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Long-Acting Reversible Contraception

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161. Access to long-acting reversible contraception among US publicly- funded health centers. Full Text available with Trip Pro

Access to long-acting reversible contraception among US publicly- funded health centers. Access to a full range of contraceptive methods, including long-acting reversible contraception (LARC), is central to providing quality family planning services. We describe health center-related factors associated with LARC availability, including staff training in LARC insertion/removal and approaches to offering LARC, whether onsite or through referral.We analyzed nationally representative survey data (...) collected during 2013-2014 from administrators of publicly funded U.S. health centers that offered family planning. The response rate was 49.3% (n=1615). In addition to descriptive statistics, we used multivariable logistic regression to identify health center characteristics associated with offering both IUDs and implants onsite.Two-thirds (64%) of health centers had staff trained in all three LARC types (hormonal IUD, copper IUD, implant); 21% had no staff trained in any of those contraceptive methods

2017 Contraception

162. Practice Bulletin No. 186: Long-Acting Reversible Contraception: Implants and Intrauterine Devices. (Abstract)

Practice Bulletin No. 186: Long-Acting Reversible Contraception: Implants and Intrauterine Devices. Intrauterine devices and contraceptive implants, also called long-acting reversible contraceptives (LARC), are the most effective reversible contraceptive methods. The major advantage of LARC compared with other reversible contraceptive methods is that they do not require ongoing effort on the part of the patient for long-term and effective use. In addition, after the device is removed (...) , the return of fertility is rapid (1, 2). The purpose of this Practice Bulletin is to provide information for appropriate patient selection and evidence-based recommendations for LARC initiation and management. The management of clinical challenges associated with LARC use is beyond the scope of this document and is addressed in Committee Opinion No. 672, Clinical Challenges of Long-Acting Reversible Contraceptive Methods (3).

2017 Obstetrics and Gynecology

163. Practice Bulletin No. 186 Summary: Long-Acting Reversible Contraception: Implants and Intrauterine Devices. (Abstract)

Practice Bulletin No. 186 Summary: Long-Acting Reversible Contraception: Implants and Intrauterine Devices. Intrauterine devices and contraceptive implants, also called long-acting reversible contraceptives (LARC), are the most effective reversible contraceptive methods. The major advantage of LARC compared with other reversible contraceptive methods is that they do not require ongoing effort on the part of the patient for long-term and effective use. In addition, after the device is removed (...) , the return of fertility is rapid (1, 2). The purpose of this Practice Bulletin is to provide information for appropriate patient selection and evidence-based recommendations for LARC initiation and management. The management of clinical challenges associated with LARC use is beyond the scope of this document and is addressed in Committee Opinion No. 672, Clinical Challenges of Long-Acting Reversible Contraceptive Methods (3).

2017 Obstetrics and Gynecology

164. Pregnancy Ambivalence and Long-Acting Reversible Contraceptive (LARC) Use Among Young Adult Women: A Qualitative Study Full Text available with Trip Pro

Pregnancy Ambivalence and Long-Acting Reversible Contraceptive (LARC) Use Among Young Adult Women: A Qualitative Study Many young adults are unclear about how much they want to have, or prevent having, a baby. However, pregnancy ambivalence is an underexamined factor in the uptake of long-acting reversible contraceptive (LARC) methods-IUDs and implants-the most effective methods available.In 2014, investigators conducted six focus groups and 12 interviews with 50 women aged 18-29 in Dane County (...) of wanting children perceived LARC methods as too "permanent," despite awareness of their reversibility. Third, age and life stage were important factors: Younger women and those attending school or beginning careers were more likely than others to consider these methods because they had clearer motivations to avoid pregnancy. Finally, relationship stage influenced receptiveness to LARC methods: Women in newer relationships were more receptive than were those in longer term relationships who imagined

2017 Perspectives on sexual and reproductive health

165. Exploring the Uptake of Long-Acting Reversible Contraception in South Dakota Women and the Importance of Provider Education Full Text available with Trip Pro

Exploring the Uptake of Long-Acting Reversible Contraception in South Dakota Women and the Importance of Provider Education Long-acting reversible contraception (LARC) methods, including the intrauterine device (IUD) and the birth control implant, are the most effective form of prescribed birth control for pregnancy prevention. However, uptake of this highly effective form of birth control is slow. The purpose of this study was to explore use of the LARC methods in South Dakota women prescribed (...) contraception and the importance of the provider in promoting this type of contraception.This was a cross-sectional study of female patients who had been prescribed contraception at one of five locations in a South Dakota hospital system. Records were obtained through electronic health records for a six-month period. Descriptive analysis was performed using chi-square with counts and percentages. Logistic regression was used to determine differences in LARC prescriptions by patient age and provider title.A

