Usage of Long Acting Reversible Contraceptive Methods (LARC) in couples attending for vasectomy counselling

Author(s):  
Sharon Moses ◽  
Emeka Oloto
Author(s):  
Shandhini Raidoo ◽  
Marit Pearlman Shapiro ◽  
Bliss Kaneshiro

AbstractAdolescents are at risk for unwanted pregnancy when they become sexually active, and contraception is an important part of mitigating this risk. Use of contraceptive methods, and long-acting reversible contraceptive methods such as implants and intrauterine devices in particular, has increased among adolescents. Although sexual activity has declined and contraceptive use has increased among adolescents in the United States in recent years, the unintended pregnancy rate remains high. All of the currently available contraceptive methods are safe and effective for adolescents to use; however, adolescents may have specific concerns about side effect profiles and unscheduled bleeding that should be addressed during contraceptive counseling. Healthcare providers should prioritize adolescents' needs and preferences when approaching contraceptive counseling, and also consider the unique access and confidentiality issues that adolescents face when accessing contraception.


Contraception ◽  
2011 ◽  
Vol 84 (3) ◽  
pp. 326
Author(s):  
R. McDonald-Mosley ◽  
K. Severson ◽  
A.E. Burke ◽  
J. Perritt ◽  
R. Jamshidi ◽  
...  

2011 ◽  
Vol 117 (6) ◽  
pp. 1349-1357 ◽  
Author(s):  
Megan L. Kavanaugh ◽  
Jenna Jerman ◽  
David Hubacher ◽  
Kathryn Kost ◽  
Lawrence B. Finer

2016 ◽  
Vol 10s1 ◽  
pp. SART.S34555 ◽  
Author(s):  
Kirsten I. Black ◽  
Carolyn A. Day

Much has been written about the consequences of substance use in pregnancy, but there has been far less focus on the prevention of unintended pregnancies in women with substance use disorders (SUDs). We examine the literature on pregnancy incidence for women with SUDs, the clinical and economic benefits of increasing access to long-acting reversible contraceptive (LARC) methods in this population, and the current hurdles to increased access and uptake. High rates of unintended pregnancies and poor physical and psychosocial outcomes among women with SUDs underscore the need for increased access to, and uptake of, LARC methods among these women. A small number of studies that focused on improving access to contraception, especially LARC, via integrated contraception services predominantly provided in drug treatment programs were identified. However, a number of barriers remain, highlighting that much more research is needed in this area.


2019 ◽  
Author(s):  
Dawit Regassa Soboka ◽  
Fasil Tessema ◽  
Mamo Nigatu

Abstract Background Long-acting reversible contraceptive methods are highly effective, safe, convenient and cost-effective. The prevalence of long-acting reversible contraceptive methods utilization among married women in the study area was only 10%, which is comparatively low compared to the regional and national targets. Objective To identify determinants of long-acting reversible contraceptive methods utilization among married women of the reproductive age group in Ambo town, 2016 Methods Community based unmatched case-control study was conducted in Ambo town among married women of reproductive age group. 140 cases and 280 controls were randomly included. Bivariable and multivariable logistic regression was used to identify candidate variables and independent predictor variables respectively. Adjusted odds ratios together with their corresponding 95% CI were calculated to assess the strength of association and statistical significance. Result 139 cases and 279 controls were interviewed giving a response rate of 99%. Moderate level of knowledge on long-acting reversible contraceptive methods (AOR= 8.73, 95%CI: 3.08 - 24.77), Good level of knowledge (AOR=13.99, 95%CI:4.93-39.71), spousal discussion on long-acting reversible contraceptive methods (AOR=2.88, 95%CI:1.3-6.36), attitude toward long-acting reversible contraceptive methods (AOR=7.07, 95% CI: 3.77-13.24), intention to give birth in the future (AOR=0.085, 95%CI: 0.36-0.20), Women from households in the poorest wealth quintile (AOR= 6.83, 95%CI: 2.68-17.38), Women from households in the medium wealth quintile (AOR=5.83, 95%CI: (2.23- 15.23) and woman’s expectation of restriction to methods use (AOR=0.34, 95%CI:0.22-0.53) were significant determinants of long-acting reversible contraceptive methods utilization. Conclusion & Recommendation Good knowledge, moderate knowledge, good attitude, wealth index, spousal discussion, intention to give birth in the future and woman’s expectation of restriction to method use were determinants of long-acting reversible contraceptive methods utilization.


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