Journal•ISSN: 1362-5187
The European Journal of Contraception & Reproductive Health Care
Informa
About: The European Journal of Contraception & Reproductive Health Care is an academic journal published by Informa. The journal publishes majorly in the area(s): Population & Family planning. It has an ISSN identifier of 1362-5187. Over the lifetime, 1516 publications have been published receiving 24811 citations. The journal is also known as: European journal of contraception and reproductive health care & Eur J Contracept Reprod Health Care.
Topics: Population, Family planning, Abortion, Reproductive health, Pregnancy
Papers published on a yearly basis
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TL;DR: It is necessary to select patients suitable for vaginal or laparoscopic excision for the administration of IUDs based on prior history and once they provide informed consent for theadministration of these medications.
Abstract: Republished from: The European Journal of Contraception and Reproductive Health Care, 2004;9:57–68
228 citations
TL;DR: Implanon® use is associated with an unpredictable bleeding pattern, which includes amenorrhoea and infrequent, frequent, and/or prolonged bleeding, and effective preinsertion counselling on the possible changes in bleeding patterns may improve continuation rates.
Abstract: Objectives To evaluate an integrated analysis of bleeding patterns associated with use of the subdermal contraceptive implant Implanon® (etonogestrel, Organon, part of Schering-Plough) and to provide physician guidance to optimize patient counselling.Methods Data from 11 clinical trials were reviewed (N = 923). Assessments included bleeding-spotting records, dysmenorrhoea, and patient-perceived reasons for discontinuation. Bleeding patterns were analysed via reference period (RP) analyses.Results Implanon® use was associated with the following bleeding irregularities: amenorrhoea (22.2%) and infrequent (33.6%), frequent (6.7%), and/or prolonged bleeding (17.7%). In 75% of RPs, bleeding-spotting days were fewer than or comparable to those observed during the natural cycle, but they occurred at unpredictable intervals. The bleeding pattern experienced during the initial phase predicted future patterns for the majority of women. The group of women with favourable bleeding patterns during the first three mont...
213 citations
TL;DR: It is necessary to select patients suitable for vaginal or laparoscopic excision for the administration of IUDs based on prior history and once they provide informed consent for surgery, according to the manufacturer.
Abstract: Republished from: The European Journal of Contraception and Reproductive Health Care, 2010;15:1–3
171 citations
TL;DR: Their cost evidently poses a barrier to the use of condoms by the poor, and prevailing moral norms and religious interdicts also adversely affect use of these devices in many communities.
Abstract: Objective To identify barriers to condom use. Methods Data were extracted through MEDLINE from papers published between 1993 and 2007. Surveys, reviews, clinical studies and comments were included in this review. The impact of cost, moral, social, personal and psychological factors were taken into consideration. Results Several factors were associated with non-use of a condom during sexual intercourse. Their cost often posed a barrier to condom use for the poor, even in developed countries. In many communities, moral values, ethnic and religious factors also played a role. Among other social factors, gender inequality, lack of a dialogue among partners with regard to condom use, and the stigma attached to the condom could all lead to unprotected sexual intercourse. Personal factors such as aversion to the condom, consumption of alcohol or use of drugs prior to sexual intercourse, and anxiety and depression all were negatively associated with condom use. Conclusion Their cost evidently poses a barrier to the use of condoms by the poor. Beside social stigmas and personal reluctance, prevailing moral norms and religious interdicts also adversely affect use of these devices in many communities. Because of their disastrous consequences in the domain of public health each of these barriers must be effectively addressed.
167 citations
TL;DR: It is safer to postpone IUD insertion until 6 months after delivery, and postplacental insertion and insertion after 6 months postpartum were found not to increase the risk of uterine perforation.
Abstract: Objective: To determine the risk factors for intrauterine devices (IUDs) being displaced into the abdominal cavity. Methods: This prospective follow-up study was conducted between 1996 and 2002, at the family planning clinic of a referral hospital. All 8343 women who had a copper T-380A IUD inserted underwent ultrasound examination after 1 year. Relative risk estimates and logistic regression analyses were performed to determine the risk factors associated with uterine perforation by intrauterine devices. Results: Eighteen uterine perforations occurred during the study, giving an incidence of 2.2 per 1000 insertions. When the time elapsed after the last delivery until IUD insertion is considered, postplacental insertion and insertion after 6 months postpartum were found not to increase the risk of uterine perforation. However, IUD insertion 0-3 months postpartum increased the risk of uterine perforation (odds ratio (OR) 11.7, 95% confidence interval (CI) 2.8-49.2) as did insertions at 3-6 months postpartu...
156 citations