scholarly journals Contraceptive Use in Women with Inherited Metabolic Disorders: A Retrospective Study and Literature Review

2021 ◽  
Author(s):  
Jessica Gold ◽  
Nina B Gold ◽  
Diva D DeLeon ◽  
Rebecca Ganetzky
Keyword(s):  
Decision Making ◽  
Literature Review ◽  
Contraceptive Use ◽  
Patient Adherence ◽  
Hormonal Contraceptives ◽  
Adult Women ◽  
Anticipatory Guidance ◽  
Retrospective Case ◽  
Unintended Pregnancies ◽  
Contraception Use

Abstract Background Reproductive planning is an emerging concern for women with inherited metabolic disease (IMD). Anticipatory guidance on contraception is necessary to prevent unintended pregnancies in this population. Few resources exist to aid informed decision-making on contraceptive choice. A retrospective case-control study was performed to examine trends in reproductive planning for adolescent and adult women seen at the Children’s Hospital of Philadelphia (CHOP). Literature review on contraception and IMD was performed to assess global use. Results In a cohort of 221 reproductive-aged female IMD patients, 29.4% reported routine contraceptive use. Anticipatory guidance on contraception was provided by metabolism doctors to 36.8% of patients during the study period. Contraception discussion was more likely to occur in women older than 21 years, who lived independently and were followed by gynecology. Women who received contraception counseling from their metabolism provider were 40-fold more likely to use regular contraception. Use of combined hormonal contraceptives was most commonly reported, but contraception choice varied by age and IMD. Conclusion Metabolism providers are ideally suited to provide guidance on contraception to women with IMD. Reproductive planning should be addressed routinely using shared decision-making. Contraceptives should be selected for their efficacy, effects on metabolism, and likelihood of patient adherence.

scholarly journals Application-Based Medical Eligibility Criteria Model of Contraception Use

2019 ◽  
Vol 12 (1) ◽  
pp. 158
Author(s):  
Haspita Rizki Syurya Handini ◽  
Lita Angelina Saputri ◽  
Yuliva Yuliva
Keyword(s):  
Decision Making ◽  
Research And Development ◽  
Clinical Decision Making ◽  
Contraceptive Use ◽  
Main Product ◽  
Unmet Need ◽  
Field Testing ◽  
Eligibility Criteria ◽  
Purposive Sampling ◽  
Contraception Use

Masalah kesehatan reproduksi termasuk keluarga berencana merupakan salah satu permas alahan yang belum terselesaikan pada MDG's .Reproduction health problem including family planning is one of the unresolved issues in MDG's.Menurut SDKI 2012 penggunaan According to the Indonesia Health and Demography Survey in 2012, the usekontrasepsi of modern contraceptioncara modern hanya was only57,9% dan unmet need 8,5%. 57.9% and unmet need reached 8.5%.Salah satu penyebab tingginya unmet One of the causes of high unmetneed dan drop need and dropout adalah keterbatasan layanan kontrasepsi. out was the limitation of contraceptive services.Pemanfaatan Alat Bantu Pengambila n Keputusan (ABPK) berupa lembar balik dalam pelayanan kontrasepsi The use of decision making aids (ABPK) with flip chart form in contraceptive service wasdipandang kurang praktis. seen as less practical.Kemajuan teknologi memungkinkan penggunaan aplikasi dalam berbagai keperluan termasuk pelayanan kesehatan. The advance of technology allows the use of applications in various purposes including health services.Tujuan penelitian ini adalah untuk mengetahui m odel k riteria k elayakan m edis p enggunaan k ontrasepsi b erbasis a plikasi. The purpose of this study was to determine the Application-based Medical Eligibility Criteria Model of Contraceptive Use.Jenis penelitian ini adalah research and development . This study was research and development (RnD). Populasi pada penelitian ini adalah bidan yang melakukan praktik mandiri di Kota Padang yang diambil secara purposive sampling .The population in this study were midwives in independent practice in Padang, with purposive sampling technique. Data dianalisis secara kualitatif dan kuantitatifData were analyzed qualitatively and quantitativelyuntuk to determine the respondent’stingkat level ofkepuasan satisfactionresponden teabout theaplikasi . application based model.Hasil penelitian menunjukkan sebagian responden meng harapkan ABPK lebih The results showed that most respondents expected the decision making aids to be simple, systematic, not in “back and forth” form and pictures included. Hasil uji preliminary field testing menunjukkan bahwa 56,2% responden memiliki tingkat kepuasan yang tinggi terhadap aplikasi.The results of the preliminary field testing showed that 56.2% of respondents performed high level of satisfaction about the application-based model.Pada main product revision , dilakukan perbaikan dengan penambahan informasi dan gambar tentang metode kontrasepsi. In main product revision, improvements were made by adding information and images about contraceptive methods. PenelitianThis researchini invent the design of application based medical eligibility model of contraceptive use titled “Application of Clinical Decision Making System of Contraceptive Use”.

