scholarly journals Expanding long-acting contraceptive options: a prospective cohort study of the hormonal intrauterine device, copper intrauterine device, and implants in Nigeria and Zambia

2021 ◽  
Vol 9 (10) ◽  
pp. e1431-e1441 ◽  
Author(s):  
Aurélie Brunie ◽  
Kayla Stankevitz ◽  
Anthony Adindu Nwala ◽  
Masauso Nqumayo ◽  
Mario Chen ◽  
...  
Author(s):  
Antoinette Danvers ◽  
Elizabeth B. Schmidt

The CHOICE study was a prospective cohort study of 7486 women in St. Louis, Missouri. The participants underwent standard, scripted contraceptive counseling and were provided with their choice of contraception at no cost. Primary outcomes were contraceptive failure and pregnancy rates in 2 age groups: women over 21 and less than 21 years old. Participants who chose long-acting reversible contraception (LARC) such as an intrauterine device or the contraceptive implant were less likely to experience a contraceptive failure compared to contraceptive pill, patch, ring (PPR) users (p = 0.001). Participants using PPR were 22 times more likely to have an unintended pregnancy than those using LARC. Among women less than 21 years old who used non-LARC methods, the risk of pregnancy was nearly twice as high than older women. LARC are highly-effective and safe for women of all ages and should be considered first-line methods of contraception for most patients.


2021 ◽  
Vol 76 (12) ◽  
pp. 746-747
Author(s):  
Jeffrey F. Peipert ◽  
Qiuhong Zhao ◽  
Courtney A. Schreiber ◽  
Stephanie Teal ◽  
David K. Turok ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document