Oncocontraception in cancer care.

2017 ◽  
Vol 35 (15_suppl) ◽  
pp. e18018-e18018 ◽  
Author(s):  
Erika K. Radeke ◽  
Lindsay Zimmerman ◽  
Rebecca Bridge ◽  
Megan Adam ◽  
Ashlesha Patel
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Health Care Providers ◽  
Cancer Diagnosis ◽  
Cancer Care ◽  
Reproductive Age ◽  
Care Providers ◽  
Family Planning Clinic ◽  
Reproductive Life ◽  
Study Population

e18018 Background: Focus on fertility preservation has overshadowed other aspects of reproductive health including sexuality and contraception in cancer care. Regardless of future childbearing interest, the first 18-months post-diagnosis of cancer are considered suboptimal for childbearing. We have coined the term, oncocontraception, for the application of contraception in cancer care. To address this need at our institution, we used the novel Family Planning Quotient/Reproductive Life Index (FPQ/RepLI) which allows providers to better understand patients’ reproductive health goals and counsel them towards appropriate family planning services. These tools aid providers in implementing clinical care to prevent pregnancy during this critical time. They are routinely utilized at Stroger Hospital in the Family Planning Clinic for women within the reproductive age, between the ages of 18 and 55. Methods: FPQ and RepLI were adapted for use with oncology patients. They were used to visually depict and quantify a woman’s reproductive life plan and assist health care providers in speaking to a woman regarding family planning as it pertains to and aligns with her cancer treatment. Results: During our study period, 36 reproductive aged women were seen in our family planning clinic after a cancer diagnosis. Our study population was comprised of mostly Hispanic/Latino women (58.3.0%) and 50.0% were between the ages of 31-40. The majority of the study group had breast cancer (77.8%) and were being treated with chemotherapy (52.8%). Among the study population, 80.6% received a form of contraception (44.8% short-term, 55.2% long-term). Conclusions: We established a link between the Oncology and Family Planning Clinics to incorporate contraceptive counseling as an essential piece of comprehensive cancer care. Approximately 45% of the women newly diagnosed with cancer are in the reproductive age range. With improvements in treatments and prognosis, quality of life factors are of increasing importance for these women. With this essential clinical relationship, patient counseling and provider-patient communication regarding contraceptive care in the context of cancer diagnosis will continue to grow and improve.

Reproductive health importance in oncology care

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e20744-e20744
Author(s):  
H. A. Zaren ◽  
A. Patel ◽  
E. K. Radeke ◽  
A. B. Uy
Keyword(s):  
Reproductive Health ◽  
Fertility Preservation ◽  
Health Care Providers ◽  
Cancer Care ◽  
Case Series ◽  
Improve Patient Care ◽  
Information Provision ◽  
Reproductive Age ◽  
Care Providers ◽  
Health Goals

e20744 Background: Based on a case series of patients, we recognized a disparity between patients’ reproductive health goals and conveyed health information by providers on reproductive health issues. The objective of this study was to assess the reproductive health interest amongst cancer care providers. Methods: This observational study was performed using a 13 item questionnaire that was administered to 15 healthcare professionals in oncology and allied health fields. The items in the questionnaire related to information regarding the importance of cancer care, sexuality, fertility preservation and contraception. Results: Of the providers surveyed, 11 were medical doctors, 3 were nurses, and 1 was indicated as other. On a scale of 0 to 10, 86.6% (n=13) rated cancer care as extremely important (10), 33% (n=5) felt the same for fertility preservation, and 46.6% (n=7) for sexuality. In a rank of importance, cancer care was first, followed by sexuality, fertility, and contraception. Only 33% (n=5) of providers always asked patients about interest in fertility preservation and with regards to contraception, only 33% (n=5) offer contraception to reproductive age patients. Conclusions: Although most providers felt that sexuality and fertility are important to women diagnosed with cancer, their practice and information provision does not reflect these findings. This highlights the significance of bringing closer together the goals of the health care providers with their actual practice to improve patient care. No significant financial relationships to disclose.

