The British journal of family planning最新文献

{"title":"Immediate post-abortal insertion of the frameless GyneFix IUD: initial experience in China.","authors":"X Cao,&nbsp;W Zhang,&nbsp;Y Gao,&nbsp;X Zhao,&nbsp;N Lin,&nbsp;L Wang,&nbsp;C Li,&nbsp;L Song,&nbsp;W Zhang,&nbsp;Z Zhang,&nbsp;H van Kets,&nbsp;D Wildemeersch","doi":"10.1783/147118900101194319","DOIUrl":"https://doi.org/10.1783/147118900101194319","url":null,"abstract":"<p><p>The promising results obtained with the frameless GyneFix IUD for interval insertion led to the belief that the technology could be useful for immediate post-abortal application to reduce the number of induced and repeat abortions. IUDs have many advantages and the method is acceptable and safe. However, side effects and expulsion of conventional IUDs remain a problem. In an attempt to minimise these problems, the frameless GyneFix IUD was developed. Clinical studies conducted over the past 14 years have shown that the principles on which the device is based are valid. An increasing bulk of clinical evidence shows that the design characteristics of the device (fixed, frameless and flexible) are responsible for the low expulsion, high effectiveness, and high tolerance and continuation rates.1 Experience with the frameless IUD in China since 1989 confirms the international experience with the device. The present communication is a second report from China with the GyneFix IUD. In the present study the GyneFix IUD is inserted immediately following termination of pregnancy of less than 10 weeks amenorrhea. It is concluded that immediate post-abortal insertion of the frameless IUD is easy and safe, and appears to be as reliable and as effective as when it is inserted at interval. The GyneFix IUD could, therefore, constitute an important new option in the prevention of abortion.</p>","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"26 2","pages":"85-8"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1783/147118900101194319","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21622531","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":"Medroxyprogesterone acetate [Depo Provera] injections. Development of striae.","authors":"M Gupta","doi":"10.1783/147118900101194157","DOIUrl":"https://doi.org/10.1783/147118900101194157","url":null,"abstract":"<p><p>A young girl developed extensive striae while on Depo Provera injections. She had gained some weight during the treatment. Endocrinal investigations were negative. The development of striae was attributed to her weight gain.</p>","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"26 2","pages":"104-5"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1783/147118900101194157","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21622535","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":"Women's knowledge of, and attitudes to, contraceptive effectiveness and adverse health effects.","authors":"J E Edwards,&nbsp;A Oldman,&nbsp;L Smith,&nbsp;H J McQuay,&nbsp;R A Moore","doi":"10.1783/147118900101194292","DOIUrl":"https://doi.org/10.1783/147118900101194292","url":null,"abstract":"<p><p>Our objectives were to determine women's knowledge of the effectiveness of different contraceptive methods and the risks of thrombosis with use of hormonal contraceptives, and their attitudes regarding the acceptability of bleeding irregularities and weight change. An additional aim was to determine what information women want to be given about contraceptives. In order to satisfy the study objectives, a series of semi-structured focus groups was conducted with women of differing life-stage and background from Oxford. Quantitative data were collected using a structured questionnaire. Qualitative data were collected through discussion with group members. Forty-five women attended four focus groups. Women were segregated into the following groups: professional working mothers; non-professional mothers; young, unmarried professional women; and undergraduate students. Women tended to overestimate the risks and underestimate the effectiveness of hormonal contraceptives. They were resistant to interference with their bleeding patterns and weight.</p>","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"26 2","pages":"73-80"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1783/147118900101194292","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21622629","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":"A CPD Self-Assessment Test - Answer Sheet","authors":"","doi":"10.1783/147118900101194283","DOIUrl":"https://doi.org/10.1783/147118900101194283","url":null,"abstract":"","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"42 1","pages":"122 - 122"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88243589","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":"25 Years of The British Journal of Family Planning","authors":"F. Reader","doi":"10.1783/147118900101194247","DOIUrl":"https://doi.org/10.1783/147118900101194247","url":null,"abstract":"","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"26 1","pages":"71 - 72"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75590180","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":"Interactions with hormonal contraception.","authors":"A Elliman","doi":"10.1783/147118900101194193","DOIUrl":"https://doi.org/10.1783/147118900101194193","url":null,"abstract":"All methods of contraception have failure rates. Additional failures may occur when interacting drugs are used, and knowledge of these mechanisms should help minimise such problems. This article will look at interactions with hormonal methods of contraception, only some of which, at the present state of knowledge, have clinical significance. The synthetic hormones ethinyloestradiol (EE) and progestogens are absorbed (if taken orally), transported to the liver, metabolised, and returned to the large bowel. Progestogen is excreted, whereas oestrogen is reabsorbed (the enterohepatic circulation, EHC).","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"26 2","pages":"109-11, quiz 111,122"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1783/147118900101194193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21737312","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":"FPA Launches