{"title":"Correction: 'Expanding family planning options: offering the Standard Days Method<sup>TM</sup> to women in Istanbul'.","authors":"","doi":"10.1783/1471189053629446corr1","DOIUrl":"https://doi.org/10.1783/1471189053629446corr1","url":null,"abstract":"","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"345"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1783/1471189053629446corr1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35439546","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}
{"title":"Venus.","authors":"Abi Berger","doi":"10.1136/jfprhc-2016-101667","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101667","url":null,"abstract":"The use of ethyl chloride to anaesthetise the skin by cooling before implant insertion has been used and documented previously.1 I was trained to remove deep implants by the very experienced Dr Martyn Walling, but have observed over the last few months that some of the deep fittings have included the use of ethyl chloride as anaesthetic prior to insertion. Dr Walling taught me that once the bevel …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"346"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101667","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35439547","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}
Nirk Ericson Quispe Calla, Rodolfo D Vicetti Miguel, Thomas L Cherpes
{"title":"Comment on 'Effects of injectable progestogen contraception versus the copper intrauterine device on HIV acquisition: sub-study of a pragmatic randomised controlled trial'.","authors":"Nirk Ericson Quispe Calla, Rodolfo D Vicetti Miguel, Thomas L Cherpes","doi":"10.1136/jfprhc-2017-101827","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101827","url":null,"abstract":"Hofmeyr et al. reported no significant differences in HIV acquisition in their randomised controlled trial (RCT) among South African women using injectable progestogens or copper intrauterine contraceptive devices (Cu-IUDs) for pregnancy prevention.1 Acknowledging their longitudinal study of 1290 HIV-negative women (with time from enrolment to follow-up HIV testing of about 20 months) was underpowered to identify modest differences in HIV risk, they concluded that larger RCTs will more definitively define the effect of specific contraceptives on HIV susceptibility. They also noted their trial was halted early because of plans to conduct a larger and more comprehensive RCT. This Evidence for Contraceptive Options and HIV Outcomes (ECHO) Study was designed to compare HIV acquisition in women from sub-Saharan …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 4","pages":"342"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101827","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9230049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Measuring the distribution of adolescent births among 15-19-year-olds in Chile: an ecological study.","authors":"Marissa Velarde, Fernando Zegers-Hochschild","doi":"10.1136/jfprhc-2015-101230","DOIUrl":"https://doi.org/10.1136/jfprhc-2015-101230","url":null,"abstract":"<p><strong>Background: </strong>Although within Latin America Chile has one of the lowest birth rates among adolescents, it has a high rate in comparison to other developed nations.</p><p><strong>Aim: </strong>To explore trends in birth rates among adolescents by selected demographics in Chile.</p><p><strong>Methods: </strong>The national trend in birth rates was examined for women aged 15-19 years between 1992 and 2012. The birth rates for regions and communes were calculated using birth and census data and were analysed to determine its relationship to the regional or communal poverty rate, which were obtained from the Casen Survey. Differences in educational attainment were explored among adolescents with first-order and second-order or higher births using the Chi-square test.</p><p><strong>Results: </strong>The birth rate among adolescents has experienced a 25% decline in the past 20 years. Cross-regional variance in birth rates could not be explained by poverty rates. Within the Metropolitan Region, there is a positive correlation between poverty and adolescent birth rates. Among adolescents giving birth, 67% had completed 10-12 years of school at birth, but there is a significant difference in educational attainment between girls with a first-order and those with a higher-order birth.</p><p><strong>Conclusions: </strong>In Chile, the adolescent birth rate varies greatly among regions and communes. This study found that urban and wealthy areas had lower birth rates than poor and rural ones, and that girls with a first-order birth had completed more years of school than girls with higher-order births.</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"302-308"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2015-101230","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35110100","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}
Lauren Ee Murphy, Zhong E Chen, Valerie Warner, Sharon T Cameron
