European Journal of Contraception and Reproductive Health Care最新文献

{"title":"Real-world use of antispasmodic drugs during IUD insertion - insights from the large observational study EURAS-LCS12.","authors":"Lisa Eggebrecht, Manuel Rizzo, Moritz Klinghardt, Tanja Böhnke, Clare Barnett, Klaas Heinemann","doi":"10.1080/13625187.2025.2480086","DOIUrl":"https://doi.org/10.1080/13625187.2025.2480086","url":null,"abstract":"","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-4"},"PeriodicalIF":1.9,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781719","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to discourage belief-based denial of abortion care.","authors":"Christian Fiala, Joyce Arthur","doi":"10.1080/13625187.2025.2482828","DOIUrl":"https://doi.org/10.1080/13625187.2025.2482828","url":null,"abstract":"<p><p>The exercise of so-called 'conscientious objection' in reproductive healthcare is unchecked and subject to widespread abuse. A growing body of evidence shows that the practice creates significant harms for patients needing abortions by delaying their care or depriving them of care, sometimes even costing their lives. We have coined the more accurate term 'belief-based care denial' as the phrase 'conscientious objection' was inappropriately co-opted from military conscientious objection, with which it has nothing in common. In this article, we note the evidence against belief-based care denial, refute fallacies in the views that support the practice, and recommend measures to reduce the number of care deniers over time, with the prospect of an eventual return to the ethical standard that obligates healthcare professionals to provide medical care.</p>","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-5"},"PeriodicalIF":1.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual behaviour, contraceptive use, and family planning intentions: 30 years of repeated cross-sectional surveys.","authors":"Cerisa Obern, Tanja Tydén, Inger Sundström Poromaa, Frida Gyllenberg","doi":"10.1080/13625187.2025.2470422","DOIUrl":"https://doi.org/10.1080/13625187.2025.2470422","url":null,"abstract":"<p><strong>Purpose: </strong>Globally, women are postponing childbearing and total fertility rates are decreasing. In Sweden, a 2018 law requires consent before sexual activity and LARC is now recommended as a first-hand choice. This study compares sexual behaviour (including consent), contraceptive use and family planning intentions with past surveys.</p><p><strong>Material and methods: </strong>This is a cross-sectional survey that has been repeated every fifth-tenth year since 1989 in Sweden. It explores sexual behaviour, contraceptive use and family planning intentions among women attending a gynaecology clinic for contraceptive counselling and compares these results with previous surveys.</p><p><strong>Results: </strong>Of the 596 women surveyed, 558 were sexually experienced, the majority (98%) of which perceived consent during their most recent sexual activity. Over 30 years, there was a significant trend towards having more sexual partners (<i>p</i> = 0.02). The use of SARC (<i>p</i> = <0.01) and LARC (<i>p</i> = 0.04) has increased since 2014, while condom use and emergency contraceptive use have decreased (<i>p</i> = <0.01 for both). Three out of four respondents (<i>n</i> = 449) wanted children, significantly fewer than 2014.</p><p><strong>Conclusions: </strong>Sexual behaviour and contraceptive use have changed over the last ten years in Sweden. More women use effective forms of contraception and informed consent laws may have positive implications. Yet fewer women have decided to have children in the future.</p>","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the effects of menstrual headaches on health-related quality of life in young women: a cross-sectional study.","authors":"Parisa Hadavi Bavili, Kevser İlçioğlu, Yasemin Hamlacı Başkaya, Alaettin Ünsal","doi":"10.1080/13625187.2025.2460739","DOIUrl":"https://doi.org/10.1080/13625187.2025.2460739","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to determine the effects of menstrual headaches on quality of life in young women. It also determines the frequency and examines variables associated with menstrual headaches.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted from October 2021 to April 2022 among 984 young women aged 18-28. The SF-36 Health-Related Quality of Life questionnaire was used for assessment, and data were analysed using IBM SPSS 20.0. Sociodemographic factors, menstrual characteristics, and lifestyle habits were included as variables.</p><p><strong>Results: </strong>Menstrual headaches were reported by 35.6% (<i>n</i> = 318) of participants. These headaches were significantly associated with disrupted family structures, shorter menstrual cycles, dysmenorrhoea, smoking, cola-containing drink consumption, medication-dependent chronic diseases, and early menarche. Women with menstrual headaches had lower median scores across all SF-36 subscales compared to those without. This study also found that delayed-onset menstrual headaches are more common than early-onset menstrual headaches in women.