scholarly journals The role of pregnancy intendedness and prenatal contraceptive counseling on postpartum contraceptive use

2020 ◽  
Vol 5 (1) ◽  
Author(s):  
Karina M. Shreffler ◽  
Stacy Tiemeyer ◽  
Jameca R. Price ◽  
Lance T. Frye
Keyword(s):  
Low Income ◽  
Contraceptive Use ◽  
Short Interval ◽  
Subsequent Pregnancy ◽  
Unintended Pregnancies ◽  
Contraceptive Counseling ◽  
Contraception Use ◽  
Increased Risk ◽  
Pregnancy Intendedness ◽  
A Current

Abstract Background The study was conducted to prospectively examine how pregnancy intendedness and prenatal provider counseling about postpartum contraceptive options are associated with lack of contraception use at 6 months post-birth (e.g., increased risk for a short interpregnancy interval). Methods Logistic regression models were used to examine risk for no postpartum contraception use among a sample of low-income and racially/ethnically diverse women recruited from two metropolitan perinatal clinics in Tulsa, OK. Results Women who reported that they were trying to get pregnant or “okay either way” about getting pregnant had significantly lower odds of using contraception at 6 months post childbirth than those who had unintended pregnancies. Having providers who discussed postpartum contraceptive options during pregnancy significantly increased the odds of contraceptive uptake among those who were planning or ambivalent about their pregnancies. Conclusions Intentions of a current pregnancy and provider contraceptive counseling matter for postpartum contraceptive use and the associated risk for a short interval subsequent pregnancy. Provider contraceptive counseling that accounts for the intendedness of a current pregnancy may offer a more targeted approach to prevent a short interval subsequent pregnancy.

WOMEN’S EMPOWERMENT, HOUSEHOLD STATUS AND CONTRACEPTION USE IN GHANA

2016 ◽  
Vol 49 (4) ◽  
pp. 423-434 ◽  
Author(s):  
Sarah R. Blackstone
Keyword(s):  
Decision Making ◽  
Contraceptive Use ◽  
Household Head ◽  
Unmet Need ◽  
Women's Empowerment ◽  
Sub Saharan Africa ◽  
Wife Beating ◽  
Women’S Empowerment ◽  
Contraception Use ◽  
Unmet Need For Contraception

SummaryGender inequality is often cited as a barrier to improving women’s sexual and reproductive health outcomes, including contraceptive use, in low- and middle-income countries such as those in sub-Saharan Africa. To date there is limited, recent, evidence available regarding women’s empowerment, household status and contraceptive use in Ghana. The objective of this study was to investigate whether women’s empowerment and status in the household were associated with contraceptive use and unmet need for contraception using the 2014 Ghana Demographic and Health Survey. The study sample consisted of 1828 women aged 15–49. Women’s empowerment was measured based on two composite indexes created by the DHS: attitudes towards intimate partner violence and decision-making. Women’s status in the home was measured using indicators of work status, relationship to household head, control over monetary earnings and land ownership. Decision-making was found to be positively associated with contraceptive use and not having unmet need for contraception. Women who justified wife beating in one or more instances were less likely to use contraception, and more likely to have unmet need for contraception. Current or past employment and higher levels of male partner education were associated with contraceptive use. This study indicates that women’s empowerment and household status are influential for contraceptive indicators. Future interventions aimed at improving contraceptive uptake and use should promote women’s empowerment, i.e. decision-making, self-worth and education.

scholarly journals Pragmatic cluster randomised cohort cross-over trial to determine the effectiveness of bridging from emergency to regular contraception: the Bridge-It study protocol

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e029978 ◽  
Author(s):  
Sharon Tracey Cameron ◽  
Paula Baraitser ◽  
Anna Glasier ◽  
Lisa McDaid ◽  
John Norrie ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Contraceptive Use ◽  
Secondary Analysis ◽  
System Perspective ◽  
Rapid Access ◽  
Unintended Pregnancies ◽  
Cluster Randomised ◽  
Contraception Use ◽  
Effective Contraception ◽  
The Uk

