Journal of Family Planning and Reproductive Health Care最新文献_第10页

Effects of the etonogestrel contraceptive implant (Implanon®) on bone metabolism during lactation: a prospective study 依托孕酮避孕植入物(Implanon®)对哺乳期骨代谢影响的前瞻性研究

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-12-01 DOI: 10.1136/jfprhc-2015-101375

C. Iltemir Duvan, Y. Onaran, E. Aktepe Keskin, E. Yüce, B. Yanık, H. Kafalı, Nilgun Ozturk Turhan

{"title":"Effects of the etonogestrel contraceptive implant (Implanon®) on bone metabolism during lactation: a prospective study","authors":"C. Iltemir Duvan, Y. Onaran, E. Aktepe Keskin, E. Yüce, B. Yanık, H. Kafalı, Nilgun Ozturk Turhan","doi":"10.1136/jfprhc-2015-101375","DOIUrl":"https://doi.org/10.1136/jfprhc-2015-101375","url":null,"abstract":"Aim To evaluate the effects of the etonogestrel contraceptive implant (Implanon®) on bone metabolism in lactating women using markers for bone formation and resorption. Study design This single-centre, prospective cohort study was conducted in Turgut Ozal University Medical Faculty Obstetrics and Gynecology Department with healthy lactating women aged between 24 and 38 years to compare the effect on bone metabolism of 6 months’ use of either the implant or a non-hormonal contraceptive method. The study group (n=25) used an implant and the control group (n=25) used a non-hormonal contraceptive intrauterine device inserted 40 days’ postpartum. Bone metabolism differences at the time of insertion and after 6 months were assessed quantitatively by biochemical analysis of serum and urine samples. Results At baseline, serum levels of bone metabolism parameters were similar for the two groups. In the implant group, serum alkaline phosphatase (ALP) levels decreased (p=0.004) and total protein levels increased (p=0.045) at 6 months. In the control group, serum levels of bone metabolism parameters did not change at 6 months compared to baseline. However, serum levels of phosphorus (p=0.013) and ALP (p=0.003) decreased at 6 months compared to baseline. Conclusion Six months’ postpartum use of Implanon was found to have no deleterious impact on bone turnover in healthy lactating women.","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"25 1","pages":"113 - 117"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2015-101375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63793473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Cervical grasping and stabilising forceps 颈椎抓稳钳

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-11-29 DOI: 10.1136/jfprhc-2016-101656

D. Horwell

引用次数: 0

A pan-London approach to patient group directions in sexual health services: from aspiration to reality 性健康服务中病人群体指导的泛伦敦方法:从愿望到现实

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-11-29 DOI: 10.1136/jfprhc-2016-101621

Angela Bussey, K. French

{"title":"A pan-London approach to patient group directions in sexual health services: from aspiration to reality","authors":"Angela Bussey, K. French","doi":"10.1136/jfprhc-2016-101621","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101621","url":null,"abstract":"A patient group direction (PGD) is a legal mechanism1 that allows the supply and/or administration of a specified medicine or medicines, by named authorised health professionals, to a well-defined group of patients requiring treatment for the condition described in the PGD without the need for a prescription or an instruction from a prescriber. Using a PGD is not a form of prescribing.2\u0000\u0000Whilst prescribing remains the preferred option for the majority of care,2 sexual health services have been dependent on this legal mechanism to supply and administer medicines in the absence of timely access to a prescriber for many years.\u0000\u0000For example, medicines may be supplied by registered nurses or pharmacists to people attending for contraception or for other unscheduled care in a sexual health clinic or in a community pharmacy for a discrete treatment episode, such as emergency contraception or treatment for chlamydia.\u0000\u0000Whilst nurses and pharmacists may now train to become independent non-medical prescribers in their own right, many services still rely on PGDs to deliver the service.\u0000\u0000Prior to 2011, contraceptive and sexual health service providers in London developed their own PGDs. It became apparent from discussions with lead nurses and doctors within the services that there were problems due to the many different versions being used and the human resource needed to develop/review PGDs on a regular basis. There was a risk of inconsistent standards of care and risks associated with practice where nurses employed in more than one organisation had to work to different PGDs. At that time, it was calculated that there were at least 30 versions of each PGD. …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 1","pages":"154 - 156"},"PeriodicalIF":0.0,"publicationDate":"2016-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101621","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63794168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