</p><p><strong>Conclusion: </strong>Menstrual headaches adversely affect health-related quality of life in women. The prevalence and severity of these risk factors can be reduced by modifying lifestyles and implementing targeted interventions. A healthcare provider plays a critical role in helping women learn self-management strategies to alleviate menstrual headaches' adverse effects.</p>","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sociodemographic and reproductive characteristics of pregnant women with unplanned pregnancy residing in the state of São Paulo, Brazil: a cross-sectional study.","authors":"Negli Gallardo-Alvarado, João V Antunes Lopes, Jose Guilherme Cecatti, Miriam Camas-Castillo, Renato T Souza, Luis Bahamondes","doi":"10.1080/13625187.2025.2457082","DOIUrl":"https://doi.org/10.1080/13625187.2025.2457082","url":null,"abstract":"<p><strong>Objective: </strong>The aim of our study was to assess the associated factors of planned and unplanned pregnancies (UPs) among pregnant women in São Paulo, Brazil.</p><p><strong>Methods: </strong>We conducted a cross-sectional study from March 2023 to June 2024 and invited pregnant women aged 18 to 49 years. We used the Brazilian-validated version of the London Measure of Unplanned Pregnancy to assess pregnancy intentions. We estimated absolute and relative frequencies of planned and UPs by sociodemographic and reproductive characteristics. Bivariate and multiple regression analysis were performed to evaluate the associated factors for UPs.</p><p><strong>Results: </strong>We included 534 participants; 65.7% reported an UP. Black or Biracial vs White women (74% vs. 57%, <i>p</i> < 0.001), with 0 to 9 years vs. those with >9 of schooling (77% vs. 51%, <i>p</i> < 0.001), and single vs married women (85% vs. 48%, <i>p</i> < 0.001) were associated with UPs. Parous women or those reporting a younger age at their sexual debut were more commonly reported UPs. The associated factors to UPs were being Black or Biracial (Odds ratio [OR] 1.68, 95% Confidence Interval [CI] 1.11;2.57), reporting fewer schooling years (OR 1.61, 95% CI 1.01;2.54), not being married [(OR 2.41, 95% CI 1.53;3.84) for cohabiters and OR 5.23, 95% CI 2.93;9.74) for single] and reporting additional births (OR 1.28, 95% CI 1.07;1.56).</p><p><strong>Conclusion: </strong>Black or Biracial, with fewer years of schooling, not married, and parous women were at a higher risk of UPs. These women tend to face structural barriers to planning the size and timing of their families, requiring actions like increasing tertiary education access and guaranteeing universal modern contraceptive availability to leverage these disadvantages and fulfil their sexual and reproductive rights.</p>","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-7"},"PeriodicalIF":1.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Response to \"The evolution of abortion laws: socio-legal insights from the Pre-<i>Roe</i> era and their impact on reproductive health\".","authors":"Johnny Sakr","doi":"10.1080/13625187.2025.2466985","DOIUrl":"https://doi.org/10.1080/13625187.2025.2466985","url":null,"abstract":"","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-2"},"PeriodicalIF":1.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The evolution of abortion laws: socio-legal insights from the pre-<i>Roe</i> era and their impact on reproductive health.","authors":"John Patrick C Toledo","doi":"10.1080/13625187.2025.2463439","DOIUrl":"https://doi.org/10.1080/13625187.2025.2463439","url":null,"abstract":"","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-2"},"PeriodicalIF":1.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of intrauterine device use and risk of abnormal cervical cytology.","authors":"Christine M Corrêa, Luiz C Zeferino, Luis Bahamondes","doi":"10.1080/13625187.2025.2453869","DOIUrl":"https://doi.org/10.1080/13625187.2025.2453869","url":null,"abstract":"<p><strong>Objective: </strong>To determine whether intrauterine device (IUD) use is associated with a significantly increased risk of abnormal cervical cytology.</p><p><strong>Methods: </strong>A retrospective cohort study was carried out at the University of Campinas, Campinas, SP, Brazil. Data came from medical records of 2,963 women from a family planning clinic who had undergone at least one cervical cytology for screening between 1990 and 2017. Women were split into three groups: users of either copper (Cu)- or the levonorgestrel 52 mg-IUD (2,305) and users of other contraceptive methods (658). The dependent variable was the cytological results as normal and abnormal, based on the Bethesda System. The most severe cytological result of each participant was considered and when all her results were normal, the last one was considered.