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Este mes en... Contraception
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Este mes en... Contraception:
Timing and efficacy of mifepristone pretreatment for medical management of early pregnancy loss To determine the time interval between mifepristone and misoprostol administration associated with the most efficacious early pregnancy loss (EPL) management.
Penetration of the gastric wall by an intrauterine device: a case report A 31-year-old woman with epigastric pain underwent a “pi”-shaped copper bearing intrauterine device (IUD) placement 11 years prior while lactating approximately 14 months after delivery. The patient experienced intermittent epigastric pain caused by the IUD penetrating through the gastric wall. Removal required partial gastrectomy.
How do Women Interpret Abortion Information They Find Online? Objective: We sought to assess how women interpret the information they find online about the overall safety and risk of infertility associated with abortion and cesarean delivery (CD).Methods: We conducted an exploratory, prospective study tracking the internet searches of 100 reproductive-aged individuals who identify as women. We directed participants to search for information about either (1) whether surgical abortion or CD is safe or (2) the risk of infertility following surgical abortion or CD.
Required examinations and tests before initiating contraception: provider practices from a national cross-sectional survey : We estimated the prevalence of requiring specific examinations or tests before providing contraception in a nationwide survey of family planning providers.
Adolescent Emergency Contraception Usage, Knowledge and Perception We sought to describe the current usage patterns, knowledge regarding and perception of emergency contraception in adolescent patients.
Two prophylactic pain management regimens for medical abortion ≤63 days' gestation with mifepristone and misoprostol: A multicenter, randomized, placebo-controlled trial To determine if either prophylactic tramadol 50 mg or ibuprofen 400 mg/metoclopramide 10 mg result in lower maximal pain compared to placebo in women ≤63 days' gestation having a mifepristone-misoprostol medical abortion.
Debunking myths about contraceptive safety among women in Kingston, Jamaica: Pilot randomized controlled trial 1) to create a short motion graphic video to debias women, using evidence from cognitive psychology, of two common myths about safety of intrauterine devices (IUDs) and implants in Jamaica and 2) to conduct a pilot study to evaluate video effectiveness.
Endocrine and metabolic effects of an oral contraceptive containing estetrol and drospirenone To evaluate the effect on endocrine and metabolic parameters of a new combined oral contraceptive (COC) containing estetrol (E4) and drospirenone (DRSP).
Examining the impact of federal regulations on abortion research in the United States: An exploratory, qualitative study We aimed to identify and characterize barriers faced by researchers studying abortion in academic medical centers in the United States. We specifically focused on regulatory restrictions on abortion research related to institutional review board (IRB) or research ethics committee interpretations of Subpart B of the 2001 Code of Federal Regulations, which states that researchers cannot take part in decisions involving the timing, method, or procedures used to terminate a pregnancy. We aimed to document investigators’ experiences obtaining approval from their IRBs and to identify obstacles that prevent investigators from generating evidence related to abortion care.
Variation by state in Medicaid sterilization policies for physician reimbursement To evaluate state-level variation in Medicaid sterilization reimbursement policies for physicians in terms of policy details, flexibility, and review process.
Contraception, unintended pregnancy, and induced abortion within 24 months of delivery in China: a retrospective cohort study To explore the prevalence of contraceptive use, unintended pregnancy, and induced abortions within 24 months postpartum in eastern, central, and western regions of China and in China overall.
Adherence to Swedish national recommendations for long acting reversible contraceptive provision at the time of medical abortion To investigate if abortion clinics follow Swedish national guidelines regarding early insertion of long-acting reversible contraception (LARC) after medical abortions up to 9 weeks of gestation and, if not, the reasons for not doing so.
Nonindicated pelvic examinations during contraceptive encounters: Prevalence and provider variations Despite evidence that mandatory pelvic examinations deter contraceptive use and are not clinically necessary, survey research suggests that clinicians regularly perform pelvic examinations prior to prescribing contraceptives. This study estimates prevalence of nonindicated pelvic exams during contraceptive encounters, and variation in prevalence by provider specialty.
Abortion method preference among people presenting for abortion care To explore abortion method preference, interpersonal and cultural factors associated with preference, and whether, among people with a preference for medication abortion, those presenting past 10 weeks gestation had experienced more obstacles to care.
Twenty Years of the Ryan Residency Training Program in Abortion and Family Planning To summarize the effects of routine, opt-out abortion and family planning residency training on obstetrics and gynecology (ob-gyn) residents’ clinical skills in uterine evacuation and intentions to provide abortion care after residency.