Family planning clinic patients: their usual health care providers, insurance status, and implications for managed care

2000 ◽  
Vol 27 (1) ◽  
pp. 25-33 ◽  
Author(s):  
Susan Sugerman ◽  
Neal Halfon ◽  
Arleen Fink ◽  
Martin Anderson ◽  
Laurie Valle ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Managed Care ◽  
Health Care Providers ◽  
Insurance Status ◽  
Care Providers ◽  
Family Planning Clinic

scholarly journals Health Care Providers as Agents of Change: Integrating PrEP With Other Sexual and Reproductive Health Services for Adolescent Girls and Young Women

2021 ◽  
Vol 3 ◽  
Author(s):  
Gabrielle O'Malley ◽  
Kristin M. Beima-Sofie ◽  
Stephanie D. Roche ◽  
Elzette Rousseau ◽  
Danielle Travill ◽  
...  
Keyword(s):  
Health Care ◽  
Family Planning ◽  
Reproductive Health ◽  
Health Services ◽  
Adolescent Girls ◽  
Health Care Providers ◽  
Young Women ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Worker

Background: Successful integration of pre-exposure prophylaxis (PrEP) with existing reproductive health services will require iterative learning and adaptation. The interaction between the problem-solving required to implement new interventions and health worker motivation has been well-described in the public health literature. This study describes structural and motivational challenges faced by health care providers delivering PrEP to adolescent girls and young women (AGYW) alongside other SRH services, and the strategies used to overcome them.Methods: We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) with HCWs from two demonstration projects delivering PrEP to AGYW alongside other SRH services. The Prevention Options for the Women Evaluation Research (POWER) is an open label PrEP study with a focus on learning about PrEP delivery in Kenyan and South African family planning, youth mobile services, and public clinics at six facilities. PrIYA focused on PrEP delivery to AGYW via maternal and child health (MCH) and family planning (FP) clinics in Kenya across 37 facilities. IDIs and FGDs were transcribed verbatim and analyzed using a combination of inductive and deductive methods.Results: We conducted IDIs with 36 participants and 8 FGDs with 50 participants. HCW described a dynamic process of operationalizing PrEP delivery to better respond to patient needs, including modifying patient flow, pill packaging, and counseling. HCWs believed the biggest challenge to sustained integration and scaling of PrEP for AGYW would be lack of health care worker motivation, primarily due to a misalignment of personal and professional values and expectations. HCWs frequently described concerns of PrEP provision being seen as condoning or promoting unprotected sex among young unmarried, sexually active women. Persuasive techniques used to overcome these reservations included emphasizing the social realities of HIV risk, health care worker professional identities, and vocational commitments to keeping young women healthy.Conclusion: Sustained scale-up of PrEP will require HCWs to value and prioritize its incorporation into daily practice. As with the provision of other SRH services, HCWs may have moral reservations about providing PrEP to AGYW. Strategies that strengthen alignment of HCW personal values with professional goals will be important for strengthening motivation to overcome delivery challenges.

Reproductive health and pregnancy experiences of women with spina bifida: A qualitative study

2021 ◽  
pp. 1-12
Author(s):  
Asia L. van Buuren ◽  
Susan E. O’rinn ◽  
Hayley Lipworth ◽  
Paige Church ◽  
Anne Berndl
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Spina Bifida ◽  
Health Care Providers ◽  
Structured Interview ◽  
Reproductive Age ◽  
Care Providers ◽  
Care Needs ◽  
Health Experiences ◽  
Experiences Of Women

