Contraception

Women with pregestational diabetes mellitus (DM) who recognize benefits in contraception and preconception care are much more likely to use contraception postpartum, according to a survey in the Journal of Obstetrics, Gynecologic & Neonatal Nursing.

Besides routinely offering postpartum LARC to their patients, ob/gyns must advocate for policies that support these devices.

Research from Perspectives on Sexual and Reproductive indicates that school-based health centers offering comprehensive reproductive services leads to substantially fewer teenage pregnancies, abortions and births.  

Counseling strategies that target women initiating a contraception method, including structured counseling on side effects, tend to increase contraceptive continuation, according to research from BMJ Sexual & Reproductive Health. 

Research from Contraception indicates that a new counseling strategy could lead to enhanced patient satisfaction with their birth control method.

Reproductive-aged women with at least one chronic health condition were twice as likely to use highly effective contraception than women without a chronic condition, according to new research.

Medicaid patients are less likely to receive sterilization at time of cesarean, and the reason may surprise you.

Continuation rates for long-acting reversible contraceptives (LARC) were high in a group of adolescent and young adult (AYA) women, according to a retrospective chart review in the Journal of Pediatric and Adolescent Gynecology.

A JAMA Psychiatry prospective cohort study found that scores for depression were higher among younger adolescents who used oral contraceptives (OCs) than those who did not, but the connection did not remain when all included age groups of the study were combined. 

A recent presentation at the 2019 American Society for Reproductive Medicine Scientific Congress & Expo compared female sexual function (FSF) in three progestin-only contraceptives (POCs) among first-time users.

A recently published study found that providers are more likely to focus on the patient's contraceptive preferences when the patient has interacted with a contraceptive decision-support tool.

Sexual minority women (SMW) face many of the same barriers in obtaining and using contraceptives as those described by straight women, according to new research.

This summary of SMFM Consult Series #48 provides answers to 15 frequently asked questions about postpartum contraception.  

Since hormonal contraception was introduced in the 1960s, the risks and benefits of the drugs have been the topic of considerable debate. How much do you know about the subject?   

A recent population-based cohort study examined whether women with schizophrenia are at higher risk for rapid repeat pregnancy than their peers without schizophrenia.

Results from the HOPE study indicate that a monthly vaginal ring could significantly reduce HIV-1 incidence rates. 

According to recent findings, a self-administered contraception could lead to improved contraceptive continuation rates and equivalent pregnancy prevention compared to provider administration.

A review of more than 100 trials compared the effectiveness and safety of levonorgestrel, mifepristone, and the Yuzpe regimen for emergency contraception.

This flowchart can help ensure a smooth procedure by helping the ob/gyn recognize potential challenges.

A recent model challenges the rationale of limiting oral contraceptive dispensing as a means to control costs. 

When a patient is interested in having the device removed, her physician needs to examine several factors before deciding on a surgical approach.

New research indicates that while combined oral contraceptives can be used to reduce heavy menstrual bleeding, evidence points to other contraceptive options as being even more effective.

An Egyptian study found that adding a simple step to the IUD insertion process resulted in a 93% success rate for women whose previous insertion attempt failed.

New research indicates an alarming number of men and women are uninformed about the health risks of pregnancy, and this ignorance may be contributing to the malpractice crisis. 

The LNG-IUS and IUD are both highly effective, but one is associated with changes in uterine artery blood flow.

Dr. Kimble discusses a new progestin hormone that can be used for birth control and identifies which patients could benefit from it.

This installment in our series looks at postpartum contraceptive options for a pregnant patient with comorbidities

Oral contraceptives (OCs) may have an additional benefit for young athletes.

Although OCs do not provide total protection of bone mass, they may help limit bone loss in young patients with AN.

A fourth-generation progestogen-only pill (POP) with drospirenone may be an effective and safe alternative for women for whom estrogen-based contraceptives are contraindicated.