</p><p><strong>Results: </strong>IUD use was associated with a lower risk of abnormal cervical cytology after adjusting for the number of cytology assessments per participant (RR 0.74; 95% CI 0.55;0.99; <i>p</i> = 0.049). Abnormal cervical cytology was more common in women with multiple cytology assessments and a longer duration since sexual debut. For each additional cytology test, the risk increased by 33.8% (<i>p</i> < 0.001), and for every additional year since sexual debut, the risk increased by 6.2% (<i>p</i> < 0.001). A lower incidence of abnormal cervical cytology was observed among women with a history of caesarean delivery, with a 24.9% reduction in risk per additional caesarean (<i>p</i> < 0.001). IUD users underwent more cervical cytology assessments than non-IUD users.</p><p><strong>Conclusion: </strong>We identified low risk of abnormal cervical cytology among IUD users.</p>","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of abortion bans on pregnancies with severe life-limiting foetal anomalies in the United States: a cost-effectiveness analysis.","authors":"David M Monroe, Megha Arora, Kimberley A Bullard, Aaron B Caughey","doi":"10.1080/13625187.2025.2469850","DOIUrl":"https://doi.org/10.1080/13625187.2025.2469850","url":null,"abstract":"<p><strong>Objective: </strong>Since the US Supreme Court decision in <i>Dobbs v. Jackson Women's Health</i> to overturn the constitutional right to abortion in June 2022, 24 states have enacted laws prohibiting termination of pregnancy before most foetal anomalies are diagnosed. Few practical exceptions are made for trisomy 13, trisomy 18, or anencephaly, which are severe life-limiting conditions with significant morbidity for survivors. In this cost-effectiveness model, we estimated the difference in cost and maternal health outcomes associated with a termination ban for severe life-limiting foetal anomalies.</p><p><strong>Methods: </strong>A decision-analytic model was built using TreeAge software to compare a total ban on termination in a theoretical cohort of 868 women desiring a termination of pregnancy based on the annual incidence of trisomy 13, trisomy 18, or anencephaly (5.76/10,000) and birth data from the 24 states with bans. Probabilities, utilities and societal costs were derived from the literature. National data were used to estimate the number of women who would travel out-of-state to obtain an abortion (27.2%). The threshold for cost-effectiveness was set at $100,000 per quality-adjusted life year (QALY). Clinical outcomes included maternal death, stillbirth, birth of neonates with severe disease, severe preeclampsia, blood transfusion for haemorrhage, and infections.</p><p><strong>Results: </strong>With an abortion ban as compared to without, there would be an additional 406 live births affected by a severe life-limiting anomaly, 223 stillbirths, 3 cases of pre-eclampsia, 5 cases of haemorrhage requiring transfusion, and 12 cases of postpartum or postoperative infection. A policy restricting termination is associated with higher costs ($46,223,865) and decreased quality of life (3242 QALYs) annually. Two hundred and thirty-six women would travel out-of-state to obtain abortions.</p><p><strong>Conclusion: </strong>Termination bans without exceptions for severe life-limiting foetal anomalies significantly restrict access to care for pregnant people and are associated with increased costs and worse health outcomes. Policies addressing abortion access should consider these health and cost impacts for both individuals and society.</p>","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-9"},"PeriodicalIF":1.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Would it be feasible for European Union countries to implement Safe Access Zones for premises providing abortion services?","authors":"Emily Ottley, Sam Rowlands","doi":"10.1080/13625187.2025.2463431","DOIUrl":"https://doi.org/10.1080/13625187.2025.2463431","url":null,"abstract":"<p><p>Anti-abortion protestors situated near premises providing abortion services create barriers and hurdles to accessing abortion services, which violates the right of pregnant people to seek sexual and reproductive health services. There has been shown to be a need for Safe Access Zones (SAZs) to guarantee physical access to abortion services without obstruction. SAZs usually operate within a prescribed radius around premises providing abortion services and set out what behaviour is prohibited. The objective of this paper is to present a summary of the international experience of introducing and implementing SAZ laws, and to explain the lessons to be learned from this experience. SAZ legislation has been successfully enacted internationally in 22 jurisdictions (USA excluded). Countries with SAZ laws include Australia, New Zealand, the UK, and parts of Canada. Despite the Parliamentary Assembly of the Council of Europe calling for the introduction of SAZs in 2022, only two European Union (EU) countries have implemented this recommendation so far. On the basis of the medical and legal insights gained from the functioning of SAZs to date, it is the authors' opinion that it would be feasible for the 25 EU countries that do not yet have such zones to legislate for SAZs.</p>","PeriodicalId":50491,"journal":{"name":"European Journal of Contraception and Reproductive Health Care","volume":" ","pages":"1-6"},"PeriodicalIF":1.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}