Practice Bulletin No. 121: Long-Acting Reversible Contraception: Implants and Intrauterine Devices

doi:10.1097/aog.0b013e318227f05e

Cited by 291 publications

(106 citation statements)

References 59 publications

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“…Neither type of intrauterine device appears to affect lactation. 125 • Sterilization. If subsequent fertility is not desired, sterilization via tubal ligation or occlusion procedures may offer the lowest risk of future unintended conception.…”

Section: Contraceptionmentioning

confidence: 99%

Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association

Canobbio¹,

Warnes²,

Aboulhosn³

et al. 2017

Circulation

351

303

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Today, most female children born with congenital heart disease will reach childbearing age. For many women with complex congenital heart disease, carrying a pregnancy carries a moderate to high risk for both the mother and her fetus. Many such women, however, do not have access to adult congenital heart disease tertiary centers with experienced reproductive programs. Therefore, it is important that all practitioners who will be managing these women have current information not only on preconception counseling and diagnostic evaluation to determine maternal and fetal risk but also on how to manage them once they are pregnant and when to refer them to a regional center with expertise in pregnancy management.

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Section: Contraceptionmentioning

confidence: 99%

Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association

Canobbio¹,

Warnes²,

Aboulhosn³

et al. 2017

Circulation

351

303

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“…Intrauterine devices (IUDs) are long acting, rapidly reversible, highly effective, safe and gaining popularity among all-aged women [8,9]. Continuation rates are higher among IUD users than in those using DMPA or ECCs [8].…”

Section: Larcs: Intrauterine Devicesmentioning

confidence: 99%

A Contraceptive Review and Update

Marnach¹

2017

J Community Med Health Educ

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“…[1] Advantages of the IUCD include reversibility, long-term efficacy and confidentiality. [2] It is also considered safe and effective for use in selected HIV-infected patients. [3] Worldwide there is a high prevalence of teenage and unwanted pregnancies with an increasing incidence every year, [4] and abortion rates in SA remaining virtually unchanged.…”

mentioning

confidence: 99%

“…[3] It can also be offered as emergency contraception and is suitable for postpartum insertion, 10 minutes after delivery or even during a caesarean section, eliminating the risk to loss of follow-up for contraception compliance. [2] A survey done in primary-care family-planning clinics in Cape Town [8] concluded that the knowledge of the IUCD as a contraceptive method was very poor. Despite its availability, it was underused and not a preferred method to prevent pregnancy.…”

mentioning

confidence: 99%

Patient knowledge and intention to use the intrauterine contraceptive device (IUCD) at a tertiary level hospital.

Popper

2016

S Afr J OG

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Background. The intrauterine contraceptive device (IUCD) is a highly effective and safe method of contraception. Prevention of unwanted pregnancies has made its use a matter of national priority in certain countries. Despite numerous advantages and suitability, the uptake of the IUCD is poor. Patients in South Africa (SA) seem to lack knowledge regarding this contraceptive. Objectives. To determine the quantity and quality of knowledge about the IUCD, and to evaluate its acceptability for future use. Methods. A prospective cross-sectional study was conducted at Pelonomi Tertiary Hospital. A total of 201 consecutive patients were interviewed using structured questionnaires: of these, 193 formed the final study group. Results. Almost half (49.2%, n=95) of our patients were aware of the existence of the IUCD. Its use was very low, with only one patient having used it before. Overall qualitative knowledge was poor, even among those aware of the existence of the IUCD. There was a significant association between level of education and knowledge, with patients having passed grade 12 or higher significantly more likely to have knowledge of the IUCD than those at lower levels (relative risk 1.57, 95% confidence interval 1.18 -2.08). Forty-five percent (n=86) of patients indicated a desire for future IUCD use. Conclusion. Despite the availability of the IUCD in SA clinics and hospitals, its uptake is poor. Awareness of this method seems to have improved over the past few years, but the qualitative knowledge is still considerably lacking. Education plays a major role in the knowledge of contraception. Better educational aids at all facilities will increase its use and reduce unwanted pregnancies. The intrauterine contraceptive device (IUCD), a long-acting re versible contraceptive (LARC), has been shown to be one of the most reliable contraceptive methods, which can be considered as effective as tubal ligation.[1] Advantages of the IUCD include reversibility, long-term efficacy and confidentiality.[2] It is also considered safe and effective for use in selected HIV-infected patients. [3] Worldwide there is a high prevalence of teenage and unwanted pregnancies with an increasing incidence every year, [4] and abortion rates in SA remaining virtually unchanged.[5] In a study performed in the USA, 42% of adolescents reported having been sexually active at least once in their lives. The methods of contraception used by this group, however, were mostly those with a relatively high failure rate with typical use, such as withdrawal, oral contraception or condom use. [6] Unintended pregnancies have been reported as being a result of low use of LARCs. These methods have been suggested to lower the rate of unwanted pregnancies, and the use of the IUCD has been made a national priority in the USA since 2009. [7] Currently the IUCD is the best method of contraception for high-risk obstetric patients. This group includes patients with previous venous thrombo-embolism, ovarian cancer, valvular heart disease, and those with chronic diseas...

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Practice Bulletin No. 121: Long-Acting Reversible Contraception: Implants and Intrauterine Devices

Cited by 291 publications

References 59 publications

Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association

Management of Pregnancy in Patients With Complex Congenital Heart Disease: A Scientific Statement for Healthcare Professionals From the American Heart Association

A Contraceptive Review and Update

Patient knowledge and intention to use the intrauterine contraceptive device (IUCD) at a tertiary level hospital.

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