IntroductionOral emergency contraception (EC) can prevent unintended pregnancy but it is important to start a regular method of contraception. Women in the UK usually access EC from a pharmacy but then need a subsequent appointment with a general practitioner or a sexual and reproductive health (SRH) service to access regular contraception. Unintended pregnancies can occur during this time.Methods and analysisBridge-It is a pragmatic cluster randomised cohort cross-over trial designed to determine whether pharmacist provision of a bridging supply of a progestogen-only pill (POP) plus rapid access to a local SRH clinic, results in increased uptake of effective contraception and prevents more unintended pregnancies than provision of EC alone. Bridge-It involves 31 pharmacies in three UK regions (London, Lothian and Tayside) aiming to recruit 626–737 women. Pharmacies will give EC (levonorgestrel) according to normal practice and recruit women to both intervention and the control phases of the study. In the intervention phase, pharmacists will provide the POP (desogestrel) and offer rapid access to an SRH clinic. In the control phase, pharmacists will advise women to attend a contraceptive provider for contraception (standard care).Women will be asked 4 months later about contraceptive use. Data linkage to abortion registries will provide abortion rates over 12 months. The sample size is calculated on the primary outcome of effective contraception use at 4 months (yes/no) with 90% power and a 5% level of significance. Abortion rates will be an exploratory secondary analysis. Process evaluation includes interviews with pharmacists, SRH clinicians and women. Cost-effectiveness analysis will use a healthcare system perspective and be expressed as incremental cost-effectiveness ratio.Ethics and disseminationEthical approval was received from South East Scotland REC June 2017. Results will be published in peer-reviewed journals and conference presentations.Trial registration numberISRCTN70616901.

scholarly journals Factors Influencing Contraceptive Decision Making and Use Among Young Adolescents in Urban Lilongwe, Malawi: A Qualitative Study

2020 ◽  
Author(s):  
Gift Mtawali Dombola ◽  
Effie Chipeta ◽  
Wanangwa Chimwaza Manda
Keyword(s):  
Decision Making ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Reasoned Action ◽  
Health Policies ◽  
Hormonal Contraceptives ◽  
Young Adolescents ◽  
Group Discussions

Abstract Background: The prevalence of teenage pregnancies in Malawi is 29% and about 25% of married and 30% of unmarried adolescents (15-19) use contraceptives. Data on contraceptive use has focused on older adolescents (15-19) leaving out the young adolescents (10-14). This study assessed factors that influence contraceptive decision-making and use among young adolescents aged 10-14 years.Methods: This was a qualitative study which used Theory of Reasoned Action (TRA) model to understand the processes that influence contraceptive decision making among young adolescents (10-14) in urban Lilongwe. The study was conducted in 6 youth health friendly service centers and in 12 youth clubs. Two focus group discussions and 26 in-depth interviews were conducted among sexually-active in and out of school young adolescents and key informants. The results are organized into themes identified during analysis.Results: Results showed that contraceptive decision making is influenced by social factors (individual, interpersonal, society) and adolescents` perceptions regarding hormonal contraceptives. There is also disconnect between Education and adolescent Sexual and Reproductive Health policies.Conclusion: The findings suggest the need for empowering girls in decision making, addressing myths around contraceptives, and harmonization of Education and Sexual and Reproductive Health policies in the country.

scholarly journals Factors influencing contraceptive decision making and use among young adolescents in urban Lilongwe, Malawi: a qualitative study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Gift Mtawali Dombola ◽  
Wanangwa Chimwaza Manda ◽  
Effie Chipeta
Keyword(s):  
Decision Making ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Reasoned Action ◽  
Scale Up ◽  
Health Policies ◽  
Hormonal Contraceptives ◽  
Young Adolescents

Abstract Background The prevalence of teenage pregnancies in Malawi is 29%. About 25% of those are married while 30% are unmarried adolescents (15–19 years old) who use contraceptives. Data on contraceptive use has focused on older adolescents (15–19 years old) leaving out the young adolescents (10–14 years old). This study assessed factors that influence contraceptive decision-making and use among young adolescents aged 10–14 years. Methods This was a qualitative study that used the Theory of Reasoned Action (TRA) model to understand the processes that influence contraceptive decision-making among young adolescents (10–14 years old) in urban Lilongwe. The study was conducted in six youth health-friendly service centers and 12 youth clubs. Two focus group discussions and 26 in-depth interviews were conducted among sexually active in and out of school young adolescents and key informants. The results are organized into themes identified during the analysis. Results Results showed that contraceptive decision-making is influenced by social factors (individual, interpersonal, society) and adolescents’ perceptions regarding hormonal contraceptives. There is also a disconnect between Education and Adolescent Sexual and Reproductive Health policies. Conclusion The findings suggest that interventions that scale up contraceptive use need male and female involvement in decision making. Addressing myths around contraceptives, and harmonization of Education and Sexual and Reproductive Health policies in the country would motivate adolescents to use contraceptives.

scholarly journals Multiple Method Contraception Use among African American Adolescents in Four US Cities

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Jennifer L. Brown ◽  
Michael Hennessy ◽  
Jessica M. Sales ◽  
Ralph J. DiClemente ◽  
Laura F. Salazar ◽  
...  
Keyword(s):  
African American ◽  
Birth Control ◽  
Contraceptive Use ◽  
African American Adolescents ◽  
Female Gender ◽  
Contraceptive Methods ◽  
Partner Type ◽  
Unintended Pregnancies ◽  
Contraception Use ◽  
Effective Contraceptive

