Are breast and pelvic exams necessary when prescribing hormonal contraception?

Batur, Pelin; Berenson, Abbey B.

doi:10.3949/ccjm.82a.15055

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…Removing barriers to effective contraception is not only evidence-based, it is also encouraged by guidelines. 32 For example, to qualify a patient for CHCs, a prescriber needs only a medical history and a recent blood pressure reading, which can be obtained outside of the offi ce. With excessive restrictions from doctors' offi ces, patients have turned to online prescribing companies that use online questionnaires to offer CHCs in an evidencebased way, with an average appointment time of 7.5 minutes, for a total average yearly cost of $313 per prescription, including cost of visit and 1 year of refi lls.…”

Section: ■ Family Planning: a Case For Flexibilitymentioning

confidence: 99%

Paternalism in practice: How we create obstacles for sexual, reproductive, and menopausal healthcare despite our best intentions

Batur

2023

CCJM

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How we create obstacles for sexual, reproductive, and menopausal healthcare despite our best intentions P a•ter•nal•ism: the policy or practice on the part of people in positions of authority of restricting the freedom and responsibilities of those subordinate to them in the subordinates' supposed best interest. 1 Hopefully, you haven't judged this article by the title, because the aim is not to single out any gender, as we have all likely made paternalistic recommendations to patients based on our personal beliefs or fears, as opposed to evidence-based principles. As I refl ect on close to 30 years of patient care, I have seen many examples of this within my fi eld of women's health.In theory, we all understand the concept of shared decision-making, but in practice, clinical recommendations are often still dictated, as opposed to being discussed. Patients are now better informed than ever before and may wish to discuss a variety of options. A perceived lack of choice has led patients to seek alternative sources for care, some of which may be harmful owing to less evidence or regulation. If a treatment is not within the doctor's comfort zone, of course there should be no obligation to prescribe. But in many circumstances, there are lost opportunities to align plans more closely with patient's priorities. Using specifi c women's health topics as representative examples, this article aims to show how clinical care may be improved using 3 principles: humility, advocacy, and fl exibility.

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Section: ■ Family Planning: a Case For Flexibilitymentioning

confidence: 99%

Paternalism in practice: How we create obstacles for sexual, reproductive, and menopausal healthcare despite our best intentions

Batur

2023

CCJM

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Midwifery of the Future; A Widening Field of Competences

Gianotten

Wendt²,

Mivšek

2023

Midwifery and Sexuality

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This chapter is part of ‘Midwifery and Sexuality’ a Springer Nature open access book for midwives and related healthcare professionals. The book aimed to create more ‘sexuality-sensitive midwifery care’. This last chapter of this book ventures to take midwifery to the next level.In a broad sense, sexuality-positive midwifery can create space for expanding the domains of women’s health. Then why not dream of a change for the better? This chapter will emphasise various personal motives to look for change. It will delineate some aspects of Swedish midwifery. Sweden is an example of well-developed midwifery care, with a progressive and sexuality-positive approach.The chapter will then cover various perspectives of sexuality education. Starting within the common daily midwifery practice and focusing on the role of teacher/educator for various groups with unmet sexual health needs. Midwives are the right professionals for proactive participating in society with advocacy and promoting sexual health and rights.The chapter ends with an invitation to development-combining social needs and individual dreams can create new job opportunities towards midwifery specialisation in the aspect of sexuality.

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Are breast and pelvic exams necessary when prescribing hormonal contraception?

Cited by 2 publications

References 7 publications

Paternalism in practice: How we create obstacles for sexual, reproductive, and menopausal healthcare despite our best intentions

Paternalism in practice: How we create obstacles for sexual, reproductive, and menopausal healthcare despite our best intentions

Midwifery of the Future; A Widening Field of Competences

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