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Este mes en... Contraception
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Este mes en... Contraception:
Expert consensus on a nurse-led model of medication abortion provision in regional and rural Victoria, Australia: a Delphi study To develop a nurse-led model of medication abortion provision for the primary health care setting of regional and rural Victoria, where, despite decriminalization, access to abortion services is restricted.
Depot-medroxyprogesterone acetate reduces genital cell–cell adhesion molecule expression and increases genital herpes simplex virus type 2 infection susceptibility in a dose-dependent fashion Analyzing ectocervical biopsy tissue from women before and after they initiated use of depot-medroxyprogesterone acetate (DMPA), we previously reported this progestin reduces levels of the cell–cell adhesion molecule (CCAM) desmoglein-1 and increases genital mucosal permeability. We likewise saw treating mice with 1.0mg of DMPA reduced vaginal CCAM expression and increased genital pathogen susceptibility. Herein, we used dose–response studies to delimit DMPA doses and serum MPA levels in mice associated with impaired genital mucosal barrier function and enhanced susceptibility to low-dose herpes simplex virus type 2 (HSV-2) infection.
Breast levonorgestrel concentrations in women using a levonorgestrel-releasing intrauterine system To measure breast tissue and serum LNG concentrations in women using a LNG-IUS.
Updating fetal foot length to gestational age references: a chart review of abortion cases from 2012 to 2014 We sought to develop an updated fetal foot length-to-gestational week reference range from patient-reported last menstrual period (LMP), ultrasound, and best-estimate for gestational age based on American College of Obstetricians and Gynecologists' (ACOG) pregnancy dating guidelines. Subsequently, we aimed to determine the impact, if any, of race/ethnicity on our findings and compare our measurements to commonly referenced ranges.
Post-use ring weight and residual drug content as potential objective measures of user adherence to a contraceptive progesterone vaginal ring The primary aim was to investigate post-use ring weight as a potential measure of cumulative adherence to a progesterone-releasing vaginal ring.
Increasing body mass index or weight does not appear to influence the association between efavirenz-based antiretroviral therapy and implant effectiveness among HIV-positive women in western Kenya Our objective was to evaluate if increasing body mass index (BMI) or weight influences the association between efavirenz-based antiretroviral therapy (ART) and implant effectiveness.
A comparative analysis of documented contraceptive use among women age 18–30 living with and without HIV in Alabama To compare contraception use between 18–30year old women living with and without HIV. We also explored factors associated with contraceptive use.
Family planning service provision in Illinois religious hospitals: Racial/ethnic variation in access to non-religious hospitals for publicly insured women To identify religious affiliations of hospitals and access to family planning (FP) care available to publicly insured women in Cook County, Illinois.
Tamoxifen for the prevention of unscheduled bleeding in new users of the levonorgestrel 52-mg intrauterine system: a randomized controlled trial To determine if a course of oral tamoxifen initiated following placement of a levonorgestrel 52-mg intrauterine system (IUS) reduces bleeding/spotting days over 30 days.
Comparing preoperative dating and postoperative dating for second-trimester surgical abortions To assess relationships between preoperative and postoperative dating of second-trimester surgical abortion.
Postpartum LARC discontinuation and short interval pregnancies among women with HIV: a retrospective 9-year cohort study in South Carolina To evaluate rates of discontinuation and short interval pregnancy among women with HIV who received a postpartum IUD or implant.
Contraceptive method switching among women living in sub-Saharan Africa participating in an HIV-1 prevention trial: a prospective cohort study Long-acting reversible contraceptive (LARC) method uptake has been low within the context of HIV prevention trials. Within a multinational study (MTN-020/ASPIRE), the Contraceptive Action Team improved LARC accessibility and uptake. In this secondary analysis, we determined the rate of contraceptive method continuation among the women enrolled.
Long-acting reversible contraception knowledge, attitudes and use among HIV-infected and -uninfected women and their providers To describe differences in contraceptive knowledge, attitudes and use among HIV-infected and HIV-uninfected women served by an academic medical center in New York City and to describe gaps in knowledge and practice of gynecologic and HIV clinicians providing care at the same clinic sites where patients completed surveys.
A sensitive method detecting trace levels of levonorgestrel using LC-HRMS To develop a high resolution mass spectrometry (HRMS) method to quantify levonorgestrel (LNG) in serum.
Quantifying the impact of targeted regulation of abortion provider laws on US abortion rates: a multi-state assessment In this paper, we estimate the average effect of two common TRAP (targeted regulation of abortion providers) laws on abortion rates using a novel longitudinal database of state-level policy shifts.
