Ethnic Differences in Patterns of Long-Acting Reversible Contraceptive Use in the United States, 2011-2015. To investigate whether demographic, socioeconomic, and reproductive health characteristics affect long-acting reversible contraceptive (LARC) use differently by race-ethnicity. Results may inform the dialogue on racial pressure and bias in LARC promotion.Data derived from the 2011-2013 and 2013-2015 National Surveys of Family Growth (NSFG). Our study sample included 9321 women (...) sample of women suggest similar patterns in LARC use by race-ethnicity.Results from this analysis of NSFG data do not provide evidence that observed differences in LARC use by race-ethnicity represent socioeconomic disparities, and may assuage some concerns about reproductive coercion among women of color. Nevertheless, it is absolutely critical that providers use patient-centered approaches for contraceptive counseling that promote women's autonomy in their reproductive health care decision

2018 Contraception

98. Not seeking yet trying long-acting reversible contraception: a 24-month randomized trial on continuation, unintended pregnancy, and satisfaction. Full Text available with Trip Pro

Not seeking yet trying long-acting reversible contraception: a 24-month randomized trial on continuation, unintended pregnancy, and satisfaction. To measure the 24-month impact on continuation, unintended pregnancy and satisfaction of trying long-acting reversible contraception (LARC) in a population seeking short-acting reversible contraception (SARC).We enrolled 916 women aged 18-29 who were seeking pills or injectables in a partially randomized patient preference trial. Women with strong

2018 Contraception Controlled trial quality: predicted high

99. Availability of long-acting reversible contraceptives in Los Angeles County clinics through a Medicaid state plan amendment program. (Abstract)

Availability of long-acting reversible contraceptives in Los Angeles County clinics through a Medicaid state plan amendment program. To assess the availability of long acting reversible contraceptive (LARC) methods in Los Angeles County through providers participating in a California State Medicaid State Plan Amendment Program called Family Planning, Access, Care and Treatment (Family PACT).This was a cross-sectional telephone survey utilizing "secret shopper" methodology. From 855 Family PACT

2018 Contraception

100. Comparison of an additional early visit to routine postpartum care on initiation of long-acting reversible contraception: a randomized trial. Full Text available with Trip Pro

Comparison of an additional early visit to routine postpartum care on initiation of long-acting reversible contraception: a randomized trial. To investigate whether an early 3-week postpartum visit in addition to the standard 6-week visit increases long-acting reversible contraception (LARC) initiation by 8 weeks postpartum compared to the routine 6-week visit alone.We enrolled pregnant and immediate postpartum women into a prospective randomized, non-blinded trial comparing a single 6-week (...) postpartum visit (routine care) to two visits at 3 and 6 weeks postpartum (intervention), with initiation of contraception at the 3-week visit, if desired. All participants received structured contraceptive counseling. Participants completed surveys in-person at baseline and at the time of each postpartum visit. A sample size of 200 total participants was needed to detect a 2-fold difference in LARC initiation (20% vs. 40%).Between May 2016 and March 2017, 200 participants enrolled; outcome data

2018 Contraception Controlled trial quality: uncertain

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