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[PMID]:28742443
[Au] Autor:Smith E; Charantimath US; Wilson SF; Hoffman MK
[Ad] Endereço:a Department of Obstetrics and Gynecology , Christiana Care Health System , Newark , DE, USA.
[Ti] Título:Family planning in Southern India: A survey of women's attitudes.
[So] Source:Health Care Women Int;38(10):1022-1033, 2017 Oct.
[Is] ISSN:1096-4665
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Women were recruited from villages in the Belgaum district of India. Members of the research team obtained consent and led 58 interviews in the local languages. Participants were asked questions covering topics related to postpartum contraceptive counseling, knowledge, and experience; postpartum sexual practice; birth spacing desire and counseling; and interest in long-acting reversible contraceptives (LARCs). Women generally desired 3 years of birth spacing. A majority did not receive counseling regarding postpartum contraception during the prenatal period, although most would have liked to have received such counseling. Those who had made a contraceptive plan during the prenatal period had an odds ratio of 25.2 (95% CI 4.9-128.6, p = 0.00001) for using postpartum contraception. Influences on contraceptive decisions primarily came from friends and family, while information from medical providers was not a major influence. Most women did not believe they could make their own decisions regarding contraception use, but those who did had an adjusted odds ratio of 56 (95% CI 3.4-9161, p = 0.0047) of utilizing postpartum contraception. Women generally liked the idea of LARCs. A large majority of the women surveyed (89.66%) liked the idea of a subdermal contraceptive implant, a method currently unavailable in this region. Ultimately, the women surveyed do have healthy attitudes and goals regarding birth spacing but few utilize effective contraception in order to meet their goals. Further efforts in counseling as well as availability of a wider variety of contraceptive methods, including the subdermal contraceptive implant, may decrease the disparity between desires and practices.
[Mh] Termos MeSH primário: Comportamento Contraceptivo
Anticoncepção/métodos
Serviços de Planejamento Familiar/métodos
Conhecimentos, Atitudes e Prática em Saúde
[Mh] Termos MeSH secundário: Adolescente
Adulto
Intervalo entre Nascimentos
Anticoncepção/utilização
Aconselhamento
Serviços de Planejamento Familiar/recursos humanos
Feminino
Seres Humanos
Índia
Período Pós-Parto
Saúde da População Rural
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170726
[St] Status:MEDLINE
[do] DOI:10.1080/07399332.2017.1356306


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[PMID]:29437567
[Au] Autor:Pillai SW
[Ad] Endereço:Edgware Community Hospital, Edgware HA8 0NY, UK.
[Ti] Título:Cutting contraceptive services will have dire consequences.
[So] Source:BMJ;360:k285, 2018 02 05.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Anticoncepcionais
Serviços de Planejamento Familiar
[Mh] Termos MeSH secundário: Anticoncepção
Acesso aos Serviços de Saúde
Seres Humanos
[Pt] Tipo de publicação:LETTER; COMMENT
[Nm] Nome de substância:
0 (Contraceptive Agents)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180214
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.k285


  3 / 17484 MEDLINE  
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[PMID]:29424969
[Au] Autor:Martínez-Ramírez EA; Villarreal-Ríos E; Vargas-Daza ER; Galicia-Rodríguez L; Martínez-González L
[Ti] Título:[Cost of family planning care in 10-19 years old teenagers].
[Ti] Título:Costo de atención por servicios de planificación familiar a adolescentes de 10-19 años..
[So] Source:Ginecol Obstet Mex;84(9):551-6, 2016 Sep.
[Is] ISSN:0300-9041
[Cp] País de publicação:Mexico
[La] Idioma:spa
[Ab] Resumo:Objetives: To identify the costs of family planning care in adolescents. Material and methods: Longitudinal study of the cost of care for family planning carried out in 2015 in a group of individuals with age limits of 10 and 19 years in a unit first level of health care in the state of Queretaro, Mexico. The profile of use of family planning (FP) was created for the teen was performed services through counseling, provision of contraception and review of intrauterine device (IUD) in a year; cost projections for the population of adolescents and different coverage scenarios between 5 and 100% were made. Results: The average annual cost was 228.84 Mexican pesos. Ideally the identified cost was 2,708.94 pesos. The projection with 20 % coverage was 207,251,330 pesos. The average annual family planning consultations was 0.9. The most commonly used method was with medroxyprogesterone-estradiol at doses of 25 and 5 mg. Conclusion: The cost of planning in adolescents is low, taking into account the costs that the care of high-risk pregnancies and associated comorbidities.
[Mh] Termos MeSH primário: Anticoncepção/economia
Anticoncepcionais Femininos/economia
Serviços de Planejamento Familiar/economia
Dispositivos Intrauterinos/economia
[Mh] Termos MeSH secundário: Adolescente
Criança
Anticoncepção/métodos
Anticoncepcionais Femininos/administração & dosagem
Combinação de Medicamentos
Estradiol/administração & dosagem
Estradiol/economia
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Acetato de Medroxiprogesterona/administração & dosagem
Acetato de Medroxiprogesterona/economia
México
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptive Agents, Female); 0 (Drug Combinations); 4TI98Z838E (Estradiol); C2QI4IOI2G (Medroxyprogesterone Acetate)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


