scholarly journals Long-acting Reversible Contraceptives - IUDS/IUS and Implants: A Review

Author(s):  
Mohit a ◽  
Md Sadique Hussain ◽  
Chandan Mohapatra ◽  
Shakshi Sharma ◽  
Rakesh Kumar Sharma

Unexpected or unintended pregnancy is a global health concern. Young women who are pregnant are refused contraception care in many nations. For women, reversible methods of contraception with long-acting methods such as intrauterine devices (IUDs) proved more productive than short-acting methods including tablets and condoms. We systematically searched on Google scholar, PubMed, LitCovid, and MedRxiv using the search terms unintended pregnancy, contraception, implants, and IUD/IUS for published articles. The available IUDs now provide nearly complete childbirth protection although have few complications. Implantable contraceptives are commonly practiced all around the globe. Implants are among the most effective and reliable contraceptive strategies available. The Food and Drug Administration (FDA) of the United States in 1990, approved the Norplant contraceptive. The IUDs and implants apart from being successful contraceptives have a variety of harmful effects, which led the development in the field. The insertion and removal involving a qualified individual and the aseptic setting were correlated with other small hazards for IUDs and implants. This review focuses on the complications with IUDs and implants, and also focuses on the developments in the field of novel IUDs approaches.

Author(s):  
Martha J. Bailey ◽  
Jason M. Lindo

Changes in childbearing affect almost every aspect of human existence. Over the last fifty years, American women have experienced dramatic changes in the ease and convenience of timing and limiting childbearing, ranging from the introduction of the birth control pill and the legalization of abortion to more recent availability of long-acting reversible contraceptives (LARCs). This chapter chronicles these changes, provides descriptive evidence regarding trends in the use of contraception and abortion, and reviews the literature linking them to changes in childbearing and women’s economic outcomes. It concludes by discussing the recent surge in LARC use, which seems to be one of the most pressing areas in need of further research.


Author(s):  
Jaclyn Grentzer

Long-acting, reversible contraception (LARC), including intrauterine devices (IUDs) and contraceptive implants, are associated with higher contraceptive efficacy and continuation rates. Teen pregnancy rates have declined over the past 2 decades but continue to be a public health concern. Only 10% of teen girls elect to use LARC, likely due to educational, logistical, and economic barriers. The Contraceptive CHOICE Project enrolled 1404 girls aged 14 to 19. Of these teens, more than 70% chose LARC when given standardized contraceptive counseling and barriers to receiving LARC were removed. Pregnancy, live birth, and induced abortion rates in this cohort were lower than rates for the US population of sexually active teen girls. Failure rates were lower for LARC users, as compared to users of other reversible contraceptive methods.


Affilia ◽  
2019 ◽  
Vol 35 (2) ◽  
pp. 218-230 ◽  
Author(s):  
Della J. Winters ◽  
Adria Ryan McLaughlin

In the United States, between 1907 and 1978, the proliferation of eugenic state practices routinely targeted institutionalized women with legalized involuntary sterilization. Sterilization laws and policies were a form of reproductive control, which predominantly impacted women from marginalized communities. After the implementation of federal regulations prohibiting involuntary sterilization practices, state agencies continued to engage in coercive sterilization under the guise of “voluntariness.” Using a reproductive justice framework, we introduce a concept of reproductive control embedded within the carceral state. Tracing historical sterilization practices and examining the use of long-acting reversible contraceptives (LARC), we argue that LARC represents a different form of involuntary sterilization. The emergence of LARC as a highly effective, nonagentive, and mediated form of contraception for vulnerable populations demands interrogation. We identify the use of LARC as soft sterilization, which is both related to and distinct from other forms of reproductive control. As such, reproductive autonomy is not possible without the destruction of the carceral state.


Contraception ◽  
2013 ◽  
Vol 87 (2) ◽  
pp. 154-161 ◽  
Author(s):  
James Trussell ◽  
Nathaniel Henry ◽  
Fareen Hassan ◽  
Alexander Prezioso ◽  
Amy Law ◽  
...  

Demography ◽  
2021 ◽  
Author(s):  
Mieke C. W. Eeckhaut ◽  
Michael S. Rendall ◽  
Polina Zvavitch

Abstract The use of long-acting reversible contraceptive (LARC) methods—intrauterine devices (IUDs) and implants—has recently expanded rapidly in the United States, and these methods together approach the contraceptive pill in current prevalence. Research on LARCs has analyzed their use to reduce unintended pregnancies but not their use to enable intended pregnancies. Knowledge of both is necessary to understand LARCs’ potential impacts on the reproductive life courses of U.S. women. We combine data from two nationally representative surveys to estimate women's likelihood and timing of subsequent reproductive events, including births resulting from an intended pregnancy up to nine years after discontinuing LARC use. We estimate that 62% of women will give birth, and 45% will give birth from an intended pregnancy. Additionally, 18% will have a new LARC inserted, and 13% will transition to sterilization. Most of these reproductive events occur within two years after discontinuing LARC use. Births from an intended pregnancy are especially common when no intervening switch to another contraceptive method occurs. We infer that women's motives for using LARC are varied but include the desire to postpone a birth, to postpone a decision about whether to have a(nother) birth, and to transition definitively to the completion of childbearing.


Sign in / Sign up

Export Citation Format

Share Document