Bodyworks booklet","authors":"","doi":"10.1783/147118900101194355","DOIUrl":"https://doi.org/10.1783/147118900101194355","url":null,"abstract":"","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"47 1","pages":"99 - 99"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82383724","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":"The demand and supply of nutritional advice and guidance in Scottish family planning services.","authors":"S Tessier,&nbsp;S E Morris,&nbsp;M E Lean","doi":"10.1783/147118900101194346","DOIUrl":"https://doi.org/10.1783/147118900101194346","url":null,"abstract":"<p><p>Recent changes to the health services have led to an increased provision of clinical care in family planning clinics. While some women may only require contraceptive services, others may demand advice on a breadth of lifestyle issues, including diet and nutrition. Obesity affects 17% of women of childbearing age in Scotland and being overweight during pregnancy has significant health risks. A postal survey of 227 nurses identified as working in family planning clinics in Scotland was conducted in 1998. After a mail shot and one reminder, a net response rate of 64% (n = 145) was achieved. Overall, it was found that obesity was perceived as the most extensive problem in women of childbearing age. Seventy nurses (48%) reported that, in addition to offering family planning services, they gave dietary advice 'frequently' or 'always' to their clients without being asked. There were differences in nutrition-related activities in consultations between nurses offering family planning services only and those who routinely offered nutritional advice. Over half (61%) of the nurses reported that they would give advice regarding weight management even if the patients were not seeking help, although there was no significant difference between the two comparison groups. In some cases, the nutritional advice offered to clients highlighted a deficit in training. Most nutrition education came from diploma and/or training courses and scientific literature, followed by 'experience'. Those nurses already embracing a nutritional advice and guidance role were more interested in further nutrition training (p = 0.018) than the other nurses. However, overall, 67% of the nurses wished to train further in nutrition and weight management. The findings suggest that family planning nurses should be supported to develop nutritional advice and guidance skills, and that there is a pressing need for training in public health nutrition and weight management for nurses working in family planning services.</p>","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"26 2","pages":"97-9"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1783/147118900101194346","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21622533","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":"Amenorrhoea despite displaced levonorgestrel intra-uterine system.","authors":"C Bobrow,&nbsp;H Cooling,&nbsp;D Bisson","doi":"10.1783/147118900101194166","DOIUrl":"https://doi.org/10.1783/147118900101194166","url":null,"abstract":"A 29-year-old woman presented to the gynecology outpatient clinic with abdominal discomfort following the insertion of a levonorgestrel intrauterine system (LNG-IUS). It was noted that although the patient remained amenorrheic since the insertion, there was a persistent left iliac fossa discomfort, which was constant in nature and not made worse by intercourse. On examination, there was a vague tenderness in the left iliac fossa, and a transvaginal ultrasound scan showed bright echoes outside the uterus suggestive of an extrauterine IUS. Thus, arrangements were made for an admission for hysteroscopy and laparoscopy, proceeding to laparotomy if required. Following the procedures, the patient reported disappearance of the discomfort, although the LNG-IUS had not yet been retrieved. X-ray revealed the device lying high in the abdomen and laparoscopy was conducted. The LNG-IUS itself was buried, but was easily retrieved with gentle counteraction on the omentum through a 5 mm laparoscopy portal. Overall, this case emphasizes the importance of an X-ray as well as an ultrasound investigation in such cases.","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"26 2","pages":"105-6"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1783/147118900101194166","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21622536","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":"Multidisciplinary learning in family planning clinics.","authors":"P Baraitser,&nbsp;M Herns,&nbsp;S Webb","doi":"10.1783/147118900101194175","DOIUrl":"https://doi.org/10.1783/147118900101194175","url":null,"abstract":"This study aimed to evaluate the acceptability of joint learning between clinical and nonclinical members of family planning teams. A multidisciplinary workshop was facilitated by nonexpert facilitators comprising representatives from all disciplines who had received specific training. The workshop included sessions in which clinical and nonclinical staff learned separately and together. The program was evaluated using a questionnaire documenting participants' experience of learning in multidisciplinary teams, a pre- and post-workshop self-assessment of knowledge, a self-assessment of the predicted and actual effect of the workshop on clinical practice, and telephone interviews with the facilitators. Overall, results show that peer-facilitated multidisciplinary learning for clinical and nonclinical staff together is an acceptable form of staff training for family planning teams. Most participants felt comfortable in their learning groups and few reported feeling constrained by inter- or intradisciplinary hierarchies. In conclusion, the exclusion of nonclinical staff from interdisciplinary learning programs represents a missed opportunity for the exchange of ideas between family planning clinic teams.","PeriodicalId":22378,"journal":{"name":"The British journal of family planning","volume":"26 2","pages":"107-8"},"PeriodicalIF":0.0,"publicationDate":"2000-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1783/147118900101194175","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21622537","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}