Pregnancy Intention and Contraceptive Use among Women by Class of Obesity: Results from the 2006–2010 and 2011–2013 National Survey of Family Growth

Nguyen, Brian; Elia, Jennifer; Ha, Cathrine Y.; Kaneshiro, Bliss

doi:10.1016/j.whi.2017.09.010

Cited by 12 publications

(11 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding 1st generation contraceptive pills, there are side effects such as unwanted bleeding or spotting due to the fact that the dosage does not decrease at the appropriate time. The second generation ones are more effective and with a longer half-life, but with increased androgenic action that helps in sexual desire but could lead to hirsutism, acne and dyslipidaemia [ 64 , 65 , 66 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

Tsikouras

Deuteraiou

Bothou³

et al. 2018

IJERPH

View full text Add to dashboard Cite

Introduction: The goal of our study was to investigate and evaluate the contraceptive behavior in teenagers from our family planning centre that services two different religious and socioeconomic populations living in the Thrace area. Methods: During the last 10 years 115 Christian Orthodox (group A) and 53 Muslim teenagers (group B) were enrolled in our retrospective study. Contraceptive practice attitudes were assessed by a questionnaire. Religion, demographics, socio-economic characteristics were key factors used to discuss contraception and avoid unplanned pregnancy in each group and to compare with the contraceptive method used. Results: The most used contraceptive method—about two times more frequently—among Christian Orthodox participants was the oral contraceptive pill (p = 0.015; OR = 1.81, 95% CI = 1.13–2.90), while in the other group the use of condoms and IUDs was seven and three times more frequent, respectively. Our family planning centre was the main source of information for contraception. Conclusions: During adolescence, the existence of a family planning centre and participation in family planning programs plays a crucial role to help the teenagers to improve their knowledge and choose an effective contraception method.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Finally they cause an increase in bone density. The latest data shows no increase of risk of breast cancer [ 64 , 66 , 67 , 68 , 69 ].…”

Section: Discussionmentioning

confidence: 99%

Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

Tsikouras

Deuteraiou

Bothou³

et al. 2018

IJERPH

View full text Add to dashboard Cite

show abstract

“…In some US studies, the use of any contraceptive method by women with raised BMI does not differ from women who are normal weight 32,33. Other studies have found degree of obesity to be associated with contraceptive use: women with BMI ≥35 kg/m 2 were more likely to not be using contraception compared with normal-weight women 34. French surveys29 have shown that women with obesity are significantly less likely to use contraception compared to normal-weight women;35,36 the reasons for this, whether related to patient, provider or systems issues, are unclear.…”

Section: An Overview Of Data On Fertility Sexual Activity Contracmentioning

confidence: 99%

“…While recognising that this is a limitation of the available literature, some studies which have addressed this in the US have found no association between unintended pregnancy and BMI,27 whereas others have found increased risk of unintended pregnancy associated with increasing BMI; women with BMI ≥40 kg/m 2 had significantly greater odds of mistimed or unwanted pregnancy compared with normal-weight women 34. A French study found that women with obesity under 30 years of age were four times more likely to report a prior unintended pregnancy or abortion than normal-weight women, but this association was not present for older women 29…”

Section: An Overview Of Data On Fertility Sexual Activity Contracmentioning

confidence: 99%

FSRH Guideline (April 2019) Overweight, Obesity and Contraception

2019

BMJ Sex Reprod Health

View full text Add to dashboard Cite

“…1 Despite this, women with comorbid conditions, such as diabetes or obesity, are less likely to use contraception than those without these conditions. 15,16 When should providers discuss immediate postpartum contraception?…”

Section: What Is the Role Of Contraception In The Care Of High-risk Wmentioning

confidence: 99%

Society for Maternal-Fetal Medicine (SMFM) Consult Series #48: Immediate postpartum long-acting reversible contraception for women at high risk for medical complications

Vricella

Gawron

Louis

2019

American Journal of Obstetrics and Gynecology

View full text Add to dashboard Cite

The Society of Family Planning (SFP) endorses this document. The American College of Obstetricians and Gynecologists (ACOG) supports the value of this clinical document as an educational tool; February 2019. Reproductive planning is essential for all women and most important for those with complex health conditions or at high risk for complications. Pregnancy planning can allow these high-risk women the opportunity to receive preconception counseling, medication adjustment, and risk assessment related to health conditions that have a direct impact on maternal morbidity and mortality risk. Despite the need for pregnancy planning, medically complex women face barriers to contraceptive use, including systemic barriers, such as underinsurance for women at increased risk for complex medical conditions as well as low uptake of effective postpartum contraception. Providing contraceptive counseling and a full range of contraceptive options, including immediate postpartum long-acting reversible contraception (LARC), is a means of overcoming these barriers. The purpose of this document is to educate all providers, including maternal-fetal medicine subspecialists, about the benefits of postpartum contraception, and to advocate for widespread implementation of immediate postpartum LARC placement programs. The following are Society for Maternal-Fetal Medicine recommendations: we recommend that LARC be offered to women at highest risk for adverse health events as a result of a future pregnancy (GRADE 1B); we recommend that obstetric care providers discuss the availability of immediate postpartum LARC with all pregnant women during prenatal care and consult the U.S. Medical Eligibility Criteria for Contraceptive Use guidelines to determine methods most appropriate for specific medical conditions (GRADE 1C); we recommend that women considering immediate postpartum intrauterine device insertion be counseled that although expulsion rates are higher than with delayed insertion, the benefits appear to outweigh the risk of expulsion, as the long-term continuation rates are higher (GRADE 1C); we recommend that obstetric care providers wishing to utilize immediate postpartum LARC obtain training specific to the immediate postpartum period (BEST PRACTICE); for women who desire and are eligible for LARC, we recommend immediate postpartum placement after a high-risk pregnancy over delayed placement due to overall superior efficacy and cost-effectiveness (GRADE 1B); we recommend that women considering immediate postpartum LARC be encouraged to breastfeed, as current evidence suggests that these methods do not negatively influence lactation (GRADE 1B); for women who desire and are eligible for LARC, we suggest that early postpartum LARC placement be considered when immediate postpartum LARC placement is not feasible (GRADE 2C); and we recommend that contraceptive counseling programs be patient-centered and provided in a shared decision-making framework to avoid coercion (BEST PRACTICE).

show abstract

Pregnancy Intention and Contraceptive Use among Women by Class of Obesity: Results from the 2006–2010 and 2011–2013 National Survey of Family Growth

Cited by 12 publications

References 45 publications

Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

Ten Years of Experience in Contraception Options for Teenagers in a Family Planning Center in Thrace and Review of the Literature

FSRH Guideline (April 2019) Overweight, Obesity and Contraception

Society for Maternal-Fetal Medicine (SMFM) Consult Series #48: Immediate postpartum long-acting reversible contraception for women at high risk for medical complications

Contact Info

Product

Resources

About