{"title":"Quick starting hormonal contraception after using oral emergency contraception: a systematic review.","authors":"Lauren Ee Murphy, Zhong E Chen, Valerie Warner, Sharon T Cameron","doi":"10.1136/jfprhc-2017-101740","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101740","url":null,"abstract":"<p><strong>Introduction: </strong>Unprotected intercourse after oral emergency contraception (EC) significantly increases pregnancy risk. This underlies the importance of promptly starting effective, ongoing contraception - known as 'quick starting'. However, theoretical concern exists that quick starting might interact with EC or hormonal contraception (HC) potentially causing adverse side effects.</p><p><strong>Method: </strong>A systematic review was conducted, evaluating quick starting HC after oral EC [levonorgestrel 1.5 mg (LNG) or ulipristal acetate 30 mg (UPA)]. PubMed, EMBASE, The Cochrane Library, ICTRP, ClinicalTrials.gov and relevant reference lists were searched in February 2016. A lack of comparable studies prevented meta-analysis.</p><p><strong>Results: </strong>Three randomised controlled trials were identified. Two biomedical studies suggested HC action was unaffected by quick starting after UPA; one study examined ovarian quiescence (OR 1.27; 95% CI 0.51-3.18) while taking combined oral contraception (COC). Another assessed cervical mucus impenetrability (OR 0.76; 95% CI 0.27-2.13) while taking progestogen-only pills (POP). Quick starting POP reduced the ability of UPA to delay ovulation (OR 0.04; 95% CI 0.01-0.37). Side effects (OR 1.22; 95% CI 0.48-3.12) and unscheduled bleeding (OR 0.53; 95% CI 0.16-1.81) were unaffected by quick starting COC after UPA. Another study reported higher self-reported contraceptive use at 8 weeks among women quick starting POP after LNG, compared with women given LNG alone (OR 6.73; 95% CI 2.14-21.20).</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"319-326"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101740","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35130377","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}
{"title":"Communication blocks and the power of rethinking.","authors":"Abi Berger","doi":"10.1136/jfprhc-2016-101666","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101666","url":null,"abstract":"I’ve been feeling a bit stumped recently. I think of myself as a good detector of psychosomatic illness – by which I mean those instances where real physical illness is driven by life experience or psychosocial distress and not by organic pathology. There are few areas where I encounter more of this than in sexual and reproductive healthcare. I am interested in offering patients suffering from ‘mind-body’ illness appropriate forms of support, rather than inappropriate treatment and investigation. But recently, I’ve found the strategies I employ to explain what I think is going on to patients in this situation have not been working as well as they usually do, and wonder why not.\u0000\u0000With over 20 years of clinical practice behind me, I’ll request investigations where they are …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"338"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101666","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35439543","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}
{"title":"Primary care endometrial sampling for abnormal uterine bleeding: a pilot study.","authors":"Jon M Dickson, Brigitte Delaney, Mary E Connor","doi":"10.1136/jfprhc-2017-101735","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101735","url":null,"abstract":"<p><strong>Aim: </strong>To design and evaluate a pilot service for primary care endometrial sampling (PCES).</p><p><strong>Design: </strong>Retrospective analysis of data from two service evaluations.</p><p><strong>Setting: </strong>General practices and the gynaecology department in a large city in the UK.</p><p><strong>Methods: </strong>These were two-fold: (1) To design the new service we identified all the endometrial samples taken in the city's gynaecology department in 2012/2013 and estimated the proportion of these with abnormal uterine bleeding (AUB) that would be suitable for PCES. (2) To evaluate the new PCES service we analysed data from the first year of activity.</p><p><strong>Results: </strong>(1) A total of 1894 endometrial samples were taken in hospital in 2012/2013. An estimated 424 (22.4%) of these were from patients with AUB who fitted the criteria for PCES. (2) In the first year of the PCES service 108 samples were taken by general practitioners (GPs). Initial management of these patients was exclusively in primary care in 97.2% (104/108) of cases; most patients were treated with the Mirena intrauterine system (79/109; 73.1%) and there were no cases of hyperplasia or cancer.</p><p><strong>Conclusions: </strong>Most premenopausal patients with AUB could potentially be managed in primary care without referral to hospital if endometrial sampling (ES) was made available to appropriately trained and supported GPs. However, this study was limited by its retrospective, non-interventional design, and more research is required to demonstrate safety and cost-effectiveness.</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"296-301"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101735","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35335294","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}