Socioeconomic differences persist in use of permanent vs long-acting reversible contraception: An analysis of the National Survey of Family Growth, 2006 to 2010 vs 2015 to 2017 Permanent contraception has historically been more prevalent among non-White women with lower education and income. Given increasing popularity of long-acting reversible contraception (LARC), we examine changing sociodemographic patterns of permanent contraception and LARC.
Contraceptive use at first sexual intercourse among adolescent and young adult women with disabilities: The role of formal sex education This study examines receipt of formal sex education as a potential mechanism that may explain the observed associations between disability status and contraceptive use among young women with disabilities.
Controversies in family planning: Management of cesarean-scar ectopic pregnancy The incidence of pregnancies located within a cesarean scar or “cesarean-scar ectopics” has risen with increasing rates of cesarean delivery  and likely with advances in imaging technology and diagnostic awareness. The incidence of pregnancies located within a cesarean scar is estimated to be 1 in 2000 pregnancies and cesarean-scar ectopic pregnancies accounts for 6.1% of ectopic pregnancies in women with a cesarean scar [2–4]. These pregnancies are now recognized as part of the continuum of morbidly adherent placenta including placenta accreta  and pose a significant risk to not only a patient's health, but also her future fertility.
Introduction of telemedicine for medication abortion: Changes in service delivery patterns in two U.S. states Telemedicine for medication abortion (teleMAB) is safe and effective, yet little is known about how its introduction affects service delivery. We assessed changes in service delivery patterns 1 year after introducing teleMAB at Planned Parenthood in 2 U.S. states.
Auricular acupressure and acupuncture as adjuncts for pain management during first trimester medication abortion: A randomized three-arm trial To measure pain during first trimester medication abortion using auricular acupressure or auricular acupuncture as an adjunct to pain management. We measured anxiety as a secondary outcome.
Comparison of contraceptive failures associated with CYP3A4-inducing drug-drug interactions by route of hormonal contraceptive in an adverse event reporting system To estimate associations between contraceptive failures and concomitant CYP3A4-inducing medications by route of administration.
Frequency and characteristics associated with opportunistic salpingectomy at cesarean delivery: A retrospective chart review To identify the frequency and characteristics associated with total salpingectomy (TS) versus occlusion or partial salpingectomy (PS) at the time of cesarean delivery.
A single-blinded randomized controlled trial evaluating pain and opioid use after dilator placement for second-trimester abortion To compare pain levels and medication needs after placement of laminaria vs Dilapan-S, and after dilation and evacuation (D&E).
Factors influencing women's decisions about pregnancy spacing: Findings from a focus group discussion study Very short interpregnancy intervals are associated with negative health outcomes for mothers and children, and pregnancies with very short interpregnancy intervals are more likely to be unintended than pregnancies that are more widely spaced. The objective of this study was to improve understanding of women's motivations regarding pregnancy spacing.
Timing of insertion affects expulsion in patients using the levonorgestrel 52 mg intrauterine system for noncontraceptive indications To evaluate levonorgestrel 52 mg intrauterine system (IUS) expulsion risk by menstrual cycle day of insertion (days 1–8 vs days 9 and beyond) in women using the IUS for noncontraceptive indications.
Mechanical dilation to remove incarcerated laminaria during a second trimester abortion Cervical preparation with laminaria reduces complications with 2nd trimester dilation and evacuation. During a surgical abortion at 22 weeks, we could not remove laminaria manually or with ring forceps due to laminaria “dumbbelling” . Without pushing laminaria into the uterus, we mechanically dilated the cervix and removed the incarcerated laminaria.
Efficacy, safety, and tolerability of a levonorgestrel/ethinyl estradiol transdermal delivery system: Phase 3 clinical trial results To assess the contraceptive efficacy, safety, and tolerability of a contraceptive transdermal delivery system, (TDS; TWIRLAⓇ) containing levonorgestrel (LNG) and ethinyl estradiol (EE).
Fertility intentions and recent births among US abortion patients To examine fertility intentions among abortion patients and the potential of abortion for avoiding short birth intervals.
Serum human chorionic gonadotropin decline following aspiration abortion in early pregnancy less than 42 days gestation To define serum human chorionic gonadotropin (hCG) decline following complete aspiration abortion.