Effects of ritonavir-boosted protease inhibitors on combined oral contraceptive pharmacokinetics and pharmacodynamics in HIV-positive women To assess the pharmacokinetics of combined oral contraceptive (COC) components and prevalence of ovulation in HIV-positive women using ritonavir-containing antiretroviral regimens compared to those using regimens previously found not to interact with COCs or not using any antiretrovirals.
A French survey of contraceptive implant migration to the pulmonary artery To quantify implant migration to the pulmonary artery in France since 2012 and to describe the diagnoses and treatments.
Can initial vaginal bleeding patterns in etonogestrel implant users predict subsequent bleeding in the first 2 years of use? To evaluate if a simple method for characterizing vaginal bleeding patterns in etonogestrel contraceptive implant users can predict subsequent patterns and bleeding-related discontinuation over the first 2 years of use.
Copper intrauterine device placement 6–14 days after unprotected sex To evaluate pregnancy risk following copper (CuT380A) intrauterine device (IUD) placement 6–14 days after unprotected intercourse.
Contraception values and preferences: protocol and methods for a global systematic review Values and preferences of end users are critical considerations for any health guidelines. We sought to examine the literature about values and preferences for contraceptive methods to inform the World Health Organization (WHO) Medical eligibility criteria (MEC) and Selected practice recommendations (SPR) for contraception use. In this article, we present a detailed protocol and methods for this systematic review.
TelAbortion: evaluation of a direct to patient telemedicine abortion service in the United States To evaluate the safety, feasibility, and acceptability of a direct-to-patient telemedicine service that enabled people to obtain medical abortion without visiting an abortion provider in person.
Controversies in family planning: intrauterine device placement in solid organ transplant patients With an ever-increasing number of reproductive-aged women undergoing solid organ transplant and fertility improving after transplant, knowledge of the safety and efficacy of various contraceptive methods is essential to guide patient selection. We present the case of a 22-year-old patient desiring an intrauterine device (IUD) for contraception with a history of liver transplant as a child. The Centers for Disease Control and Prevention (CDC) and American Society for Transplantation (AST) offer conflicting recommendations on the use of IUDs in transplant patients.
Factors associated with long-acting reversible contraception use among women Veterans in the ECUUN study The objective of this study is to understand patient-, provider- and system-level factors associated with long-acting reversible contraception (LARC) use among women Veterans and with receipt of LARC methods within the Veterans Affairs (VA) system.
Intention to provide abortion upon completing family medicine residency and subsequent abortion provision: a 5-year follow-up survey Among family physicians who graduated from residencies with abortion training, we explore the association between intention to provide abortion at the end of residency and abortion provision 5 years postresidency.
Timing of postpartum etonogestrel-releasing implant insertion and bleeding patterns, weight change, 12-month continuation and satisfaction rates: a randomized controlled trial To evaluate whether timing of etonogestrel (ENG) implant insertion during the postpartum period affects maternal bleeding patterns, body mass index (BMI) and 12-month satisfaction and continuation rates.
Trends in nonresident abortion rates in New York City from 2005 to 2015: a time series analysis To examine trends and utilization patterns of NYC abortion services by nonresidents since growing abortion restrictions across many states could drive women to seek care in less restrictive jurisdictions including NYC.
Comparison of unintended pregnancy at 12 months between two contraceptive care programs; a controlled time-trend design To compare unintended pregnancy rates at 12 months between women receiving structured contraceptive counseling plus usual contraceptive care and women receiving structured contraceptive counseling, healthcare provider education and cost support for long-acting reversible contraceptive (LARC) methods.
A prospective cohort study comparing expulsion after postplacental insertion: the levonorgestrel versus the copper intrauterine device To compare the expulsion rate at 6 months after postplacental insertion by intrauterine device (IUD) type.
Medical abortion with mifepristone and vaginal misoprostol between 64 and 70 days' gestation To evaluate outcomes with mifepristone 200 mg orally followed 24–48 h later by misoprostol 800 mcg vaginally for medical abortion at 64–70 days of gestation.
Fertility considerations and attitudes about family planning among women with cystic fibrosis Our objective was to explore knowledge, attitudes and beliefs about pregnancy and contraceptive decision-making among reproductive-aged women with cystic fibrosis.
Ulipristal acetate compared to levonorgestrel emergency contraception among current oral contraceptive users: a cost-effectiveness analysis To estimate the cost-effectiveness of ulipristal acetate (UPA) and levonorgestrel (LNG) emergency contraception (EC) on pregnancy prevention among combined oral contraceptive (COC) pill users with an extended pill-free interval. We accounted for the potential interaction of COCs and obesity on EC efficacy.
