Journal of Family Planning and Reproductive Health Care最新文献

{"title":"Off-piste in practice: efficacy, awkward questions and the power of relationship.","authors":"Abi Berger","doi":"10.1136/jfprhc-2016-101665","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101665","url":null,"abstract":"I’ve started asking awkward questions. I realise it’s a bit risky sometimes – but awkward questions seem to generate interesting conversations and I find this can change the direction of travel in a consultation quite quickly. Sex is one thing I’m asking about more and it’s amazing how many patients have said “thanks for asking” – men, as well as women. I think I’ve been around long enough and know my patients well enough to know when and how to ask. And it’s older patients I’m talking to more about sex these days, not so much the younger ones who are more used to talking about sex when they come in about contraception.\u0000\u0000I think I’d forgotten about the tendency for sex to …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"237"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101665","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141418","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":"Safety issue with TT380 Slimline intrauterine contraceptive device.","authors":"Karen Trewinnard","doi":"10.1136/jfprhc-2016-101565","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101565","url":null,"abstract":"I read the article about the care of patients using progestogen-only injectables1 by Lee et al . with interest. An audit was performed at the Salisbury Department of Sexual Health and reported in the section entitled ‘How was …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"241"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101565","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141425","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":"Correction: <i>'Postponing menstruation: choices and concerns'</i>.","authors":"","doi":"10.1136/jfprhc-2016-101438corr1","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101438corr1","url":null,"abstract":"","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"221"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101438corr1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35142968","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":"Estimated disability-adjusted life years averted by free-of-charge provision of the levonorgestrel-releasing intrauterine system over a 9-year period in Brazil.","authors":"Jessica M Ferreira,&nbsp;Ilza Monteiro,&nbsp;Arlete Fernandes,&nbsp;Maria V Bahamondes,&nbsp;Ana Pitoli,&nbsp;Luis Bahamondes","doi":"10.1136/jfprhc-2016-101569","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101569","url":null,"abstract":"<p><strong>Background: </strong>The objective was to analyse the contribution of the provision at no cost to users of the 20 µg/day levonorgestrel-releasing intrauterine system (LNG-IUS) towards disability-adjusted life years (DALY) averted over a 9-year period.</p><p><strong>Methods: </strong>We analysed data from 15 030 new users of the LNG-IUS who had the device inserted at 26 Brazilian teaching hospitals between January 2007 and December 2015. The devices came from the International Contraceptive Access Foundation (ICA), a not-for-profit foundation that donates the devices to developing countries for use by low-income women who desire long-term contraception and who freely choose to use this device. Estimation of the DALY averted included live births averted, maternal morbidity and mortality, child mortality and unsafe abortions averted.</p><p><strong>Results: </strong>A total of 15 030 women chose the LNG-IUS as a contraceptive method during the study period. Over the 9 years of evaluation, the estimated cumulative contribution of the Brazilian program in terms of DALY averted consisted of 486 live births, 14 cases of combined maternal mortality and morbidity, 143 cases of child mortality and 410 unsafe abortions.</p><p><strong>Conclusions: </strong>Provision of the LNG-IUS at no cost to low-income Brazilian women reduced unwanted pregnancies and probably averted maternal mortality and morbidity, child mortality and unsafe abortions. Family planning programs, policymakers and stakeholders based in low-resource settings could take advantage of the information that the provision of this contraceptive at no cost, or at affordable cost to a publicly-insured population, is an effective policy to help promote women's health.</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"181-185"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101569","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34844657","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":"Denying contraceptive choice to women with a previous ectopic pregnancy.","authors":"Diana J Mansour,&nbsp;Laura Percy","doi":"10.1136/jfprhc-2016-101700","DOIUrl":"https://doi.org/10.1136/jfprhc-2016-101700","url":null,"abstract":"We rarely see women die in our field of medicine. However, one of the authors (DJM) vividly remembers a moribund woman being carried into an accident and emergency department by her employer, having collapsed at work due to a ruptured ectopic pregnancy. That memory was triggered by a patient seen recently in a complex contraception clinic. She was in her early twenties and had previously required admission to the local intensive care unit following a catastrophic haemorrhage due to injury to her internal iliac artery during laparoscopic surgery for an ectopic pregnancy. Her pregnancy had been unplanned and she had been anxious to avoid any further accidental pregnancies. She had spoken to the gynaecologist before discharge and had been offered a combined pill as this was \"just the thing for women who had experienced an ectopic\" as it suppressed ovulation.\u0000\u0000However, just 4 months later she was pregnant again. She was sure that she …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"232-233"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2016-101700","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34859437","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":"End of the road for Essure?