Hormonally impregnated intrauterine systems (IUSs) versus other forms of reversible contraceptives as effective methods of preventing pregnancy

French, Rebecca; Cowan, FM; Mansour, Diana; Morris, Steven; Hughes, D.A.; Robinson, Alexandra; Proctor, Tanja; Summerbell, C; Logan, Stuart; Guillebaud, John

doi:10.1002/14651858.cd001776

Cited by 34 publications

(33 citation statements)

References 38 publications

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“…Scientific evidence suggests that some methods, including oral contraceptives, emergency contraception (EC), intrauterine devices and even lactational-amenorrhea method, can exhibit several effects in addition to preventing ovulation, such as biochemical or structural changes in the endometrium or alterations of fallopian tube [8][9][10][11][12][13][14][15]. These effects may sometimes prevent implantation (a postfertilization effect) and could be in conflict with some women's beliefs or value systems [16][17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Spanish women's attitudes towards post-fertilization effects of birth control methods

Burgo

Fez

Osorio

et al. 2010

European Journal of Obstetrics & Gynecology and Reproductiv

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Objective: Some methods of family planning may occasionally work after fertilization or implantation. These effects may be important to some women. We explored Spanish women's attitudes towards these potential mechanisms of action of family planning methods.Study design: Cross-sectional study in a Spanish representative sample of 848 potentially fertile women, aged 18-49. Data were collected using a 30-item questionnaire about family planning. Logistic regression was used to identify variables associated with women's attitudes towards postfertilization effects.Results: The majority of women were married, held an academic degree and had at least one child. Forty-five percent of women would not consider using a method that may work after fertilization and 57% would not consider using one that may work after implantation. Fortyeight percent of the sample would stop using a method if they learned that it sometimes works after fertilization, increasing to 63% when referring to a method that sometimes works after implantation. Women who believe that human life begins at fertilization, those who believe it is important to distinguish between spontaneous and induced embryo losses and women who report having a religion were less likely to consider the use of a method with some postfertilization effects. Conclusion:The possibility of postfertilization effects may influence Spanish women's choice of a FP method. Information about mechanisms of action of birth control methods should be disclosed to women so that they can make informed choices.

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Section: Introductionmentioning

confidence: 99%

Spanish women's attitudes towards post-fertilization effects of birth control methods

Burgo

Fez

Osorio

et al. 2010

European Journal of Obstetrics & Gynecology and Reproductiv

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“…89 Elderly patients have an increased threshold for pain. [90][91][92] It seems that older patients may complain of pain less frequently. However, these patients should not be placed on scheduled doses of pain medication.…”

Section: Postoperative Considerationsmentioning

confidence: 99%

Unique Aspects of the Elderly Surgical Population

Yang

Wolfson

Lewis

2011

Geriatr Orthop Surg Rehabil

123

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Increasing life expectancies paired with age-related comorbidities have resulted in the continued growth of the elderly surgical population. In this group, age-associated changes and decreased physiological reserve impede the body's ability to maintain homeostasis during times of physiological stress, with a subsequent decrease in physiological reserve. This can lead to agerelated physiological and cognitive dysfunction resulting in perioperative complications. Changes in the cardiovascular, pulmonary, nervous, hepatorenal, endocrine, skin, and soft tissue systems are discussed as they are connected to the perioperative experience. Alterations affect both the pharmacodynamics and pharmacokinetics of administered drugs. Elderly patients with coexisting diseases are at a greater risk for polypharmacy that can further complicate anesthetic management. Consequently, the importance of conducting a focused preoperative evaluation and identifying potential risk factors is strongly emphasized. Efforts to maintain intraoperative normothermia have been shown to be of great importance. Procedures to maintain stable body temperature throughout the perioperative period are presented. The choice of anesthetic technique, in regard to a regional versus general anesthetic approach, is debated widely in the literature. The type of anesthesia to be administered should be assessed on a case-by-case basis, with special consideration given to the health status of the patient, the type of operation being conducted, and the expertise of the anesthesiologist. Specifically addressed in this article are age-related cognitive issues such as postoperative cognitive dysfunction and postoperative delirium. Strategies are suggested for avoiding these pitfalls.

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“…Certaines études antérieures ont évoqué la supériorité en terme d'efficacité du SIU au levonorgestrel par rapport à celle du DIU au cuivre [16,17]. Mais toutes retrouvent un taux de grossesse cumulé inférieur à 2 % à cinq ans [18].…”

Section: Quelle Est L'efficacité Des Différents Modes De Contraceptiounclassified

Mise au point sur la contraception progestative

Madelenat

Koskas

2008

Journal de Gynécologie Obstétrique et Biologie de la Reproducti

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Hormonally impregnated intrauterine systems (IUSs) versus other forms of reversible contraceptives as effective methods of preventing pregnancy

Cited by 34 publications

References 38 publications

Spanish women's attitudes towards post-fertilization effects of birth control methods

Spanish women's attitudes towards post-fertilization effects of birth control methods

Unique Aspects of the Elderly Surgical Population

Mise au point sur la contraception progestative

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