We report on African American adolescents' (N=850;Mage = 15.4) contraceptive practices and type of contraception utilized during their last sexual encounter. Respondents completed measures of demographics, contraceptive use, sexual partner type, and ability to select “safe” sexual partners. 40% endorsed use of dual or multiple contraceptive methods; a total of 35 different contraceptive combinations were reported. Perceived ability to select “safe” partners was associated with not using contraception (OR = 1.25), using less effective contraceptive methods (OR = 1.23), or hormonal birth control (OR = 1.50). Female gender predicted hormonal birth control use (OR = 2.33), use of less effective contraceptive methods (e.g., withdrawal; OR = 2.47), and using no contraception (OR = 2.37). Respondents' age and partner type did not predict contraception use. Adolescents used contraceptive methods with limited ability to prevent both unintended pregnancies and STD/HIV. Adolescents who believed their partners posed low risk were more likely to use contraceptive practices other than condoms or no contraception. Reproductive health practitioners are encouraged to help youth negotiate contraceptive use with partners, regardless of the partner's perceived riskiness.

scholarly journals Contraception for women with multiple sclerosis: Guidance for healthcare providers

2017 ◽  
Vol 23 (6) ◽  
pp. 757-764 ◽  
Author(s):  
Maria K Houtchens ◽  
Lauren B Zapata ◽  
Kathryn M Curtis ◽  
Maura K Whiteman
Keyword(s):  
Multiple Sclerosis ◽  
Contraceptive Use ◽  
Treatment Plan ◽  
Reproductive Age ◽  
Current Evidence ◽  
Hormonal Contraceptives ◽  
Comprehensive Treatment ◽  
Evidence Based ◽  
Eligibility Criteria ◽  
Unintended Pregnancies

Family planning is essential for any comprehensive treatment plan for women of reproductive age with multiple sclerosis (MS), including counseling on using effective contraception to optimally time desired and prevent unintended pregnancies. This topical review summarizes the first evidence-based recommendations on contraception safety for women with MS. In 2016, evidence-based recommendations for contraceptive use by women with MS were included in US Medical Eligibility Criteria for Contraceptive Use. They were developed after review of published scientific evidence on contraception safety and consultation with experts. We summarize and expand on the main conclusions of the Centers for Disease Control and Prevention guidance. Most contraceptive methods appear based on current evidence to be safe for women with MS. The only restriction is use of combined hormonal contraceptives among women with MS with prolonged immobility because of concerns about possible venous thromboembolism. Disease-modifying therapies (DMTs) do not appear to decrease the effectiveness of hormonal contraception although formal drug–drug interaction studies are limited. Neurologists can help women with MS make contraceptive choices that factor their level of disability, immobility, and medication use. For women with MS taking potentially teratogenic medications, highly effective methods that are long-acting (e.g. intrauterine devices, implants) might be the best option.

scholarly journals Factors Influencing Contraceptive Decision Making And Use Among Young Adolescents In Urban Lilongwe, Malawi: A Qualitative Study

2021 ◽  
Author(s):  
Gift Mtawali Dombola ◽  
Effie Chipeta ◽  
Wanangwa Chimwaza Manda
Keyword(s):  
Decision Making ◽  
Reproductive Health ◽  
Qualitative Study ◽  
Sexual And Reproductive Health ◽  
Contraceptive Use ◽  
Reasoned Action ◽  
Scale Up ◽  
Health Policies ◽  
Hormonal Contraceptives ◽  
Young Adolescents

Abstract Background: The prevalence of teenage pregnancies in Malawi is 29% and about 25% of married and 30% of unmarried adolescents (15-19 years old) use contraceptives. Data on contraceptive use has focused on older adolescents (15-19 years old) leaving out the young adolescents (10-14 years old). This study assessed factors that influence contraceptive decision-making and use among young adolescents aged 10-14 years.Methods: This was a qualitative study which used Theory of Reasoned Action (TRA) model to understand the processes that influence contraceptive decision making among young adolescents (10-14 years old) in urban Lilongwe. The study was conducted in 6 youth health friendly service centers and in 12 youth clubs. Two focus group discussions and 26 in-depth interviews were conducted among sexually-active in and out of school young adolescents and key informants. The results are organized into themes identified during analysis.Results: Results showed that contraceptive decision making is influenced by social factors (individual, interpersonal, society) and adolescents` perceptions regarding hormonal contraceptives. There is also disconnect between Education and adolescent Sexual and Reproductive Health policies.Conclusion: The findings suggest that interventions to scale up contraceptive use need male and female involvement in decision making. Addressing myths around contraceptives, and harmonization of Education and Sexual and Reproductive Health policies in the country would motivate adolescents to use contraceptives.

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