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Contraception

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Interventions delivered by mobile phone to support client use of family planning/contraception | Cochrane

Contraception - methods or devices used to prevent pregnancy – has significant benefits for women's and children's health. Despite these benefits, an estimated 225 million women in developing countries were not using a modern contraceptive method in 2014 despite wanting to avoid pregnancy. Expansion of mobile phone use in recent years has led to increased interest in healthcare delivery via mobile phone and the potential to deliver support wherever the person is located, whenever it is needed, and to reach populations with restricted access to services. Mobile phone-based interventions have been demonstrated to be effective in other health areas, but not yet in the field of contraception.  
cochrane.org
almost 5 years ago
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Intrauterine contraception soon after childbirth | Cochrane

Women have two main choices for intrauterine contraception (IUC): one that releases the hormone levonorgestrel, and one without hormones that contains copper. Beginning IUC use right after childbirth and before hospital discharge can be good for many reasons. The woman knows she is not pregnant, and the time and place are convenient for starting a method that works well. We looked at whether IUC would be more likely to come out on its own if put in right after birth of a baby. For women who wanted IUC but did not have it placed right away, we studied whether they returned later for insertion.  
cochrane.org
almost 5 years ago
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Oviary, an Electronic Solution to Make Sure You Don't Forget The Birth Control Pill |

Women on "the pill" know all too well that skipping a day's dose may lead to an unwanted pregnancy, yet many still end up forgetting or put it off to the n  
medgadget.com
almost 5 years ago
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Hormonal birth control and fracture risk in observational studies | Cochrane

When bone mass declines with age, the risk of fractures increases. Birth control methods that have hormones may lead to changes in women’s bone density. Worry about fractures may limit the use of these effective methods. Observational studies can collect data on birth control use as well as fractures later in life. Through June 2015, we searched for such studies in several databases.   
cochrane.org
almost 5 years ago
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Education about family planning for women who have just given birth | Cochrane

Counseling about family planning is standard for most women who just gave birth. Few providers and researchers have looked at how well the counseling works. We do not know if postpartum women want to use family planning or whether they will return to a health provider for birth control advice. Women may wish to discuss family planning before they have the baby and after they leave the hospital. Women may also prefer to talk about birth control along with other health issues. In this review, we looked at the effects of educational programs about family planning for women who just had a baby.  
cochrane.org
almost 5 years ago
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Methods to reduce pain with insertion of intrauterine contraception | Cochrane

Fear of pain with insertion of intrauterine contraception (IUC) may cause women to avoid using this very effective method of birth control. IUC includes devices with copper and with the hormone levonorgestrel. Researchers have studied many ways of reducing pain with IUC insertion. These include drugs that lessen uterine cramps, soften and open the cervix (uterus opening), or numb the cervix.  
cochrane.org
almost 5 years ago
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Hormonal and intrauterine methods for birth control in women age 25 years or younger | Cochrane

Women aged 25 years and younger are more likely to stop using birth control than women over 25 years of age. They are also more likely to get pregnant while using birth control compared with older women. We do not know which birth control methods have the lowest pregnancy rates and the highest continued use in young women.  
cochrane.org
almost 5 years ago
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Hoope STD Testing Ring to Let You Check Partner Before Shagging |

The birth control pill liberated sexuality in the western world, while sexually transmitted diseases rolled it back considerably. A new device, in the form  
medgadget.com
over 4 years ago
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The risk of heart attack and stroke in women using birth control pills | Cochrane

Since their introduction, combined oral contraceptive pills have become one of the most popular birth control methods. These pills contain two types of female hormones, estrogen and progestagen. When used correctly, the failure rate (i.e. the occurrence of unwanted pregnancy) is less than one per 100 women per year. Despite their reliability, oral contraceptive pills have been found to increase the risk of a blood clot forming in an artery, i.e. arterial thrombosis (heart attack or stroke). As arterial thrombosis is rare in young women, and as many types of oral contraceptive pills exist, the size of the risk is unclear. Furthermore, the effect of different types of progestagens or different doses of estrogen on the risk of arterial thrombosis is unknown.  
cochrane.org
over 4 years ago
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FAMILY PLANNING. A DILEMMA FOR THE CATHOLIC PRACTITIONER.

