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Showing papers in "Contraception in 2008"


Journal ArticleDOI
TL;DR: There was no clear improvement in contraceptive effectiveness between 1995 and 2002, and failure rates remain high for users of the condom, withdrawal and fertility-awareness methods, but for all methods, the risk of failure is greatly affected by socioeconomic characteristics of the users.

413 citations


Journal ArticleDOI
TL;DR: A clear trend emerges from this systematic review: the highest quality studies had findings that were mostly neutral, suggesting few, if any, differences between women who had abortions and their respective comparison groups in terms of mental health sequelae.

263 citations


Journal ArticleDOI
TL;DR: Better availability and widespread use of highly effective methods, such as the contraceptive implant, will improve reproductive health in the region and contribute significantly to the problem of unintended pregnancy in sub-Saharan Africa.

228 citations


Journal ArticleDOI
TL;DR: Most perioperative practices for first-trimester abortions are similar among National Abortion Federation members, in accord with evidence-based guidelines, and the aging of skilled practitioners raises concerns about the future availability of surgical abortion.

207 citations


Journal ArticleDOI
TL;DR: An increased focus on young women, parous women and those with a history of abortion may be efficacious in decreasing repeat abortion.

201 citations


Journal ArticleDOI
TL;DR: Most young women were unaware of Iuds but were likely to think positively about IUDs after being educated about them; thus, all young women should be offered education aboutIUDs.

172 citations


Journal ArticleDOI
TL;DR: Immediate postabortal intrauterine contraception has the potential to significantly reduce repeat abortion.

168 citations


Journal ArticleDOI
TL;DR: The risk of discontinuation of use of reversible methods of contraception for method-related reasons, including a change of method, is very high, but fortunately the risk of abandoning use of contraception altogether is far lower, and most spells of exposure to risk of an unintended pregnancy following discontinuation are protected from the start by a switch to another method.

157 citations


Journal ArticleDOI
TL;DR: The basis for this clinical advice was derived from the understanding that a 6-week period of time would result in sufficient involution of the changes of pregnancy to allow an effective pelvic examination that would confirm the return of normal pelvic anatomy.

144 citations


Journal ArticleDOI
TL;DR: Pregnancy rates during typical use and pregnancy rates during perfect use show how effective the different methods are during actual use (including inconsistent or incorrect use) and estimates of contraceptive failure rates in the United States are shown.

143 citations


Journal ArticleDOI
TL;DR: Past experience with the successful introduction of new contraceptives or reintroduction in the case of the IUC provides guidance to improve provision and use.

Journal ArticleDOI
TL;DR: Bone loss occurring with DMPA use is reversible and is not likely to be an important risk factor for low bone density and fractures in older women, although data on fracture risk in DMPA users are lacking.

Journal ArticleDOI
TL;DR: In this paper, the authors used survival analysis to identify the factors which delay each step of the process of obtaining an abortion and proposed interventions which seek to address these factors, especially those factors associated with later pregnancy suspicion and testing.

Journal ArticleDOI
TL;DR: The drsp 3 mg/EE 20 mcg oral contraceptive in a 24/4 regimen was associated with greater ovarian suppression (despite intentional dosing error), which results in decreased hormonal fluctuations, and may increase contraceptive efficacy with the low-dose formulation.

Journal ArticleDOI
TL;DR: TCu380A and TCu380S appear to be more effective than other IUDs, and there is no evidence that any particular framed copper device is better suited to women who have not had children.

Journal ArticleDOI
TL;DR: There are clearly barriers to communicating about sexual health issues between parents and their children in this population, and this seems to stem from reluctance on the part of the children rather than of their parents.


Journal ArticleDOI
TL;DR: IUD utilization can be substantially increased through relatively simple, low-cost interventions, with significant potential to reduce unintended pregnancy.

Journal ArticleDOI
TL;DR: The adherence of C. albicans to different parts of the IUD and its formation of biofilm seems to be important attributes influencing the occurrence of VVC and recurrent VVC.

Journal ArticleDOI
TL;DR: In this paper, a study was conducted to assess risk factors for contraceptive nonuse among a nationally representative sample of US women and explored the influence of future pregnancy intentions on contraceptive non-use.

Journal ArticleDOI
TL;DR: In this article, a four-phasic regimen consisting of E2V/DNG was proposed to improve the tolerability of combined oral contraceptives (COCs) specifically in terms of cycle control.

Journal ArticleDOI
TL;DR: Strategies to improve contraceptive use for all persons in need in the United States have the potential to be more effective if the challenges contraceptive providers face and the differences between public and private providers are taken into account.

Journal ArticleDOI
TL;DR: In this sample of women with epilepsy about half reported prior pregnancies; 50% were unplanned; and of those using contraception, only 53% used a highly effective method.

Journal ArticleDOI
TL;DR: In this paper, a single-center, open-label, prospective, randomized trial was conducted to evaluate pituitary-ovarian suppression with three oral contraceptive (OC) regimens before, during and after the 7-day hormone-free interval (HFI) or seven-day ethinyl estradiol (EE)-supplemented interval.

Journal ArticleDOI
TL;DR: The anticipated effects of pregnancy on women's quality of life should be integrated into cost-effectiveness analyses of family planning services.

Journal ArticleDOI
TL;DR: DMPA prevented ovulation and did not affect CD4+ counts or HIV RNA levels, suggesting that DMPA can be used safely by HIV-infected women on the ARV studied.

Journal ArticleDOI
TL;DR: Over 95% of women had successful insertions of the LNG IUS at first attempt, and less than 1% were unsuccessful after two attempts, and one-year continuation rates were comparable to those of other reversible methods.

Journal ArticleDOI
TL;DR: The realities of the EE and progestin pharmacokinetics describe in this commentary imply that there should be less fixation on using the lowest dose oral contraceptive available and more flexibility in adjusting the OC regimen.

Journal ArticleDOI
TL;DR: In this article, the authors conducted a study to determine the impact of counseling and educational leaflets on contraceptive practices of couples and found that there is a definite increase in contraceptive uptake in women provided with educational leaflets and counseling session with a shift toward use of more reliable contraceptive methods.

Journal ArticleDOI
TL;DR: Interventions targeting Hispanic immigrants should be developed to increase their knowledge about contraceptive methods, particularly in the area of reproductive health.