Efficacy of Achieving Pregnancy with Fertility-Focused Intercourse

Mu, Qiyan; Fehring, Richard J.

doi:10.1097/nmc.0b013e3182a76b88

Cited by 37 publications

(32 citation statements)

References 11 publications

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“…The in‐person program was initiated in 2001 and the online program in 2008. There is an ongoing research effort with the online program to determine the efficacy of the MM NFP to help couples either achieve or avoid pregnancy and use by subpopulations, for example, postpartum breastfeeding women (Bouchard, Schneider, & Fehring, ), women wishing to achieve pregnancy (Mu & Fehring, ), and now efficacy to avoid pregnancy among women between ages 40 and 55.…”

Section: Methodsmentioning

confidence: 99%

Cohort Efficacy Study of Natural Family Planning among Perimenopause Age Women

Fehring¹,

Mu²

2014

Journal of Obstetric, Gynecologic & Neonatal Nursing

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Objective To determine the efficacy of using natural family planning (NFP) methods to avoid unintended pregnancy among women of perimenopause age (i.e., age 40–55 years). Design A secondary analysis of subset data from two prospective observational cohort studies. Setting A university based in‐person and online NFP service program. Participants One hundred and sixty couples who used either a website or an in‐person NFP service to learn how to avoid pregnancy from January 2001 to November 2012. Methods A prospective 12‐month effectiveness study among 160 women (between ages 40–55) who used NFP to avoid pregnancy. The women used either a hormonal fertility monitor, cervical mucus monitoring, or both to estimate the fertile phase of their menstrual cycles. Survival analysis was used to determine the pregnancy rate over 12 months of use. Results There were a total of five unintended pregnancies among the participants. The typical use pregnancy rate was six per 100 women over 12 months. The monitor alone participants (n = 35) had a 12‐month pregnancy rate of three, the participants (n = 73) who used mucus alone had a pregnancy rate of four, and the participants (n = 42) who used the fertility monitor plus mucus had a pregnancy rate of six. Conclusion Natural family planning methods can be effective for older women to avoid an unintended pregnancy with correct use and adequate instructions. The pregnancy rate most likely was affected by diminished fertility and motivation to limit family size.

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Section: Methodsmentioning

confidence: 99%

Cohort Efficacy Study of Natural Family Planning among Perimenopause Age Women

Fehring¹,

Mu²

2014

Journal of Obstetric, Gynecologic & Neonatal Nursing

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“…We included primary care services given they may provide a more comprehensive health assessment compared with family planning services (American Academy of Family Physicians, n.d.), and primary care providers may be more likely to refer patients to specialized infertility services and prescribe infertility drugs (e.g., clomiphene) (Lindsay & Vitrikas, 2015). Natural family planning was included in our analysis because this family planning method can also be used to calculate a woman's fertile window and maximize her chances of conceiving (Mu & Fehring, 2014).…”

Section: Services Related To Achieving Pregnancymentioning

confidence: 99%

Availability of Services Related to Achieving Pregnancy in U.S. Publicly Funded Family Planning Clinics

Briceño¹,

Ahrens

Thoma

et al. 2019

Women's Health Issues

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Background: Recognizing that quality family planning services should include services to help clients who want to become pregnant, the objective of our analysis was to examine the distribution of services related to achieving pregnancy at publicly funded family planning clinics in the United States. Methods: A nationally representative sample of publicly funded clinics was surveyed in 2013-2014 (n ¼ 1615). Clinic administrators were asked about several clinical services and screenings related to achieving pregnancy: basic infertility services, reproductive life plan assessment, screening for body mass index, screening for sexually transmitted diseases, provision of natural family planning services, infertility treatment, and primary care services. The percentage of clinics offering each of these services was compared by Title X funding status; prevalence ratios (PRs) and 95% confidence intervals (CIs) were estimated after adjusting for clinic characteristics. Results: Compared to non-Title X clinics, Title X clinics were more likely to offer reproductive life plan assessment (adjusted PR [aPR], 1.62; 95% CI, 1.42-1.84), body mass index screening for men (aPR, 1.10; 95% CI, 1.01-1.21), screening for sexually transmitted diseases (aPRs ranged from 1.21 to 1.37), and preconception health care for men (aPR, 1.10; 95% CI, 1.01-1.20). Title X clinics were less likely to offer infertility treatment (aPR, 0.55; 95% CI, 0.40-0.74) and primary care services (aPR, 0.74; 95% CI, 0.68-0.80) and were just as likely to offer basic infertility services, preconception health care services for women, natural family planning, and body mass index screening in women. Conclusions: The availability of selected services related to achieving pregnancy differed by Title X status. A follow-up assessment after publication of national family planning recommendations is underway. Published by Elsevier Inc. on behalf of Jacobs Institute of Women's Health.

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“…In zahlreichen Studien wird der "fertility monitor" als Referenzpunkt für andere Methoden zur Bestimmung des fertilen Fensters genutzt [3,8,27,29,30], obwohl große prospektive Studien zu dieser Indikation nach unserem Wissen fehlen. Im Gegensatz zu den europäischen Voruntersuchungen konzentrieren sich die amerikanischen [30] Die Beurteilung der Effektivität dieser Geräte fällt in der Literatur sehr unterschiedlich aus [5].…”

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