2017 South Dakota medicine : the journal of the South Dakota State Medical Association

166. Assessment of utilization of long acting reversible contraceptive and associated factors among women of reproductive age in Harar City, Ethiopia Full Text available with Trip Pro

Assessment of utilization of long acting reversible contraceptive and associated factors among women of reproductive age in Harar City, Ethiopia World health organization report indicated that, in 2013 alone, over 289,000 maternal death that resulted from pregnancy and delivery related complication were reported worldwide indicating a decline of 45% from 1990. The sub-Saharan Africa region alone accounted for 62% of maternal death followed by southern Asian country (24%). Provision of family (...) planning is one of the effective intervention that prevent unwanted and ill spaced pregnancy there by reducing maternal mortality and morbidity. Given that its effectiveness and, associated fewer visits to health facilities, LARC are very important in tackling maternal mortality and morbidity. However, little is known regarding its prevalence in eastern Ethiopia. Thus, this study aimed to assess utilization of long acting reversible contraceptives and associated factors among women of reproductive age

2017 The Pan African medical journal

167. Uptake of long-acting reversible contraceptive devices in Western region of The Gambia Full Text available with Trip Pro

based cross-sectional study of women attending family planning clinic were studied using intervieweradministered questionnaire which included information on socio-demographic factors, reproductive health and contraceptive use of the participants.About 89 % of study participants used long acting reversible contraceptive methods. Of the three commonly available long acting reversible contraceptive methods, Depo Provera was the most commonly used method; 78 of 141 (55.32%); followed by implants (43.3 (...) Uptake of long-acting reversible contraceptive devices in Western region of The Gambia The contraceptive method has become an essential factor in the life of most women of reproductive age group; although it varies in different stages of their life course. The use of long acting reversible methods (LARC) is proposed as a strategy to reverse undesirable maternal health consequences in developing countries.To determine the uptake of long-acting reversible contraceptive in The Gambia.A community

2017 African health sciences

168. A meta-synthesis of barriers and facilitators to the use of long-acting reversible contraceptives (LARCs) in primary care

A meta-synthesis of barriers and facilitators to the use of long-acting reversible contraceptives (LARCs) in primary care Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any

2019 PROSPERO

169. Cell-phone Assisted Postpartum Counseling on the Use of Long-acting Reversible Contraceptives

Cell-phone Assisted Postpartum Counseling on the Use of Long-acting Reversible Contraceptives Cell-phone Assisted Postpartum Counseling on the Use of Long-acting Reversible Contraceptives - 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. Cell-phone Assisted Postpartum Counseling on the Use of Long-acting Reversible Contraceptives 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: NCT03135288 Recruitment Status : Recruiting

2017 Clinical Trials

170. Revolving Loan Fund: A Novel Approach to Increasing Access to Long-Acting Reversible Contraception Methods in Community Health Centers. Full Text available with Trip Pro

Revolving Loan Fund: A Novel Approach to Increasing Access to Long-Acting Reversible Contraception Methods in Community Health Centers. The aim of this study was to assess the impact of a revolving loan fund (RLF) on timing of device insertion and long-acting reversible contraception (LARC) access among a high-risk urban population at 3 Boston community health centers.Three health centers were identified to implement a RLF. Each clinic received $5000 from the RLF to purchase LARC devices. Data (...) women who received family planning services at the 3 participating health centers.Increasing access to LARC and decreasing wait times to LARC insertion after implementation of the RLF.Data on 133 patients in the pre-RLF group and 205 in the post-RLF group were collected. There were no statistically significant differences in demographic or clinical characteristics between the 2 time periods. LARC uptake increased significantly from the pre- to post-RLF period, specifically among implant users

2017 Journal of Public Health Management and Practice

171. Long-Acting Reversible Contraceptive Placement Among Active-Duty U.S. Army Servicewomen. (Abstract)

Long-Acting Reversible Contraceptive Placement Among Active-Duty U.S. Army Servicewomen. To quantify uptake of long-acting reversible contraceptives (LARC)-intrauterine devices (IUDs) and hormonal implants-among U.S. Army active-duty female soldiers and identify characteristics associated with uptake.This retrospective cohort study used the Stanford Military Data Repository, which includes all digitally recorded health encounters for active-duty U.S. Army soldiers from 2011 to 2014. We analyzed (...) safety and reversibility in a population facing unique consequences for unintended pregnancies.