Trends and determinants of postabortion contraception use in a Canadian retrospective cohort We aim to describe demographic trends associated with postabortion contraceptive choice, characteristics of intrauterine device (IUD) users and relation to subsequent abortion.
Relationship between body mass index and operative time in women receiving immediate postpartum tubal ligation The aim of the study was to (1) assess the relationship between body mass index (BMI) and operative time during immediate postpartum tubal ligation procedures and to (2) determine whether operative time is non-inferior in women with BMI ≥30 versus women with BMI <30 and in women with BMI ≥40 versus women with BMI <40.
Contraceptive use by women across different sexual orientation groups To examine contraceptive methods used across sexual orientation groups.
Prevalence and predictors of initiation of intrauterine devices and subdermal implants immediately after surgical abortion To estimate uptake of long-acting reversible contraception (LARC) methods immediately after surgical abortion in a system that makes these methods readily available, and to determine demographic, medical, social, and visit-specific predictors of immediate post-abortion intrauterine device (IUD) and implant initiation.
Perceptions of health risks associated with pregnancy compared to oral contraceptive use To assess beliefs about the safety of oral contraceptives compared to pregnancy to determine if men and women possess accurate information to make informed choices.
Nationwide salpingectomy rates for an indication of permanent contraception before and after published practice guidelines To identify the nationwide rate of salpingectomy for permanent contraception before and after the January 2015 American College of Obstetricians and Gynecologists (ACOG) Committee Opinion, Salpingectomy for Ovarian Cancer Prevention.
Comparing bleeding patterns for the levonorgestrel 52 mg, 19.5 mg, and 13.5 mg intrauterine systems Compare bleeding patterns for levonorgestrel 52 mg, 19.5 mg, and 13.5 mg intrauterine system (IUS) products using the World Health Organization Belsey definitions.
An analysis of delays among women accessing second-trimester abortion in the public sector in South Africa To identify key delays and associated factors in women's pathway to second-trimester abortion that could inform strategies to increase earlier presentation.
Patients' experiences with South Carolina's immediate postpartum Long-acting reversible contraception Medicaid policy We sought to examine women's experiences with immediate postpartum LARC counseling and use in the context of South Carolina's Medicaid policy.
Perinatal outcomes including long-term neuropsychiatric hospitalizations of offspring conceived during intrauterine contraceptive device use To investigate short-term adverse perinatal outcomes and long-term neuropsychiatric hospitalizations through 18 years of age in offspring conceived during copper intrauterine device (IUD) use.
Abortion providers' experiences and views on self-managed medication abortion: an exploratory study Data on the practice of self-managed medication abortion are limited, in part because this practice takes place purposefully outside of established healthcare systems. Given this, we aimed to ascertain abortion providers' familiarity with self-managed medication abortion and associated complications, compare regional differences and evaluate provider attitudes.
An exploratory study of the perception of contraceptive safety and impact on lactation among postpartum nurses at Women and Infants Hospital in 2017 To describe contraceptive knowledge and counseling practices of postpartum nurses.
Contraceptive use and childbirth rates by service branch during the first 24 months on active duty in the United States military from 2013 to 2018: a retrospective cohort analysis To measure the association of military branch-specific contraceptive education and access policy during basic training with contraceptive use and childbirth among new recruits.
Can a social media campaign increase the use of long-acting reversible contraception? Evidence from a cluster randomized control trial using Facebook To test whether an informational campaign carried out on social media increased use of long-acting reversible contraception (LARC).
Implementing best practices for the provision of long-acting reversible contraception: a survey of obstetrician-gynecologists To examine obstetrician-gynecologists' practices regarding provision of long-acting reversible contraceptive (LARC) methods same-day, immediately postpartum, or to women under age 21.
“Provoked” feto-maternal hemorrhage may represent insensible cell exchange in pregnancies from 6 to 22 weeks gestational age To quantify spontaneous and provoked fetal to maternal cell exchange in the first half of pregnancy. Transfer of fetal red blood cells (FRBCs) into the maternal circulation during the first half of pregnancy is poorly characterized but of clinical relevance for miscarriage management and invasive procedures.
Intimate partner violence, pregnancy intention and contraceptive use in Honduras We explored the relationship between Intimate Partner Violence (IPV), pregnancy intention and contraceptive use in Honduras.
Antifertility effectiveness of a novel polymer matrix composite and its influence on the endometrium in rhesus macaques (Macaca mulatta) To explored the antifertility effectiveness and influence on the endometrium of a micro-copper/low-density polyethylene/methyl vinyl silicone rubber (Cu/LDPE/MVQ) composite in rhesus macaques.
WITHDRAWN: Fighting for access: Research at that National Abortion Federation’s 43rd Annual Meeting