BMJ Sexual & Reproductive Health最新文献_第4页

A post-abortion contraception text-and-call service to support patients to access effective contraception after telemedicine abortion. 提供流产后避孕短信和呼叫服务，以支持患者在远程医疗流产后获得有效的避孕措施。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-01-06 DOI: 10.1136/bmjsrh-2024-202391

John Joseph Reynolds-Wright, Sharon T Cameron

{"title":"A post-abortion contraception text-and-call service to support patients to access effective contraception after telemedicine abortion.","authors":"John Joseph Reynolds-Wright, Sharon T Cameron","doi":"10.1136/bmjsrh-2024-202391","DOIUrl":"10.1136/bmjsrh-2024-202391","url":null,"abstract":"Background: Most abortions in Scotland are conducted at home before 12 weeks' gestation using telemedicine. The volume of information given at a pre-abortion consultation may feel overwhelming and contraception may not be prioritised. Telemedicine limits immediate provision of some methods. Pathways to improve access to post-abortion contraception (PAC) are needed.Methods: We piloted a PAC 'text-and-call' service for patients having telemedicine abortion in Edinburgh. Those agreeing to contact were sent a text message 4-6 weeks later. The message offered a follow-up telephone call with a nurse to discuss contraception. An online decision aid was used to support method selection where needed. Rapid access to the chosen method was arranged.Results: During the period February-April 2022, 672 patients accessed abortion care, of whom 427 (64%) agreed to post-abortion text message contact. Most (354/427, 83%) did not respond or declined further contact, and 73/427 (17%) requested a follow-up call.Two participants did not respond to the follow-up call. Most (63/73, 86%) knew what method they wanted prior to the call. Just over half of these patients (34/73, 54%) changed to a higher-effectiveness method than they were currently using and the remainder obtained further supplies of their existing method. Eight participants had not selected a method prior to the call and received structured counselling; five chose long-acting reversible contraception (LARC) but only one subsequently initiated this.Conclusions: This PAC service was taken up by a small proportion of patients but supported a sizeable minority to connect to further contraceptive supplies, half of whom accessed more effective methods.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":"51-53"},"PeriodicalIF":3.4,"publicationDate":"2025-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Acceptability of home-based medical abortion among Hong Kong women undergoing an abortion: a cross-sectional study. 香港人工流产妇女对在家进行药物流产的接受程度：一项横断面研究。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2025-01-06 DOI: 10.1136/bmjsrh-2024-202360

Ingrid D Lui, Sue Seen Tsing Lo, Jianchao Quan

引用次数: 0

Reflections and future directions for patient and public involvement and engagement (PPIE) in abortion research and service improvement. 堕胎研究和服务改进中患者和公众参与和参与（PPIE）的反思和未来方向。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-31 DOI: 10.1136/bmjsrh-2024-202441

Nicola Boydell, Rebecca Blaylock

引用次数: 0

Association between menstrual cycle pattern regularity and changes in menstrual bleeding following COVID-19 vaccination: secondary analysis of an observational study. COVID-19疫苗接种后月经周期规律与月经出血变化的关系：一项观察性研究的二次分析

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-31 DOI: 10.1136/bmjsrh-2024-202564

Emily R Boniface, Blair G Darney, Agathe van Lamsweerde, Eleonora Benhar, Leo Han, Kristen Matteson, Victoria Male, Sharon Cameron, Alexandra Alvergne, Alison Edelman

引用次数: 0

Motivations for obtaining advance provision of medication abortion in the United States: a qualitative study. 美国药物流产提前提供的动机：一项定性研究。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-31 DOI: 10.1136/bmjsrh-2024-202580