While in school, training, or practice, medical doctors, nurses, nurse practitioners, physician assistants or any health care worker for that matter, will be dealing with issues of family planning almost on a daily basis. They may also encounter these issues in their personal lives. While most religions allow artificial methods of family planning, the Roman Catholic Church has been steadfast in opposing any form of such artificial methods. The only method allowed is the so called "fertility awareness" method. This is based on the premise that avoidance of sexual intercourse during the fertile time of a woman's menstrual cycle will avoid pregnancy. Medical advances have certainly made the fertility awareness method more accurate, but determining this fertile time of the cycle still requires some effort and dedication by the woman and her partner. Nevertheless these natural methods work well and with a great deal of effectiveness when applied by such dedicated and educated couples and when the woman has relatively regular menstrual cycles. However, in less than these ideal circumstances, like in developing countries or refugee camps, where people often live in squalor and poverty, lack food and basic necessities, have no or little medical care, and where women do not have regular menstrual cycles, these natural methods have a high failure rate. A high failure rate results in unwanted pregnancies which add to the family's burden and are a factor in increasing even further their poverty status. Thus creating a vicious cycle. Under the conditions just described, families need highly effective contraceptives measures. On his return from a visit to the Philippines Pope Francis recently advocated catholics to limit the size of their families to a manageable number. This is great and welcome advice but in the same interview he reaffirmed the church's opposition to any artificial means of contraception. This seems rather unfair to me. On the one hand he tell catholics to limit their family size and on the other hand he denies them the effective methods of doing so. Ever since Francis became Pope he has indicated that he is willing to listen to the pressing needs facing, not only catholics but all people and possibly consider bringing the teaching of the Church into the twenty first century. There are certainly a number of indications that changes may be in the offing. First he has organized a Synod of the hierarchy of the Church in Rome last year to discuss all matters related to the family. When that Synod of "fizzled" out he has call for a follow up Synod later this year. He has made a number powerful statements and overtures towards homosexuals and divorced people and has strongly supported a strive for women's equality. He has even made some overtures to women who have had an abortion. Why not also open up the issue of contraception, so sorely needed in the world as I argued above? If the catholic church were to allow artificial methods of family planning, catholic medical practitioners and in fact all catholics, would no longer face the dilemma in their daily activities: adhere to the teaching of the church and deny their clients the effective means of limiting the size of their families and in doing so risk an unwanted pregnancy; or ignore the teaching and continue to use, prescribe, advice, insert, inject, operate to provide their clients with the effective contraception they want and need, but thereby feel marginalized by the church they love. There is already much evidence that a majority of catholics in the world follow this latter path. We can only hope that the Pope will listen to the experiences of couples from all walks of life and that he will solicit the input of catholic medical providers. May be, just may be, common sense and desperate needs will prevail, but do not hold your breath. Submitted by: William J. LeMaire MD Emeritus professor of Obstetric and Gynecology University of Miami Miller School of Medicine Miami, Florida USA 33155  
DR William LeMaire
over 4 years ago
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Will OTC Contraceptives Change Patient-Provider Relationships?

Oral contraceptives without a prescription may increase access to birth control; they might also remove a woman's incentive to make an appointment.  
medscape.com
over 4 years ago
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Pregnant teenagers 'need more contraception support' - BBC News

Nearly one in four teenagers having an abortion in England and Wales has been pregnant at least once before, a study in the Journal of Adolescent Health has found.  
bbc.co.uk
over 4 years ago
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ACOG Strengthens Opinion on IUDs and Implants

ACOG strengthened its support for long-acting reversible contraception, along with education, to reduce unintended pregnancy.  
medscape.com
over 4 years ago
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Women reassured over safety of Essure birth control implant - BBC News

UK regulators reassure women the permanent birth control implant Essure is safe despite concerns in the US.  
bbc.co.uk
over 4 years ago
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Exercise, Weight Loss Improve Fertility in Women With PCOS

Higher ovulation and birth rates occurred among women with PCOS who lost more than 6% of their body weight with diet and exercise changes, independent of oral contraception use.  
medscape.com
over 4 years ago
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Contraceptive and hormonal treatment options for women with history of venous thromboembolism

Contraception—Non-hormonal contraception, a levonorgestrel intrauterine device, the progestogen only pill, or a subcutaneous progestogen implant; avoid combined oral contraceptives and injectable progestogens  
feeds.bmj.com
over 4 years ago
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Contraceptive and hormonal treatment options for women with history of venous thromboembolism

Contraception—Non-hormonal contraception, a levonorgestrel intrauterine device, the progestogen only pill, or a subcutaneous progestogen implant; avoid combined oral contraceptives and injectable progestogens  
feeds.bmj.com
over 4 years ago
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Lactational amenorrhoea method for family planning | Cochrane

The lactational amenorrhoea method (LAM) is a contraceptive method where the mother is informed and supported how to use breastfeeding for contraception. Breastfeeding while not giving supplementary feeds delays the return of fertility and menstrual periods, which is a normal (physiological) protection against pregnancy. In this review we have studied the effectiveness of LAM as a contraceptive method in fully breastfeeding women in comparison to breastfeeding women without any support. We found no clear differences in effectiveness (pregnancy) between women using LAM and being supported in doing so, and fully breastfeeding amenorrheic women not using any method. Apart from this we recommend breastfeeding itself from a public health point of view.  
cochrane.org
over 4 years ago
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Techniques and Tips: Best Practices in IUD Contraception CME/CE

This activity is intended for obstetrician/gynecologists, primary care providers, nurse practitioners, and physician assistants.  
medscape.org
over 4 years ago
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Long-acting reversible contraception | Guidance and guidelines | NICE

This guideline should not be updated at this time. For further information, please refer to the Surveillance Review Decision.  
nice.org.uk
over 4 years ago