2017 Obstetrics and Gynecology

172. Long-Acting Reversible Contraception for Adolescents: A Review. (Abstract)

Long-Acting Reversible Contraception for Adolescents: A Review. Adolescents have higher rates of unintended pregnancies than any other age group. Contraceptive implants and intrauterine devices (IUDs) are long-acting reversible contraceptives (LARCs) that are known to be highly effective in preventing pregnancy. New devices have recently been approved for use in adolescents, yet pediatricians may be less familiar with how to counsel adolescents about implants and IUDs.LARC methods should (...) be described in basic terms to adolescents, including hormone dose, method of insertion, and method of pregnancy prevention. Clinicians should appreciate the developmental stages of adolescents, discuss the most effective methods of contraception, and ensure confidentiality from their parents. Short-acting contraception methods (eg, oral contraceptives) can be used as a temporary bridge to provide coverage until a LARC method can be placed. The most common adverse effect of LARC is nuisance bleeding, which

2017 JAMA pediatrics

173. Long-Acting Reversible Contraception: An Important Solution to Reduce Unintended Pregnancy. (Abstract)

Long-Acting Reversible Contraception: An Important Solution to Reduce Unintended Pregnancy. 28284931 2018 01 26 2018 01 26 1097-6868 216 5 2017 05 American journal of obstetrics and gynecology Am. J. Obstet. Gynecol. Long-acting reversible contraception: an important solution to reduce unintended pregnancy. 539 S0002-9378(17)30415-5 10.1016/j.ajog.2017.03.004 Nelson Anita L AL Department of Obstetrics and Gynecology, Western University of Health Sciences, Pomona, CA; David Geffen School (...) of Medicine at UCLA, Los Angeles, CA. Kaunitz Andrew M AM Department of Obstetrics and Gynecology, University of Florida College of Medicine-Jacksonville, Jacksonville, FL. eng Journal Article Research Support, Non-U.S. Gov't 2017 03 08 United States Am J Obstet Gynecol 0370476 0002-9378 AIM IM Female Humans Long-Acting Reversible Contraception Pregnancy Pregnancy, Unplanned 2017 3 13 6 0 2018 1 27 6 0 2017 3 13 6 0 ppublish 28284931 S0002-9378(17)30415-5 10.1016/j.ajog.2017.03.004

2017 American Journal of Obstetrics and Gynecology

174. The relationship between area deprivation and prescription of long-acting reversible contraception in women of reproductive age in Lothian, Scotland, UK. Full Text available with Trip Pro

The relationship between area deprivation and prescription of long-acting reversible contraception in women of reproductive age in Lothian, Scotland, UK. Reducing unplanned pregnancy in Scotland is a key government objective. Long-acting reversible contraception (LARC) is a cost-effective way to reduce unintended pregnancy. Abortion and teenage pregnancy rates are highest in the most deprived areas. One possible explanation could be contraceptive prescribing inequality. This study examined (...) the relationship between area deprivation measured by the Scottish Index of Multiple Deprivation and LARC prescription.Using Scottish electronic prescribing data from primary care and sexual and reproductive health clinics, this study analysed female Lothian residents with a valid postcode aged 16-49 years who received a contraceptive prescription from 1 April 2012 to 31 March 2014. Prescription of LARC (intrauterine, implant or injectable contraceptive) compared with non-LARC (oral pill, patch, ring

2017 Journal of Family Planning and Reproductive Health Care

175. Inpatient Postpartum Long-Acting Reversible Contraception and Sterilization in the United States, 2008-2013. Full Text available with Trip Pro

Inpatient Postpartum Long-Acting Reversible Contraception and Sterilization in the United States, 2008-2013. To measure rates of long-acting reversible contraception (LARC), including intrauterine devices and contraceptive implants, and tubal sterilization during delivery hospitalizations and correlates of their use.This retrospective cohort study used the 2008-2013 National Inpatient Sample, a publicly available all-payer database. We identified delivery hospitalizations with the International (...) 22,667,204 delivery hospitalizations. Long-acting reversible contraception insertion increased from 1.86 per 10,000 deliveries (2008-2009) to 13.5 per 10,000 deliveries (2012-2013; P<.001); tubal sterilization remained stable (711-683 per 10,000 deliveries; P=.24). In multivariable analysis adjusting for all predictors, compared with neither LARC nor sterilization, LARC use was highest among women with medical comorbidities (count per 10,000 deliveries: 15.04, standard error 2.11, adjusted odds ratio

2017 Obstetrics and Gynecology

176. Long-acting reversible contraception: conflicting perspectives of advocates and potential users. Full Text available with Trip Pro