PURPOSE: Despite an increasing number of individuals with spina bifida reaching reproductive age, there has been a paucity of research into their reproductive health care needs. The objective of this study was to better understand the reproductive health experiences of self-identified women with spina bifida using qualitative methodology. METHODS: A phenomenological study design was used to address this objective. Women with spina bifida identified their interest in participating in a semi-structured interview after completing an online reproductive health survey. Interviews were recorded and transcribed verbatim. Qualitative analysis followed a phenomenological approach using Dedoose software. RESULTS: Twelve self-identified women with spina bifida participated. They described experiences in four domains: sexual education, pregnancy, labor and delivery, and postpartum. In addition, an intersecting domain of social justice and advocacy emerged. Numerous themes are described, including a lack of tailored sexual health information, impact of pregnancy on function, attitudes towards delivery method, and parenting challenges. CONCLUSION: This study explored the continuum of reproductive health experiences of women with spina bifida. They face unique reproductive health challenges that provide an opportunity for health care providers to offer more holistic care.

scholarly journals Looking Through the Lens of a Family Planner to Prioritize Reproductive Health Among Women With Cancer

2019 ◽  
Vol 15 (2) ◽  
pp. e141-e152 ◽  
Author(s):  
Jessica M. Madrigal ◽  
Mokshasree Atluri ◽  
Erika K. Radeke ◽  
Ashlesha Patel
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Treatment Initiation ◽  
Reproductive Age ◽  
Health Educator ◽  
Patients With Cancer ◽  
The Family ◽  
Reproductive Life ◽  
Effective Contraception

PURPOSE: Prioritization of cancer treatment initiation in women of reproductive age may underscore potential implications on reproductive health. This study describes a family planning quotient (FPQ) and reproductive life index (RepLI) tool designed to help providers to discuss effectively reproductive health with women with cancer. METHODS: We tailored the FPQ/RepLI tool for patients with cancer after development in the family planning setting and piloted it with 36 oncology patients referred to our family planning clinic. Each patient completed the FPQ/RepLI with a health educator or medical student and then met with a physician to create a reproductive life plan. A subsample evaluated the tool by rating satisfaction using a Likert scale. Summary statistics were calculated overall and by childbearing status. RESULTS: Of the 36 women, 22 did not desire additional children and received contraception. One third (n = 14) had not completed childbearing, four of whom continued with fertility preservation counseling. Women who desired childbearing were less likely to already have children ( P = .02), and more than one half were using long-term contraception. All agreed that the FPQ/RepLI helped them to talk to their provider about their reproductive goals. Only 44.4% agreed that their oncologist knew how many children they desired, and 88.9% found the tool helpful and would use it for future tracking of their reproductive goals. CONCLUSION: The FPQ/RepLI is useful for assessing the reproductive health of young women with a new cancer diagnosis, understanding desires of future childbearing, and providing effective contraception. We recommend the incorporation of this tool into practice to better understand patients’ reproductive needs.

scholarly journals Rural-Urban Disparities in the Acceptance and Adoption of Family Planning among Couples in Oyo State, Nigeria

2021 ◽  
Vol 8 (3) ◽  
pp. 31-47
Author(s):  
Stella Akinso
Keyword(s):  
Family Planning ◽  
Health Care Providers ◽  
Urban Areas ◽  
Contraceptive Use ◽  
Reproductive Age ◽  
Family Type ◽  
Living Standard ◽  
Modern Contraceptive ◽  
Care Providers ◽  
Rural And Urban

Modern contraceptive use can enhance the living standard and reduce mortality among people living in rural and urban areas. However, contraceptive use tends to be low in the rural than the urban populace. A descriptive, cross-sectional study of systematic sampling technique was used to select 570 persons of reproductive age in the rural and urban communities of Oyo State. A semi-structured questionnaire on socio-demographic characteristics, knowledge, attitude and factors influencing uptake of modern contraceptives was administered to respondents. of the 570 respondents, the mean age was 34.3 ±8.4 years. The majority (63.3%) were female compared to 36.7% male respondents. Most (97.0%) of respondents had heard of family planning in the past. The result shows significant differences in location, gender, marital status, occupation, ethnicity, and a number of children (P<0.001). The majority (33.3%) of the respondents sourced family planning information from health care providers, while 31.3% sourced theirs from mass media – Radio, TV, or newspapers. Respondents in urban areas were currently using family planning methods than respondents in rural areas (61.8% vs. 38.2%). People in the urban area are 2.344 times the odds of utilizing any family planning compared to people in rural area (95% CI 1.495, 3.676). Urban and rural disposition to modern contraception services is influenced by economic, socio-cultural, environmental factors, location, age, educational, traditional beliefs, religion, family type, and level of knowledge. Although some signs of progress have been made in family planning at the communities, more work needs to be done. Men need to be actively involved, and other fears about family planning addressed. Keywords: Acceptance, Disparity, Family Planning, Rural, Urban.