{"title":"Resources for service provision: policies and politics.","authors":"Lindsay Edouard","doi":"10.1136/jfprhc-2017-101848","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101848","url":null,"abstract":"Looking back 25 years, this journal reported on the formation of a new Faculty that drew upon the synergy of different professional entities, supporting the British government’s priority for sexual health in its new health strategy. International comparisons, with Eastern Europe and America, were valuable for objective reviews of service delivery. Twenty-five years on, in 2017, a rapidly changing political situation in the United States is again threatening global reproductive health.\u0000\u0000Twenty-five years ago, this journal reported on Dr Elphis Christopher’s astonishingly prophetic perspective on family planning (FP) in her Jennifer Hallam Memorial Lecture, delivered at the 19th Current Fertility and Reproductive Health Symposium of the National Association of Family Planning Doctors (NAFPD) and the Family Planning Association.1 Recalling the court case of 1876 against Annie Besant and Charles Bradlaugh for republishing a pamphlet with its advocacy for contraception, she regretted that despite the favourable environment from subsequent socioeconomic, legal and attitudinal changes, there was still poor utilisation of contraceptive services due to apathy, fatalism and religious convictions.\u0000\u0000Dr Christopher stated that the failure of FP services also included unsuccessful management of involuntary infertility, which affected 12% of couples, the success rate of in vitro fertilisation at that time being only around 15%. Finally, she referred to an increasing trend for couples to elect to be childless: as \"abortion of a potential life that cannot be cared for is part of planning a family\", services for induced abortion were needed for unwanted pregnancies.1 \u0000\u0000Turning to the USA, Dr Christopher said that the most important donor for international population assistance was a \"paradoxical society\" and a \"complex, wealthy nation with such contradictory public attitudes to …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":" ","pages":"339-341"},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101848","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35439550","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}
{"title":"Non-visualisation of strings after postplacental insertion of Copper-T 380A intrauterine device.","authors":"Rupali Dewan, Abhinav Dewan, Sunita Singal, Rekha Bharti, Mansi Kaim","doi":"10.1136/jfprhc-2015-101200","DOIUrl":"https://doi.org/10.1136/jfprhc-2015-101200","url":null,"abstract":"<p><strong>Aim: </strong>To assess the incidence of visible strings of intrauterine contraceptive devices (IUDs) after postplacental insertion following vaginal or caesarean delivery and to establish a management protocol of follow-up visits when strings are not visualised.</p><p><strong>Methods: </strong>This was a prospective study of a cohort of 348 women who underwent postplacental insertion of Copper-T 380A IUDs following vaginal or caesarean delivery, conducted at a hospital in New Delhi, India. Women were followed up at 6 weeks, 3, 6 and 12 months after IUD insertion and were questioned about IUD expulsion or removal at each visit. The cervix was inspected to visualise the IUD strings. All women whose IUD strings could not be visualised at the cervical os at any given follow-up were identified. We analysed the cumulative incidence of visible strings and of procedures performed to locate the IUD when strings were not visible.</p><p><strong>Results: </strong>At 1 year follow-up, the IUD was <i>in situ</i> in 313/348 (89.9%) women. There were eight (2.3%) expulsions and 15 (4.3%) IUD removals. Among women with IUDs <i>in situ</i>, the strings were not visible in 73 (21%) cases. Pelvic ultrasound confirmed intrauterine position of the IUDs in these cases. At 1 year, string visibility was significantly lower after intra-caesarean insertions as compared to vaginal insertions (72.4% vs 98.1%; <i>p</i><0.05).</p><p><strong>Conclusions: </strong>Visualisation of strings after postplacental vaginal insertion is more common than after intra-caesarean insertion. Pelvic ultrasonography can be used to verify the presence of the device in cases of missing strings.</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"186-194"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2015-101200","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34504267","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}
{"title":"Contraception choices for transgender males.","authors":"Kathy Jones, Martyn Wood, Liz Stephens","doi":"10.1136/jfprhc-2017-101809","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101809","url":null,"abstract":"We wish to share with journal readers a clinical case that challenged us clinically and highlighted a number of learning points for our community sexual and reproductive healthcare (cSRH) service.\u0000\u0000A transgender male attended our integrated sexual health clinic with a presentation of blisters. He had had unprotected vaginal sexual intercourse 5 days previously, and had been paid for this episode of sex. He was in a long-term relationship with his female partner, and was considering going into casual sex work (CSW). Currently he was a full-time carer for his partner, while also trying to hold down a part-time cleaning job. His transgender friends had informed …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"239-240"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101809","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35098141","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}