Long-acting reversible contraception: conflicting perspectives of advocates and potential users. 28432718 2018 12 11 2018 12 11 1471-0528 124 10 2017 Sep BJOG : an international journal of obstetrics and gynaecology BJOG Long-acting reversible contraception: conflicting perspectives of advocates and potential users. 1474-1476 10.1111/1471-0528.14699 Rowlands S S Centre of Postgraduate Medical Research and Education, Bournemouth University, Bournemouth, UK. Ingham R R Centre for Sexual Health (...) Research, University of Southampton, Southampton, UK. eng Journal Article 2017 06 05 England BJOG 100935741 1470-0328 0 Contraceptive Agents, Female AIM IM Contraception Behavior psychology Contraceptive Agents, Female therapeutic use Female Humans Long-Acting Reversible Contraception psychology Pregnancy 2017 04 18 2017 4 23 6 0 2018 12 12 6 0 2017 4 23 6 0 ppublish 28432718 10.1111/1471-0528.14699

2017 BJOG

177. Reproductive services for women at high risk for maternal mortality: a report of the workshop of the Society for Maternal-Fetal Medicine, the American College of Obstetricians and Gynecologists, the Fellowship in Family Planning, and the Society of Family

. Heisler M. Harris L.H. Inpatient postpartum long-acting reversible contraception: care that promotes reproductive justice. Obstet Gynecol. 2017; 130 : 783-787 Society for Maternal-Fetal Medicine Executive summary: Reproductive Services for Women at High Risk for Maternal Mortality Workshop, February 11–12, 2019, Las Vegas, Nevada. Am J Obstet Gynecol. 2019; 221 : B2-B5 Dugas M. Shorten A. Dube E. Wassef M. Bujold E. Chaillet N. Decision aid tools to support women's decision making in pregnancy (...) L.K. Gawron L.M. Louis J.M. Society for Maternal-Fetal Medicine (SMFM) consult series #48: Immediate postpartum long-acting reversible contraception for women at high risk for medical complications. Am J Obstet Gynecol. 2019; 220 : B2-B12 American College of Obstetricians and Gynecologists. Improving Access to Mifepristone for Reproductive Health Indications. 2018 [cited January 9, 2020]; Available from: . The dangerous threat to Roe v. Wade. N Engl J Med. 2019; 381 : 979 American College

2020 Society of Family Planning

178. Performance Measures for Contraceptive Care: A New Tool to Enhance Access to Contraception. (Abstract)

of care. We here describe the three National Quality Forum-endorsed performance measures for contraceptive care, which are intended to monitor 1) provision of most and moderately effective methods, 2) access to long-acting reversible contraception, and 3) provision of most and moderately effective methods and access to long-acting reversible contraception after childbirth. These contraceptive care measures are designed to ensure that contraceptive care is accessible and offers the full spectrum (...) at risk of unintended pregnancy are counting on us to improve the quality of family planning care in the United States and ensure that all women have the resources and tools to make free, informed choices about whether and when to become pregnant.

2017 Obstetrics and Gynecology

179. Testing the Impact of Two Posters on Contraceptive Knowledge, Contraceptive Preferences, and Perceived Pregnancy Risk

poster by the majority of women participating. Outcome Measures Go to Primary Outcome Measures : Change in Contraceptive Knowledge Assessment (CKA) score [ Time Frame: Baseline and 15-20 minutes after baseline (3 minutes after exposure to a poster) ] The CKA is a 25-item tool covering knowledge gaps like long-acting reversible contraceptives, emergency contraception, common myths, and efficacy rates which will be used to determine contraception knowledge. One point is added for each correctly (...) Testing the Impact of Two Posters on Contraceptive Knowledge, Contraceptive Preferences, and Perceived Pregnancy Risk Testing the Impact of Two Posters on Contraceptive Knowledge, Contraceptive Preferences, and Perceived Pregnancy Risk - 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

2017 Clinical Trials

180. Improving combined contraceptive pill/oral contraceptives prescribing in general practice Full Text available with Trip Pro

practitioners to promote safe sex and use local long-acting reversible contraception options we were able to enhance the quality of consultations as dictated by national guidelines. Regular education and use of an amended EMIS template (to include UK Medical Eligibility Criteria) enabled us to improve both the safety and quality of community-combined contraceptive pill/oral contraceptives prescribing in a sustainable fashion. (...) Improving combined contraceptive pill/oral contraceptives prescribing in general practice Eighty per cent of contraceptive care occurs in the general practice setting. UK Medical Eligibility Criteria provides clear guidelines for the safe provision of appropriate contraception. The Faculty of Sexual and Reproductive Health and the National Institute for Health and Care Excellence offer further recommendations for initiation and continuation of the combined contraceptive pill/oral

2017 BMJ Open Quality

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