‘Repeat abortion’, a phrase to be avoided? Qualitative insights into labelling and stigma “重复堕胎”，一个应该避免的词?定性洞察标签和柱头

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-11-29 DOI: 10.1136/jfprhc-2016-101487

Lesley Hoggart, V. Newton, L. Bury

{"title":"‘Repeat abortion’, a phrase to be avoided? Qualitative insights into labelling and stigma","authors":"Lesley Hoggart, V. Newton, L. Bury","doi":"10.1136/jfprhc-2016-101487","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101487","url":null,"abstract":"Background In recent years there has been growing international interest in identifying risk factors associated with ‘repeat abortion’, and developing public health initiatives that might reduce the rate. This article draws on a research study looking at young women's abortion experience in England and Wales. The study was commissioned with a specific focus on women who had undergone more than one abortion. We examine what may influence women's post-abortion reproductive behaviour, in addition to exploring abortion-related stigma, in the light of participants' own narratives. Study design Mixed-methods research study: a quantitative survey of 430 women aged 16–24 years, and in-depth qualitative interviews with 36 women who had undergone one or more abortions. This article focuses on the qualitative data from two subsets of young women: those we interviewed twice (n=17) and those who had experienced more than one unintended/unwanted pregnancy (n=15). Results The qualitative research findings demonstrate the complexity of women's contraceptive histories and reproductive lives, and thus the inherent difficulty of establishing causal patterns for more than one abortion, beyond the obvious observation that contraception was not used, or not used effectively. Women who had experienced more than one abortion did, however, express intensified abortion shame. Conclusions This article argues that categorising women who have an abortion in different ways depending on previous episodes is not helpful. It may also be damaging, and generate increased stigma, for women who have more than one abortion.","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 1","pages":"26 - 30"},"PeriodicalIF":0.0,"publicationDate":"2016-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101487","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"63793714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 21

The War on Women: And the Brave Ones Who Fight Back 对妇女的战争：和勇敢的反击者

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-11-28 DOI: 10.1136/jfprhc-2016-101675

S. de Silva

引用次数: 1

Feasibility of using text message reminders to increase fulfilment of emergency contraception prescriptions by adolescents 使用短信提醒提高青少年执行紧急避孕处方的可行性

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-11-25 DOI: 10.1136/jfprhc-2016-101647

Tracey A. Wilkinson, Michelle R Berardi, Erin Crocker, Christina A Nordt, Michael Silverstein

引用次数: 3

Postponing menstruation: choices and concerns 推迟月经:选择和关注

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-11-25 DOI: 10.1136/jfprhc-2016-101438

D. Mansour

引用次数: 0

Breastfeeding and postpartum contraception: dual priorities in the immediate postnatal period 母乳喂养和产后避孕:产后时期的双重优先事项

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-10-28 DOI: 10.1136/jfprhc-2016-101623

A. Thwaites, L. Bacon, J. Dickson

引用次数: 6

Come As You Are: The Surprising New Science That Will Transform Your Sex Life 你是谁:令人惊讶的新科学将改变你的性生活

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-10-14 DOI: 10.1136/jfprhc-2016-101638

S. Quilliam

引用次数: 24

Elizabeth (Libby) Wilson 1926-2016. 伊丽莎白(利比)威尔逊1926-2016。

Journal of Family Planning and Reproductive Health Care Pub Date : 2016-10-01 DOI: 10.1136/jfprhc-2016-101624

引用次数: 0