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[PMID]:29172410
[Au] Autor:Rowland K
[Ad] Endereço:Department of Family Medicine Rush Medical College Rush University, 630 S. Hermitage Ave Suite 605, Chicago, IL 60612.
[Ti] Título:Contraception Update: Foreword.
[So] Source:FP Essent;462:2, 2017 Nov.
[Is] ISSN:2159-3000
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Anticoncepção/métodos
Serviços de Planejamento Familiar
Medicina de Família e Comunidade
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
[Pt] Tipo de publicação:INTRODUCTORY JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171128
[St] Status:MEDLINE


  5 / 17484 MEDLINE  
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[PMID]:29342175
[Au] Autor:Cormier N; McGlone JJ; Leszyk J; Hardy DM
[Ad] Endereço:Department of Cell Biology & Biochemistry, Texas Tech University Health Sciences Center, Lubbock, Texas, United States of America.
[Ti] Título:Immunocontraceptive target repertoire defined by systematic identification of sperm membrane alloantigens in a single species.
[So] Source:PLoS One;13(1):e0190891, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Sperm competence in animal fertilization requires the collective activities of numerous sperm-specific proteins that are typically alloimmunogenic in females. Consequently, sperm membrane alloantigens are potential targets for contraceptives that act by blocking the proteins' functions in gamete interactions. Here we used a targeted proteomics approach to identify the major alloantigens in swine sperm membranes and lipid rafts, and thereby systematically defined the repertoire of these sperm-specific proteins in a single species. Gilts with high alloantibody reactivity to proteins in sperm membranes or lipid rafts produced fewer offspring (73% decrease) than adjuvant-only or nonimmune control animals. Alloantisera recognized more than 20 potentially unique sperm membrane proteins and five sperm lipid raft proteins resolved on two-dimensional immunoblots with or without prior enrichment by anion exchange chromatography. Dominant sperm membrane alloantigens identified by mass spectrometry included the ADAMs fertilin α, fertilin ß, and cyritestin. Less abundant alloantigens included ATP synthase F1 ß subunit, myo-inositol monophosphatase-1, and zymogen granule membrane glycoprotein-2. Immunodominant sperm lipid raft alloantigens included SAMP14, lymphocyte antigen 6K, and the epididymal sperm protein E12. Of the fifteen unique membrane alloantigens identified, eleven were known sperm-specific proteins with uncertain functions in fertilization, and four were not previously suspected to exist as sperm-specific isoforms. De novo sequences of tryptic peptides from sperm membrane alloantigen "M6" displayed no evident homology to known proteins, so is a newly discovered sperm-specific gene product in swine. We conclude that alloimmunizing gilts with sperm membranes or lipid rafts evokes formation of antibodies to a relatively small number of dominant alloantigens that include known and novel sperm-specific proteins with possible functions in fertilization and potential utility as targets for immunocontraception.
[Mh] Termos MeSH primário: Anticoncepção/métodos
Isoantígenos/imunologia
Espermatozoides/imunologia
[Mh] Termos MeSH secundário: Animais
Cromatografia por Troca Iônica
Eletroforese em Gel de Poliacrilamida
Feminino
Fertilidade/imunologia
Isoantígenos/isolamento & purificação
Masculino
Microdomínios da Membrana/imunologia
Espectrometria de Massas por Ionização e Dessorção a Laser Assistida por Matriz
Suínos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Isoantigens)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180221
[Lr] Data última revisão:
180221
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180118
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190891