<b>®</b>.","authors":"David H Horwell","doi":"10.1136/jfprhc-2017-101850","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101850","url":null,"abstract":"I am writing to draw readers’ attention to a letter dated 31 May 2017 addressed to UK healthcare professionals from Bayer plc, in which that company announced that it had decided to discontinue sales of Essure®, their hysteroscopic female sterilisation device, from 1 September 2017.\u0000\u0000Essure uses metal and polyester fibre ‘microinserts’ that are passed into the proximal parts of the fallopian tubes to occlude them by fibrosis. It was approved for use in the USA in 2002 and in the UK by NICE, the National Institute for Health and Clinical Excellence, in 2009.1 The device was reviewed in this journal in …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"240-241"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101850","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141419","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":"Evidence and reality must trump Trump's ideology: an international perspective.","authors":"Lindsay Edouard,&nbsp;Stan Bernstein","doi":"10.1136/jfprhc-2017-101812","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101812","url":null,"abstract":"In his editorial in this journal’s April 2017 issue, Grossman anticipated that President Donald Trump would have to make changes from his ambitious electoral promises when making decisions in office.1 Whereas the domestic economy, security and health were top priority issues for the USA presidential election, the themes of a political campaign are quite different from the precise positions required during policy formulation, especially when world events intrude on the “America first” transactional perspectives that seek to “make America great again”.\u0000\u0000With both health and security knowing no geographical boundaries, a domestic agenda has global repercussions. Reacting to the anticipated international “population bomb” of the 1960s, the USA promoted family planning (FP), which was subsequently recognised as an integral part of maternal and child health, an essential element of primary healthcare as defined by the World Health Organization (WHO) in 1978. Considering …","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"238"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101812","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141420","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":"In this issue","authors":"Scholar ONe Super User","doi":"10.1136/jfprhc-2017-101842","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101842","url":null,"abstract":"","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 1","pages":"173 - 174"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43409040","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":"Effects of injectable progestogen contraception versus the copper intrauterine device on HIV acquisition: sub-study of a pragmatic randomised controlled trial.","authors":"G Justus Hofmeyr, Mandisa Singata-Madliki, Theresa A Lawrie, Eduardo Bergel, Marleen Temmerman","doi":"10.1136/jfprhc-2016-101607","DOIUrl":"10.1136/jfprhc-2016-101607","url":null,"abstract":"<p><strong>Background: </strong>Evidence from observational studies suggests an increased risk of HIV acquisition among women using depot medroxyprogesterone acetate (DMPA) contraception.</p><p><strong>Methods: </strong>Within the context of a South African programme to increase women's access to the intrauterine contraceptive device (IUD), we conducted a pragmatic, open-label, parallel-arm, randomised controlled trial (RCT) of the IUD versus injectable progestogen contraception (IPC) at two South African hospitals. The primary outcome was pregnancy; secondary outcomes included HIV acquisition. Consenting women attending termination of pregnancy services were randomised after pregnancy termination between July 2009 and November 2012. Condoms were promoted for the prevention of sexually transmitted infections. Voluntary HIV testing was offered at baseline and at 12 or more months later. Findings on HIV acquisition are reported in this article.</p><p><strong>Results: </strong>HIV acquisition data were available for 1290 initially HIV-negative women who underwent a final study interview at a median of 20 months after randomisation to IPC or an IUD. Baseline group characteristics were comparable. In the IPC group, 545/656 (83%) of participants received DMPA, 96 (15%) received injectable norethisterone enanthate, 14 (2%) received the IUD and one received oral contraception. In the IUD group 609 (96%) received the IUD, 20 (3%) received IPC and 5 (1%) had missing data. According to intention-to-treat analysis, HIV acquisition occurred in 20/656 (3.0%) women in the IPC arm and 22/634 (3.5%) women in the IUD arm (IPC vs IUD, risk ratio 0.88; 95% confidence interval 0.48-1.59; <i>p</i>=0.7).</p><p><strong>Conclusions: </strong>This sub-study was underpowered to rule out moderate differences in HIV risk, but confirms the feasibility of randomised trial methodology to address this question. Larger RCTs are needed to determine the relative risks of various contraceptive methods on HIV acquisition with greater precision.</p><p><strong>Trial registration number: </strong>Pan African Clinical Trials Registry number PACTR201409000880157 (04-09-2014).</p>","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"175-180"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ed/99/jfprhc-2016-101607.PMC5537534.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34888547","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":"Comment on 'Care of patients using progestogen-only injectables'.","authors":"Nader Al-Hassan","doi":"10.1136/jfprhc-2017-101833","DOIUrl":"https://doi.org/10.1136/jfprhc-2017-101833","url":null,"abstract":"","PeriodicalId":15734,"journal":{"name":"Journal of Family Planning and Reproductive Health Care","volume":"43 3","pages":"241"},"PeriodicalIF":0.0,"publicationDate":"2017-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/jfprhc-2017-101833","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35141428","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}