Choice of the levonorgestrel intrauterine device, etonogestrel implant or depot medroxyprogesterone acetate for contraception after aspiration abortion

Steinauer, Jody; Upadhyay, Ushma D.; Sokoloff, Abby; Harper, Cynthia C.; Diedrich, Justin T.; Drey, Eleanor A.

doi:10.1016/j.contraception.2015.06.013

Cited by 15 publications

(14 citation statements)

References 44 publications

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“…The study also suggested that education was not associated with early discontinuation of an IUD [6]. When assessing correlations between abortion, education, and all LARCs; Steinauer et al found 69.2% of participants who chose to use LARCs following aspiration abortion had high-school level of education or higher [8]. However, one study did suggest that increasing education correlated with lessened likelihood of choosing DMPA specifically [12].…”

Section: Methodsmentioning

confidence: 95%

“…If not considering IUDs, Singh et al reported that Hispanic and American Indian women were more likely than non-Hispanic white women to choose DMPA for their postpartum contraception [12]. Other studies have shown that Black women are less likely to choose an IUD, and were more likely to choose implants [8] [13]. However investigating what is given as recommendations per se, providers seem ed more likely to suggest IUDs to Black women compared to white women (p = 0.04) [4].…”

Section: Methodsmentioning

confidence: 99%

“…Broecker et al suggested that age had no significant relation to the decision to use LARCs [1]. Regarding LARC type, two articles suggested that implant users tended to be younger than DMPA and IUD users [7] [8]. Levonorgestrel IUD users have been found to be younger than copper IUD users [7] [9].…”

Section: Methodsmentioning

confidence: 99%

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Impact of Social Determinants of Health on the Choice and Use of Long Acting Reversible Contraceptives

Zoorob¹,

McNamee²,

Reilly³

et al. 2020

ARSci

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Modern women have increased options for birth control with the development of Long Acting Reversible Contraceptives (LARCs). These methods are reliable, easy to use, and require less daily maintenance while providing contraception for an extended period of time. However, despite the surge of LARCs as contraceptive options, the prevalence of unintended pregnancies is still alarmingly high in the United States. As LARCs are the most effective reversible method of birth control at preventing pregnancy, and therefore the potential social, financial, and medical complications associated, we examined whether social determinants of health play a role in LARC usage. While parity and marriage do not seem to affect LARC utilization, increased research is needed to determine the effects of race. Age can affect the type of LARC implemented, as younger women prefer implants to intrauterine devices (IUDs). Insurance coverage was an apparent influencer of LARC usage, as low out-of-pocket costs translate to increased utilization. This is linked to socioeconomic status (SES), as lower SES is associated with decreased access to healthcare in general. Increased research is needed in order to draw conclusions about the effects of education, intimate partner violence, geographic location, and other SDH on LARC usage.

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Section: Methodsmentioning

confidence: 95%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Impact of Social Determinants of Health on the Choice and Use of Long Acting Reversible Contraceptives

Zoorob¹,

McNamee²,

Reilly³

et al. 2020

ARSci

View full text Add to dashboard Cite

show abstract

“…1 Many factors underlie this disparity, from individual and interpersonal to systemic and societal. [2][3][4][5][6][7][8][9][10][11][12] Reproductive coercion (RC), behavior that interferes with women's autonomous reproductive decision making, is strongly correlated with unintended pregnancy. [13][14][15] RC disproportionately affects Latina women (when compared with white women) [13][14][15][16][17] and may contribute to unintended pregnancy disparities.…”

Section: Introductionmentioning

confidence: 99%

“…Latina women have 71% higher odds of unintended pregnancy compared with white women and have the second highest rate of unintended births . Many factors underlie this disparity, from individual and interpersonal to systemic and societal . Reproductive coercion (RC), behavior that interferes with women's autonomous reproductive decision making, is strongly correlated with unintended pregnancy .…”

Section: Introductionmentioning

confidence: 99%

Experiences of Reproductive Coercion Among Latina Women and Strategies for Minimizing Harm: “The Path Makes Us Strong”

Grace

Alexander

Jeffers

et al. 2020

J Midwife Womens Health

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Introduction Latina women disproportionately report experiencing reproductive coercion (RC), a set of behaviors that interfere with autonomous reproductive decision making. Given RC's associations with intimate partner violence (IPV) and unintended pregnancy, it is critical to identify and address RC to assist women to achieve safety, autonomy, and reproductive life plans. The purpose of this study was to describe and understand the context of RC and the use of RC safety strategies among Latina women receiving services at an urban clinic, through listening to the experiences of the women in their own words. Methods Qualitative descriptive methodology was used. Semistructured interviews were conducted with a purposive sample of 13 Latina women recruited from a Federally Qualified Health Center in the Washington, DC, area. Results Data were organized into 3 a priori categories: (1) RC behaviors, (2) co‐occurrence of RC and IPV, and (3) RC harm reduction strategies. New RC behaviors emerged, and immigration status was used as a method of coercive control. From these a priori categories emerged 4 themes: impact of immigrant and citizenship status, machismo, strength and bravery, and importance of family. Harm reduction strategies included less detectable contraception; some sought community services, but others resorted to deception and stalling as the only tools available to them. Discussion Less detectable methods of contraception remained useful harm reduction strategies for women experiencing RC. Midwives should inquire about method fit and be mindful of honoring the request when patients ask to change methods. Women's strength and resilience emerged as a vital source of power and endurance. This diverse sample and the powerful voices of the women who participated make a significant contribution to the understanding of RC experienced by Latina women in the United States.

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Post‐abortion contraception before hospital discharge after installation of a surveillance network in Brazil

Veiga-Junior

Cavalari

Eugeni

et al. 2020

Intl J Gynecology & Obste

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Objective To evaluate the use of contraception soon after abortion, ectopic, or molar pregnancy following the establishment of a surveillance network (MUSA). Methods A cross‐sectional study of women admitted for abortion, or ectopic or molar pregnancy at UNICAMP Women's Hospital (part of the MUSA Network), Campinas, Brazil, between July 2017 and August 2019. Clinical and sociodemographic data were compared between women who initiated contraception before discharge and those who did not by using a Cochran‐Armitage test and multiple logistic regression. Results Overall, 382 women were enrolled (mean ± SD age, 29.6 ± 7.4 years). Most women (287, 75.2%) had abortions, and 146 (38.2%) initiated contraception before hospital discharge. The most common contraceptives were injectables (75, 51.4%) followed by pills (65, 44.5%). Use of contraception increased during the study period (Z=3.69, P<0.01), mostly due to injectables (Z=3.84, P<0.01). Factors independently associated with contraceptive initiation were admission in 2019 (odds ratio [OR], 2.65; 95% confidence interval [CI], 1.36–5.17) and not having an abortion for legal reasons (OR, 3.54; 95% CI, 1.30–9.62). Conclusion Implementation of a surveillance network optimized the health service and quality of care. There was an increase in contraception use and a vulnerable population was identified.

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Choice of the levonorgestrel intrauterine device, etonogestrel implant or depot medroxyprogesterone acetate for contraception after aspiration abortion

Cited by 15 publications

References 44 publications

Impact of Social Determinants of Health on the Choice and Use of Long Acting Reversible Contraceptives

Impact of Social Determinants of Health on the Choice and Use of Long Acting Reversible Contraceptives

Experiences of Reproductive Coercion Among Latina Women and Strategies for Minimizing Harm: “The Path Makes Us Strong”

Post‐abortion contraception before hospital discharge after installation of a surveillance network in Brazil

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