  6 / 17484 MEDLINE  
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[PMID]:29360297
[Au] Autor:Berry MD; Thomson Reuters Accelus.
[Ti] Título:Healthcare Reform: Administrative Rulemaking.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-74, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Reforma dos Serviços de Saúde/organização & administração
Seguro Saúde/organização & administração
[Mh] Termos MeSH secundário: Relações Comunidade-Instituição
Anticoncepção/economia
Custo Compartilhado de Seguro/legislação & jurisprudência
Trocas de Seguro de Saúde
Seres Humanos
Cobertura do Seguro
Programas de Assistência Gerenciada
Medicaid
Pessoas sem Cobertura de Seguro de Saúde
Patient Protection and Affordable Care Act
Política
Impostos
Pessoas Transgênero
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  7 / 17484 MEDLINE  
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[PMID]:29237250
[Au] Autor:Hampton K; Mazza D
[Ti] Título:FERTILITY--AWARENESS KNOWLEDGE, ATTITUDES, AND PRACTICES OF WOMEN ATTENDING GENERAL PRACTICE.
[So] Source:Aust Nurs Midwifery J;24(1):42, 2016 07.
[Is] ISSN:2202-7114
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Infertility (the failure to conceive after 12 months of trying) affects one in six Australian couples. Infertile couples are increasingly being referred from general practice for assisted reproductive technology (ART) treatment. However, ART treatment is costly, highly invasive and associated with increases in morbidity and mortality for mothers and babies (Kamphuis et al. 2014).
[Mh] Termos MeSH primário: Conscientização
Fertilidade
Medicina Geral
Conhecimentos, Atitudes e Prática em Saúde
Mulheres/psicologia
[Mh] Termos MeSH secundário: Austrália
Anticoncepção
Feminino
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  8 / 17484 MEDLINE  
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[PMID]:28448483
[Au] Autor:Dee DL; Pazol K; Cox S; Smith RA; Bower K; Kapaya M; Fasula A; Harrison A; Kroelinger CD; D'Angelo D; Harrison L; Koumans EH; Mayes N; Barfield WD; Warner L
[Ti] Título:Trends in Repeat Births and Use of Postpartum Contraception Among Teens - United States, 2004-2015.
[So] Source:MMWR Morb Mortal Wkly Rep;66(16):422-426, 2017 Apr 28.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Teen* childbearing (one or more live births before age 20 years) can have negative health, social, and economic consequences for mothers and their children (1). Repeat teen births (two or more live births before age 20 years) can constrain the mother's ability to take advantage of educational and workforce opportunities (2), and are more likely to be preterm or of low birthweight than first teen births (3). Despite the historic decline in the U.S. teen birth rate during 1991-2015, from 61.8 to 22.3 births per 1,000 females aged 15-19 years (4), many teens continue to have repeat births (3). The American College of Obstetricians and Gynecologists and the American Academy of Pediatrics both recommend that clinicians counsel women (including teens) during prenatal care about birth spacing and postpartum contraceptive use (5), including the safety and effectiveness of long-acting reversible methods that can be initiated immediately postpartum. To expand upon prior research assessing patterns and trends in repeat childbearing and postpartum contraceptive use among teens with a recent live birth (i.e., 2-6 months after delivery) (3), CDC analyzed data from the National Vital Statistics System natality files (2004 and 2015) and the Pregnancy Risk Assessment Monitoring System (PRAMS; 2004-2013). The number and proportion of teen births that were repeat births decreased from 2004 (82,997; 20.1%) to 2015 (38,324; 16.7%); in 2015, the percentage of teen births that were repeat births varied by state from 10.6% to 21.4%. Among sexually active teens with a recent live birth, postpartum use of the most effective contraceptive methods (intrauterine devices and contraceptive implants) increased from 5.3% in 2004 to 25.3% in 2013; however, in 2013, approximately one in three reported using either a least effective method (15.7%) or no method (17.2%). Strategies that comprehensively address the social and health care needs of teen parents can facilitate access to and use of effective methods of contraception and help prevent repeat teen births.
[Mh] Termos MeSH primário: Coeficiente de Natalidade/tendências
Anticoncepção/utilização
Gravidez na Adolescência/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Afroamericanos/estatística & dados numéricos
Coeficiente de Natalidade/etnologia
Grupo com Ancestrais do Continente Europeu/estatística & dados numéricos
Feminino
Hispano-Americanos/estatística & dados numéricos
Seres Humanos
Período Pós-Parto
Gravidez
Gravidez na Adolescência/etnologia
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:180119
[Lr] Data última revisão:
180119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6616a3