scholarly journals Determination of prevalence, knowledge, attitude and practices of contraceptive use in an urban population in South India: a community based study

2019 ◽  
Vol 6 (9) ◽  
pp. 3871
Author(s):  
Yeshvanth Kumar ◽  
Pavan Mukherjee ◽  
Augustin Frankline ◽  
Sajitha M. F. Rahman ◽  
Kirubah V. David ◽  
...  
Keyword(s):  
Family Planning ◽  
Health Care Providers ◽  
Urban Population ◽  
Good Practice ◽  
National Development ◽  
Reproductive Age ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Community Based ◽  
Cross Sectional

Background: Family planning influences mothers and infant’s health, population growth and regional and national development. Studying the knowledge, attitude and practice of contraceptive methods of a region aids in overcoming the barriers in the utilization of the services providing them.Methods: A community based cross sectional study was done among 350 married women of an urban population by systematic random sampling using a structured questionnaire.Results: From a total of 350 women enrolled, majority were of the Hindu religion (84.9%) and from the lower socio-economic status (68%). The prevalence of use of contraceptive methods was 75.4% and it was predominantly female sterilization. It was significantly higher (p<0.001) in women aged above 32 years, married for more than 10 years, having more than two children and last child birth of more than seven years. Only 142 (40.6%) of the participants had adequate knowledge of contraceptive methods. However, 299 (85.4%) had a positive attitude to contraception and 296 (84.6%) had good practice of family planning (FP) methods.Conclusions: The knowledge and use of contraceptive methods especially temporary methods needs to be improved in our community. The utilization of media can be improved in addressing this shortfall. Health care providers being the bulk source of information on contraceptive methods must be pro-active in every interaction with women and men of reproductive age group by providing information on the various methods.

scholarly journals Best Practices in Counseling Young Female Cancer Survivors on Reproductive Health

2017 ◽  
Vol 35 (04) ◽  
pp. 378-389 ◽  
Author(s):  
Ksenya Shliakhtsitsava ◽  
Deepika Suresh ◽  
Tracy Hadnott ◽  
H. Su
Keyword(s):  
Reproductive Health ◽  
Cancer Survivors ◽  
Health Care Providers ◽  
Chromosomal Abnormalities ◽  
The United States ◽  
Reproductive Age ◽  
Care Providers ◽  
History Of ◽  
Adverse Pregnancy ◽  
History Of Cancer

AbstractIn the United States, there are more than 400,000 girls and young women of reproductive-age with a history of cancer. Cancer treatments including surgery, chemotherapy, targeted therapy, and radiation can adversely impact their reproductive health. This review discusses infertility, contraception, and adverse pregnancy and child health outcomes in reproductive-aged cancer survivors, to increase awareness of these health risks for survivors and their health care providers. Infertility rates are modestly higher, while rates of using contraception and using highly effective contraceptive methods are lower in cancer survivors than in women without a history of cancer. During pregnancy, preterm births are also more common in survivors, resulting in more low-birth-weight offspring. Children of cancer survivors do not have more childhood cancers, birth defects, or chromosomal abnormalities than the general population, with the exception of families with hereditary cancer. Reproductive risks in survivors depend on cancer treatment exposures. For example, women with prior abdominal or pelvic radiation have additional risks of spontaneous abortions, small-for-gestational-age offspring and stillbirths, while those with prior chest radiation or anthracycline exposures have higher risks of cardiomyopathy. To help survivors achieve their reproductive goals safely, family planning and preconception counseling are central to survivorship care.