Provision of contraceptive implants in school-based health centers: A cost-effectiveness analysis To evaluate the cost-effectiveness of providing contraceptive implants in school-based health centers (SBHCs) compared to the practice of referring adolescents to non-SBHCs in New York City.
Telemedicine for contraceptive counseling: An exploratory survey of US family planning providers following rapid adoption of services during the COVID-19 pandemic During the COVID-19 pandemic, many clinicians started offering telemedicine services. The objective of this study is to describe the experience of US family planning providers with the rapid adoption of telemedicine for contraceptive counseling during this period.
Medicaid expansion and provision of prescription contraception to Medicaid beneficiaries Medicaid expansion increased access to care, but longitudinal patterns of contraception use after the Medicaid expansion have not been described.
Certainty and intention in pregnancy decision-making: An exploratory study Abortion is often characterized as an inherently difficult decision, despite research demonstrating high decision certainty among abortion patients. Minimal research has examined decision certainty among people planning to continue a pregnancy. We examined whether women seeking abortion experience lower decision certainty than those planning to continue pregnancies and whether certainty differs by pregnancy intendedness.
Sexual orientation-related differences in contraceptive use: A brief report based on a cohort of adolescent and young women To examine contraceptive methods used by adolescent/young adult women of diverse sexual orientations.
Daniel R. Mishell Jr., MD, Outstanding Article Awards 2020 The Daniel R. Mishell Jr., MD Outstanding Article Awards honor the principal investigators who have published the most outstanding articles in Contraception over the preceding academic year (July–June).
Contraception methods used among women with HIV starting antiretroviral therapy in a large United States clinical trial, 2009–2011 We describe contraception and dual method use among women with HIV initiating antiretroviral therapy (ART) in a U.S. clinical trial and examine associated factors.
Contraception decision-making and care among reproductive-aged women with autoimmune diseases In this qualitative study, we sought to understand better the contraception-related experiences and decision-making of women with autoimmune diseases, a group at high risk for adverse pregnancy and perinatal outcomes.
Patient and counselor satisfaction with structured contraceptive counseling by health center staff in federally qualified health centers To characterize patient and counselor satisfaction with structured, tier-based contraceptive counseling provided by a nonclinician.
Patient and pharmacist perspectives on pharmacist-prescribed contraception: A systematic review Increasingly, states authorize pharmacists to prescribe hormonal contraception to patients without a prescription from another healthcare provider. The purpose of this review is to investigate pharmacist and patient perspectives on pharmacist-prescribed contraception in the United States.
Is provision of contraception at discharge following delivery associated with postpartum visit attendance? We examined whether provision of contraception at discharge following delivery was associated with lower rates of postpartum visit (PPV) attendance.
Estimating the lifetime incidence of induced abortion and understanding abortion practices in a Northeastern Tanzania community through a household survey All Tanzanian abortion estimates rely on health facility data that do not take into account completely the incidence of abortion. This papers aims to estimate the lifetime incidence of induced abortion in Arusha, Tanzania via direct and double list-experiment methods using community data and evaluate outcomes and behaviors of women who had an abortion.
Outpatient abortion in a patient with a previously undiagnosed transverse vaginal septum: A case report A multigravida presented for a 13-week abortion. The surgeon noted a transverse vaginal septum with small central perforation at the time of bimanual exam. The surgeon performed dilation and suction curettage through the septum without resection in the outpatient setting.
Levonorgestrel intrauterine system (IUS) in a patient with uterine didelphys: A case report This case demonstrates the use of a single levonorgestrel 13.5 mg intrauterine system (IUS) for contraception in a patient with uterine didelphys. IUS are contraindicated for use with Congenital Müllerian uterine anomalies, but there is very limited evidence to support this restriction.
Abortion restrictions in the state of Georgia: Anticipated impact on people seeking abortion To explore the impact of restrictive abortion policies in the state of Georgia on the lives of people seeking abortion and how they would manage unwanted pregnancies.
A randomized controlled trial of methylergonovine prophylaxis after dilation and evacuation abortion To evaluate the efficacy of intramuscular methylergonovine maleate as prophylaxis against excessive bleeding when given after dilation and evacuation (D&E) at 20–24 weeks.
Youth opinions about Title X funding and policy in the United States: A mixed methods text message survey We aim to assess youth awareness of and opinions about Title X policy changes in 2019.
WITHDRAWN: Fighting for access: Research at that National Abortion Federation’s 43rd Annual Meeting