  9 / 17484 MEDLINE  
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[PMID]:27773713
[Au] Autor:Karpilow QC; Thomas AT
[Ad] Endereço:Child Trends, Bethesda, MD.
[Ti] Título:Reassessing the importance of long-acting contraception.
[So] Source:Am J Obstet Gynecol;216(2):148.e1-148.e14, 2017 Feb.
[Is] ISSN:1097-6868
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Several recent studies have highlighted the need for greater use of long-acting contraception. The most influential of these studies is the Contraceptive CHOICE Project, which was credited with substantially reducing participants' pregnancy risk by increasing their use of long-acting methods such as intrauterine devices and subdermal implants. However, because participants' rates of nonuse and condom use fell to zero at the outset of the intervention, it is possible that sizable pregnancy reductions could still have been achieved if enrollees had chosen shorter-acting, female-controlled methods such as oral contraception. OBJECTIVE: The objective of the study was to estimate the proportion of the CHOICE Project's fertility impacts that could have been achieved without any increase in long-acting method use. STUDY DESIGN: The FamilyScape 3.0 microsimulation model was used to estimate CHOICE's impact on pregnancy risk and to simulate the counterfactual effect of moving all nonusers and condom users onto shorter-acting, female-controlled methods. FamilyScape models the sexual and contraceptive behaviors of women in the United States between 2006 and 2010, which is the period when CHOICE was implemented. RESULTS: Nearly three quarters of the CHOICE intervention's effects on pregnancy risk could have been achieved if participants had chosen shorter-acting, female-controlled methods over long-acting methods. CONCLUSION: Prioritizing the adoption of long-acting contraception may not be the most advisable strategy for reducing unintended pregnancy. The most impactful interventions will likely be those that increase the use of female-controlled methods, long-acting or otherwise.
[Mh] Termos MeSH primário: Comportamento Contraceptivo/estatística & dados numéricos
Anticoncepção/métodos
Anticoncepcionais Femininos/uso terapêutico
Dispositivos Intrauterinos/utilização
[Mh] Termos MeSH secundário: Simulação por Computador
Anticoncepcionais Orais/uso terapêutico
Preparações de Ação Retardada
Implantes de Medicamento
Feminino
Seres Humanos
Modelos Teóricos
Gravidez
Gravidez não Planejada
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Contraceptive Agents, Female); 0 (Contraceptives, Oral); 0 (Delayed-Action Preparations); 0 (Drug Implants)
[Em] Mês de entrada:1705
[Cu] Atualização por classe:180112
[Lr] Data última revisão:
180112
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:161107
[St] Status:MEDLINE


  10 / 17484 MEDLINE  
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[PMID]:29215509
[Au] Autor:Stuart GS; Ramesh SS
[Ad] Endereço:University of North Carolina School of Medicine, Chapel Hill, North Carolina.
[Ti] Título:Interval Female Sterilization.
[So] Source:Obstet Gynecol;131(1):117-124, 2018 Jan.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Female sterilization is relied on by nearly one in three women aged 35-44 years in the United States. Sterilization procedures are among the most common procedures that obstetrician-gynecologists perform. The most frequent sterilization procedures include postpartum tubal ligation, laparoscopic tubal disruption or salpingectomy, and hysteroscopic tubal occlusion. The informed consent process for sterilization is crucial and requires shared decision-making between the patient and the health care provider. Counseling should include the specific risks and benefits of the specific surgical approaches. Additionally, women should be counseled on the alternatives to sterilization, including intrauterine contraceptives and subdermal contraceptive implants. Complications, including unplanned pregnancy after successful female sterilization, are rare. The objectives of this Clinical Expert Series are to describe the epidemiology of female sterilization, access to postpartum sterilization, advances in interval sterilization techniques, and clinical considerations in caring for women requesting sterilization.
[Mh] Termos MeSH primário: Taxa de Gravidez/tendências
Esterilização Reprodutiva/métodos
Esterilização Reprodutiva/estatística & dados numéricos
Esterilização Tubária/métodos
[Mh] Termos MeSH secundário: Adulto
Fatores Etários
Anticoncepção/métodos
Feminino
Seres Humanos
Incidência
Satisfação do Paciente/estatística & dados numéricos
Período Pós-Parto
Gravidez
Medição de Risco
Salpingectomia/métodos
Esterilização Reprodutiva/efeitos adversos
Esterilização Tubária/estatística & dados numéricos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180108
[Lr] Data última revisão:
180108
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002376



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