SMJ articles in the category "contraception"

Original Article

Perspectives on Contraceptive Research for Individuals with Increased Thrombosis Risk: A Qualitative Exploration of Patients and Clinicians

Objectives: Although most progestin-only contraceptives are generally considered safe for most patients at increased risk of arterial and venous thrombosis, patients and clinicians may be wary of their use based on limited studies. Large prospective contraceptive studies with primary data collection would improve the evidence base for people at increased…

Posted in: contraception 15 thromboembolism 7 thrombosis 4

Original Article

Exploration of the Intersection between Infant Feeding and Postpartum Contraception in Western North Carolina: Perspectives of Postpartum Individuals and Providers

Objectives: Short interpregnancy intervals are associated with preterm births. Increasing access to postpartum contraception is a preventive intervention. Best practice recommendations suggest that postpartum individuals exclusively breastfeed for up to 6 months. Conversations about these two topics tend to occur simultaneously throughout the perinatal period. This study explores the intersection…

Posted in: breast-feeding 6 contraception 15 patient-centered care 7 postpartum period 3 reproductive health 9

Original Article

Qualitative Exploration of Contraceptive Knowledge in Men and Women

Objectives: The level of knowledge about contraceptives overall is low in the United States. This qualitative study adds to the literature that explores gendered differences in contraceptive knowledge. Specifically, we examined knowledge regarding different contraceptive methods, directions on use, mechanism of action, efficacy, and adverse effects. We also looked at…

Posted in: contraception 15 qualitative research 4

Original Article

Contraception Initiation after Early Abortion in a Family Medicine Setting: A Retrospective Chart Review

Key Points The primary care setting is uniquely equipped for providing early abortion and postabortion contraception. We aimed to describe postabortion contraception provision in a family medicine office. Although the providers offered all contraceptive options to eligible patients, continuity patients were more likely to receive more effective contraception in their…

Posted in: abortion 4 contraception 15 family medicine 11 primary care 65

Original Article

Association of Health Insurance with Contraceptive Use and Interpersonal Quality of Contraceptive Care in the Southeast United States

Objectives: Health insurance remains an important dimension of contraceptive access. This study investigated the role of insurance in contraceptive use, access, and quality in South Carolina and Alabama. Methods: The study used a cross-sectional statewide representative survey that assessed reproductive health experiences and contraceptive use among reproductive-age women in South…

Posted in: contraception 15 health services accessibility 2 population health 4 reproductive health 9

Review Article

Gynecological Care and Contraception Considerations in Women with Cerebral Palsy

The purpose of this literature review was to further explore gynecological care and contraceptive use in women with cerebral palsy. We address barriers to pelvic examinations for cervical cancer screenings and current contraceptive methods in severely debilitated patients with cerebral palsy.

Posted in: cerebral palsy 6 cervical cancer 7 contraception 15 hysterectomy 6

Original Article

A Population-Based Study of Factors Associated with Postpartum Contraceptive Use by Birth Interval Length

Objective: The purpose of this study was to evaluate factors associated with postpartum contraceptive use among women with short and moderate-to-long birth intervals using population-based data from the Pregnancy Risk Assessment and Monitoring System. Methods: Because only Mississippi and Tennessee include a question about birth interval length on their Pregnancy…

Posted in: contraception 15 postpartum 6 pregnancy 49

Original Article

Perceived Barriers to Contraceptive Access and Acceptance among Reproductive-Age Women Receiving Opioid Agonist Therapy in Northeast Tennessee

Objectives: Women with substance use disorders experience unique challenges to contraceptive obtainment and user-dependent method adherence, contributing to higher than average rates of unintended pregnancy. This study estimated the prevalence of barriers to contraception and their associations with contraceptive use and unwanted pregnancies among women receiving opioid agonist therapy (OAT)…

Posted in: contraception 15 neonatal abstinence syndrome 7 opioid use disorder 6 reproductive health 9

Original Article

Healthcare Access, Pregnancy Intention, and Contraceptive Practices Among Reproductive-Aged Women Receiving Opioid Agonist Therapy in Northeast Tennessee

Objectives: Women with substance use disorders often experience unique challenges to obtaining contraception and adhering to user-dependent methods. As a result, this at-risk population of women tends to have higher than average rates of unintended pregnancy. The objective of this study was to describe contraceptive use, pregnancy intentions, and adequacy…

Posted in: contraception 15 neonatal abstinence syndrome 7 opioid use 2 reproductive health 9

Original Article

Contraceptive Methods and the Impact of Menstruation on Daily Functioning in Women with Sickle Cell Disease

Objectives: Women with sickle cell disease (SCD) are living longer as a result of advances in the care of their underlying disease. With the population growing of women living with SCD, reproductive health issues in this population have become an emphasized area of medical care. We sought to describe current…

Posted in: contraception 15 quality of life 11 sickle cell disease 28

Original Article

Prenatal Contraceptive Counseling by Video

Objective: Effective postpartum contraception can improve interpregnancy intervals. Opportunities exist for counseling and education during prenatal care. Few studies have assessed the use of multimedia as a tool to improve long-acting reversible contraception (LARC) use postpartum. The objective of this study was to evaluate whether LARC-focused video counseling during prenatal…

Posted in: contraception 15 counseling 6 long-acting reversible contraception 2 Video 2

Original Article

Contraceptive Practices, Preferences, and Barriers Among Abortion Clients in North Carolina

Objectives: Abortion clinics provide an ideal setting for women to receive contraceptive care because the women served may not have other contacts with the health system and are at risk for unintended pregnancies. The objective of this study was to understand practices, preferences, and barriers to use of contraception for…

Posted in: abortion 4 contraception 15 long-acting reversible contraception 2

Original Article

Trends in Abortion Incidence and Availability in North Carolina, 1980–2013

Objectives: Abortion incidence has declined nationally during the last decade. In recent years, many states, including North Carolina, have passed legislation related to the provision of abortion services. Despite the changing political environment, there is no comprehensive analysis on past and current trends related to unintended pregnancy and abortion in…

Posted in: abortion 4 access 5 contraception 15 North Carolina 3 trends 4

Original Article

Contraception Initiation in the Emergency Department: A Pilot Study on Providers’ Knowledge, Attitudes, and Practices

Objectives: Almost half of all pregnancies in the United States are unintended; these pregnancies are associated with adverse outcomes. Many reproductive-age females seek care in the emergency department (ED), are at risk of pregnancy, and are amenable to contraceptive services in this setting. Through a pilot study, we sought to…

Posted in: contraception 15 emergency department 21 knowledge 6 questionnaire 3

Review Article

Vasectomy: A “Seminal” Analysis

Vasectomy is one of the most reliable and cost-effective permanent methods of contraception. Despite its popularity, certain issues pertaining to the procedure remain unresolved. Appropriate selection of candidates for vasectomy requires thorough counseling and screening, though a foolproof method of eliminating dissatisfaction and regret remains a mystery. Debate continues over…

Posted in: contraception 15
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