scholarly journals Choices, Shift and Continuation of Temporary Contraceptive Methods among Women of Reproductive age in Western Development Region of Nepal

2016 ◽  
Vol 10 (2) ◽  
pp. 73-76 ◽  
Author(s):  
K Parajuli ◽  
MR Chhetry ◽  
TR Bhandari ◽  
DP Paneru ◽  
N Shrestha ◽  
...  
Keyword(s):  
Family Planning ◽  
Side Effects ◽  
Health Care Providers ◽  
Associated Factors ◽  
Reproductive Age ◽  
Modern Contraceptive ◽  
Care Providers ◽  
Contraceptive Methods ◽  
Western Development ◽  
Depo Provera

Aims: Global family planning programs have been in existence in the developing world. Modern techniques of temporary contraceptives have been proved to be useful tool for limiting births. This study is intended to identify the use pattern, associated factors with the choice, shift and continuity of temporary methods of contraception.Methods: This is descriptive cross-sectional study, incorporating qualitative aspects. Out of sixteen districts six were selected proportionately by using simple random methods from each ecological zone of the Western Development Regions, Nepal. Focus group discussion was accomplished among the different level family planning service providers.Results: User of Depo-Provera and pills were seen more in comparison to other temporary contraceptive. There are different reasons behind choosing of temporary contraceptive method such as Pills make regularity in menstruation, Norplant is useful for prolonged period, Depo-Provera is useful for three months and confidently used for a long time without any risk, motivation by friends/relatives. Reasons in changing the contraceptives includes associated side effects, lack of availability, irregularity in menstruation, choosing the another best method, excessive bleeding, difficult to use, pressure from family and husband to give birth, misunderstanding and stress in the family, traditional belief and lack of education.Conclusions: For proper choice of modern contraceptive methods promotion, education and knowledge about associated factors related to use of these method is needed. Continuous information on contraceptives focusing particularly on the side effects and trained health care providers are essential. 

scholarly journals IUD Contraceptive Use Among Women of Reproductive Age: Experiences, Motivators and barriers in a General Hospital, Uganda

2020 ◽  
Author(s):  
Nambalirwa Teddy ◽  
Connie Olwit ◽  
Charles Osingada ◽  
Juliet Kiguli ◽  
Mathew Nyashanu ◽  
...  
Keyword(s):  
Body Image ◽  
Family Planning ◽  
Health Care Providers ◽  
Contraceptive Use ◽  
Health Workers ◽  
Reproductive Age ◽  
Health Providers ◽  
Care Providers ◽  
Depth Interviews

Abstract BackgroundDespite availing contraceptives, IUD uptake remains low in family planning service provision. Yet there is evidence that access to family planning reduces Maternal mortality especially in developing countries like Uganda. The study explored the reasons for low uptake of IUD among women of reproductive age.MethodologyFocus-groups and in-depth interviews with women in reproductive was employed to explore experiences, barriers and for low use of IUD. A thematic analysis was used to analyse the data.ResultsThis study explored women’s experiences, their motivations and barriers to IUD use. The positive experiences reported included; IUD is a long-term method of family planning; un affected libido, body image, reassurance from the health providers. The negative experiences included; pain on insertion; discomfort and bleeding and fear of strings. The motivators were; availability of IUD services at the facility, unaffected body image, information from the health workers and the barriers included; mistrust of health providers, financial constraints, myth and misconceptions and lack of social support.ConclusionThe experiences were both positive and negative, the motivators were their drivers to use the method and barriers were reported to influence the IUD use. There is need for mothers who have used IUD and are satisfied with the method to talk to other mothers so that we can increase IUD use as a method of family planning and health care providers have role to play to demystify the myth and misconceptions the mother have.

Sign in / Sign up

Export Citation Format

Share Document