Contraception for women: an evidence based overview

Jj, Amy; Tripathi,

doi:10.1136/bmj.b2895

Cited by 60 publications

(32 citation statements)

References 31 publications

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“…Providing the PPIUCD immediately following delivery presents a convenient opportunity for postpartum women to obtain a long acting method of contraception with the advantages of high motivation, assurance that the woman is not pregnant, and convenience and only a few contraindications to method. 6 Acceptance for this method was 14% which indicates an expanded target group which is covered with IUCD as a contraceptive -a step towards diminishing the unmet need. Given the low rate of return for interval insertion, immediate placement may be preferable.…”

Section: Discussionmentioning

confidence: 99%

“…Post-placental placements during cesarean delivery are associated with lower expulsion rates than post-placental vaginal insertions, without increasing rates of postoperative complications. 6 Postpartum IUCD insertion is still highly effective & beneficial, for all timing categories; MEC/SPR Revision Meeting, 4-08, WHO Systematic Review of Timing of Postpartum IUCDs: states "Immediate post-placental insertion (<10 min) appears to decrease the risk for expulsion compared to other postpartum time intervals, although immediate insertion carries a higher risk of expulsion compared to interval insertions". It is also known that expulsion rates can be reduced by placing it high in uterine fundus, by trained/skilled provider.…”

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confidence: 99%

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Enhancing contraceptive usage by post-placental intrauterine contraceptive devices (PPIUCD) insertion with evaluation of safety, efficacy, and expulsion

Kittur

Kabadi

2012

Int J Reprod Contracept Obstet Gynecol

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INTRODUCTIONMore than 100 million women in developing countries would prefer to avoid a pregnancy; but they may not be using any form of contraception. Contraceptive prevalence is low in developing countries owing to unmet need for contraception. In India the unmet need is estimated to be 15.8% as estimated by DHS survey.1 Half of these women have no positive intention of using contraceptives but still wish to avoid pregnancy. There are multiple opportunities for the health personnel to interact with women during her reproductive cycle like antenatal, natal and postnatal period, and also during Immunization sessions at the Health Institutions and Village Health and nutrition days. Insertion of intra uterine contraceptive device (IUCD) at 10 minutes after delivery is appealing for several reasons:(a) Recommencement of ovulation can be unpredictable after delivery, and the CuT provides exceedingly useful contraception during the puerperium. (b)The woman is also likely to have a high motivation for accepting contraception and the healthcare center provides a convenient setting for insertion of IUCD.(c) In the developing countries, delivery may be the only time when a healthy woman comes into contact with health care providers and the chances of returning for contraceptive advice are uncertain. Family planning programs could use the opportunity of the antepartum ABSTRACT Background: More than 100 million women in developing countries would prefer to avoid a pregnancy; but they may not be using any form of contraception. The study was conducted to assess the safety, incidence of perforation /pain/bleeding/foul discharge and expulsion rates at 6 week follow-up and willingness to continue when Cu T 380 A inserted within ten minutes of placental expulsion both in vaginal and C-section deliveries. Methods:This was an open label, prospective, and longitudinal study. The study was approved by the ethics committee of FOGSI. Results: The insertion of Intrauterine Contraceptive Devices (IUCD) at KIMS, Hubli was easy in 99.52% of subjects after normal delivery and 100% in all subjects after assisted vaginal deliveries. The position of the CuT was in situ in 94.78% of subjects, ultra sonogram was used in 24.76 % to confirm location where threads were not visible in the vagina and in 6.19% of subjects the tip of IUCD was in the cervix which was pushed back into the uterus using artery forceps. It was expelled in 5.23% of patients. There was no case of perforation in this series and no other major complications. Conclusions: Inserting CuT 380 A at 10 minutes after placental delivery is safe leading to the expanding of the usage of IUCD meeting the unmet needs. The expulsion rates would be minimal if it was inserted by a trained provider and placed at the fundus.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Enhancing contraceptive usage by post-placental intrauterine contraceptive devices (PPIUCD) insertion with evaluation of safety, efficacy, and expulsion

Kittur

Kabadi

2012

Int J Reprod Contracept Obstet Gynecol

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“…The usage of contraception by 63% of reproductive women worldwide was reported (4). After pregnancy and other contraindications have been excluded, the IUD can be inserted safely at any time during the menstrual cycle (5).…”

Section: Discussionmentioning

confidence: 99%

An Intrauterine Device Detected in Ovary during Cesarean Section: A Case Report

Avcı¹,

Kıran²,

Bakacak³

et al. 2015

IJWHR

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“…Hormonal contraceptives are synthetic substances taken by women that allow sexual intercourse without resultant pregnancy (Ian and Malcolm, 2004;Mosher and Jones, 2010), this is achieve by preventing ovulation, inhibition of sperm migration through hardening and altering cervical mucus and by interfering with implantation of fertilized egg into the endometrium (Kaunitz and Andrew, 2004;Ash, et al, 2006). Use of hormonal based contraceptives remains one of the leading methods for birth control, it has been estimated that over 100million women are using some form of hormonal contraceptives worldwide (Amy and Tripath, 2009), and the rate of contraceptives used in Nigeria hit about 18% in 2012(NHDS, 2013. Contraceptives (compounds with oestrogenprogestrogen-like actions) have been used by women in Nigeria for birth control and this contributes to the disturbance with absorption of some vitamins and trace elements (Olaniyan and Taylor, 2004;Fallah et al, 2009).…”

Section: Introductionmentioning

confidence: 99%

Deficiency of Serum Alphatocopherol among Oral Hormonal Based Contraceptives Users in Sokoto Metropolis, Nigeria

Muhammad¹,

Kani²,

Umar³

et al. 2017

GJMS

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Alphatocopherol is the main naturally occurring antioxidant substance capable of scavenging free radicals induced by pathological conditions; evidence is accumulating regarding the involvement of oxidative stress among the contraceptive users. The current research consisted of 75 contraceptive users and 42 apparently healthy age-matched controls. Serum levels of alphatocopherol are measured in accordance with method of Neil and Pearson (1907). Statistically (p<0.005) significant higher levels of alphatocopherol was observed among the contraceptive users compared to the control groups, No statistical difference was detected in different age groups. Alphatocopherol and other antioxidant supplementation should be encouraged among contraceptive users to alleviate oxidative stress.

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Contraception for women: an evidence based overview

Cited by 60 publications

References 31 publications

Enhancing contraceptive usage by post-placental intrauterine contraceptive devices (PPIUCD) insertion with evaluation of safety, efficacy, and expulsion

Enhancing contraceptive usage by post-placental intrauterine contraceptive devices (PPIUCD) insertion with evaluation of safety, efficacy, and expulsion

An Intrauterine Device Detected in Ovary during Cesarean Section: A Case Report

Deficiency of Serum Alphatocopherol among Oral Hormonal Based Contraceptives Users in Sokoto Metropolis, Nigeria

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