Increasing intrauterine contraception use by reducing barriers to post-abortal and interval insertion
| Autor: | Courtney Benedict, Sarah K. Hendlish, Anne Foster-Rosales, Matthew F. Reeves, Madeline Pera-Floyd, Suzan Goodman |
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| Rok vydání: | 2008 |
| Předmět: |
Adult
medicine.medical_specialty Inservice Training Psychological intervention Abortion Intrauterine device Pregnancy medicine Humans Practice Patterns Physicians' Abortion Therapeutic Gynecology Obstetrics business.industry Contraindications Obstetrics and Gynecology Intrauterine contraception medicine.disease Reproductive Medicine Family planning Family Planning Services Female business Developed country Unintended pregnancy Intrauterine Devices |
| Zdroj: | Contraception. 78:136-142 |
| ISSN: | 0010-7824 |
| DOI: | 10.1016/j.contraception.2008.03.008 |
| Popis: | Background We hypothesize that barriers to IUD insertion are central to low utilization in the USA. This study evaluates methods to minimize barriers, including post-abortal insertion, staff training and simplified screening. Study Design We obtained data on IUD utilization during three study periods: a control period (Period 1), a period after initiating post-abortal insertion and staff training (Period 2), and a period with these interventions plus simplified screening for interval insertions (Period 3). We evaluated IUD utilization, associated complications and utilization at a similar local agency in which the interventions were not implemented. Results We inserted 2172 IUDs during the study, including 1493 interval and 679 post-abortal insertions. In the control period, there were 28 monthly IUD insertions on average, compared to 71 (a 151% increase) and 122 (a 334% increase) in Periods 2 and 3, respectively. IUD utilization at the nearby agency remained relatively constant. Complications remained low. Conclusions IUD utilization can be substantially increased through relatively simple, low-cost interventions, with significant potential to reduce unintended pregnancy. |
| Databáze: | OpenAIRE |
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