Dana M Johnson, Sruthi Ramaswamy, Rebecca Gomperts, Abigail R A Aiken

{"title":"Motivations for obtaining advance provision of medication abortion in the United States: a qualitative study.","authors":"Dana M Johnson, Sruthi Ramaswamy, Rebecca Gomperts, Abigail R A Aiken","doi":"10.1136/bmjsrh-2024-202580","DOIUrl":"10.1136/bmjsrh-2024-202580","url":null,"abstract":"Background: Advance provision of medication abortion, or the prescription of mifepristone and misoprostol before pregnancy occurs, is an unexplored care model aimed at expanding abortion access. We examine motivations for obtaining advance provision from the online telemedicine service, Aid Access, which supports people in the United States.Methods: Between May and November 2023, we conducted semi-structured, in-depth interviews with 39 people who obtained advance provision between January 2022 and April 2023. Interviews were transcribed and we conducted a thematic analysis to assess individual motivations.Results: Participants were motivated to obtain medications because of the Dobbs v Jackson Women's Health Organization (Dobbs) draft opinion leak and eventual decision. Participants expressed concerns about access to abortion under current and future abortion restrictions. Concerns about restrictions prompted people to make a backup plan for themselves and loved ones, and participants compared advance provision to other emergency medications and practices. Some participants were motivated to have medications on hand because pregnancy would be either unsafe or difficult. Others were trying to become pregnant, but because of their health histories they were cognisant of the health risks of a desired pregnancy. Overall, participants were motivated to take back control of their reproductive autonomy in the face of inevitable abortion bans.Conclusions: The need for autonomy, resistance and reassurance were woven throughout participant's motivations for obtaining advance provision. The Dobbs decision acted as a catalyst for action to take back reproductive autonomy and prepare for a lack of access to abortion care.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Expanding insurance coverage to include newly available over-the-counter contraceptives in the United States. 扩大保险范围，将美国新上市的非处方避孕药纳入保险范围。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202381

Sarah Munro, Catherine L Satterwhite, Megha Ramaswamy

引用次数: 0

Male contraception: successes, challenges and the future. 男性避孕：成功、挑战与未来。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202427

Richard A Anderson

引用次数: 0

A revisit of knowledge, attitude and practice of emergency contraception in Hong Kong. 重新审视香港人对紧急避孕的认识、态度和做法。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202331

Yat Yee Shizuka Chan, Siu Fan Rebecca Wan, Hang Wun Raymond Li, Sue Seen-Tsing Lo

{"title":"A revisit of knowledge, attitude and practice of emergency contraception in Hong Kong.","authors":"Yat Yee Shizuka Chan, Siu Fan Rebecca Wan, Hang Wun Raymond Li, Sue Seen-Tsing Lo","doi":"10.1136/bmjsrh-2024-202331","DOIUrl":"10.1136/bmjsrh-2024-202331","url":null,"abstract":"Objectives: To revisit women's knowledge, attitudes and practices (KAP) regarding emergency contraception (EC) in Hong Kong. The research sought to provide insights for improving the accessibility and quality of EC services.Study design: A cross-sectional study, where self-administered questionnaires were distributed at a major community sexual and reproductive health service in Hong Kong over a 3-month period between July 2023 and October 2023. Descriptive and regression analyses were used.Results: Of 1127 respondents, the majority (n=1057, 93.8%) reported using contraception and 513 (45.6%) had used EC. The main contraceptive methods used were male condoms and oral contraceptive pills. The majority (n=1035, 91.8%) of respondents demonstrated awareness about EC and 938 (83.2%) participants correctly reported the timeframe for oral EC. Around two-thirds reported the internet as being their leading source of EC knowledge. Over 93% of respondents advocated for enhancing public awareness. Acceptance of non-traditional means of obtaining EC, such as over-the-counter provision (51.3%), pharmacy provision (49.8%) and telemedicine consultation (43.1%), were higher than face-to-face EC consultations (32.9%).Conclusions: Family planning service users' characteristics and KAP regarding EC have significantly changed over the last 20 years. Women now demonstrate greater awareness, knowledge and openness regarding EC, indicating improved readiness for more liberal delivery of EC nowadays. This study highlights the need for restructuring EC service provision in Hong Kong to address women's changing preferences and contraceptive needs, and to minimise barriers to EC access. We recommend reclassifying emergency contraceptive pills as non-prescription drugs in Hong Kong to align with international practice.","PeriodicalId":9219,"journal":{"name":"BMJ Sexual & Reproductive Health","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142280457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sexual and reproductive health clinical consultations: Recurrent vulvovaginal candidiasis. 性与生殖健康临床咨询：复发性外阴阴道念珠菌病。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202537

Madeleine Benns, Corrina Horan

引用次数: 0

Oral contraception prescribing trends in Scottish general practices between 2016 and 2023. 2016 年至 2023 年苏格兰普通诊所的口服避孕药处方趋势。

IF 3.4 3区医学

BMJ Sexual & Reproductive Health Pub Date : 2024-12-30 DOI: 10.1136/bmjsrh-2024-202387

Elliot Johnson-Hall

引用次数: 0