Global survey of healthcare practitioners’ beliefs and practices around intrauterine contraceptive method use in nulliparous women

Black, Kirsten; Lotke, Pamela S.; Lira, Josefina; Peers, Tina; Zite, Nikki B.

doi:10.1016/j.contraception.2013.06.005

Cited by 35 publications

(34 citation statements)

References 21 publications

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“…The results from the overall cohort (providers from 15 countries across 4 regions) have been published [16]. Here, we report a subgroup analysis of the responses from providers of contraception in Europe and Canada.…”

mentioning

confidence: 94%

Understanding the barriers and myths limiting the use of intrauterine contraception in nulliparous women: results of a survey of European/Canadian healthcare providers

Hauck

Dermout²,

Ardaens³

et al. 2014

European Journal of Obstetrics & Gynecology and Reproductiv

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HCPs in Europe and Canada have clear gaps in their knowledge regarding IUC and misplaced concerns persist, particularly regarding use of IUC in nulliparous women; the predominant misconceptions are about PID, insertion difficulty and insertion pain. Further education on the evidence is needed so that IUC is recognized as being suitable for young and nulliparous women and is included in contraceptive counseling.

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mentioning

confidence: 94%

Understanding the barriers and myths limiting the use of intrauterine contraception in nulliparous women: results of a survey of European/Canadian healthcare providers

Hauck

Dermout²,

Ardaens³

et al. 2014

European Journal of Obstetrics & Gynecology and Reproductiv

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“…Lack of knowledge of Medical Eligibility Criteria (MEC) can lead to the application of inappropriate constraints on recommendations for contraception in adolescents, for example, the suitability of intrauterine contraception (IUC) in nulliparous women. [13,87,88] The situation can be exacerbated further by unwarranted delays around the timing of initiation of contraception, i.e., until the next menses or the receipt of results from STI screening. [89] Health care providers not only need to be able to proactively address common myths and misconceptions around the suitability and potential side effects of different contraceptive methods but also correct inaccurate perception of the frequency with which side effects occur.…”

Section: Health Care Professional Educationmentioning

confidence: 99%

“…[89] Health care providers not only need to be able to proactively address common myths and misconceptions around the suitability and potential side effects of different contraceptive methods but also correct inaccurate perception of the frequency with which side effects occur. [86][87][88]90] Accurate information regarding the relationship with hormonal contraception and certain cancers, including the well documented decrease in the risk of ovarian and endometrial cancers, should be provided. [90] In all countries, HCPs may need guidance in identifying situations where it is appropriate to explore the non-contraceptive benefits of hormonal methods, such as management of heavy menstrual bleeding, painful periods, polycystic ovary syndrome (PCOS), or acne.…”

Section: Health Care Professional Educationmentioning

confidence: 99%

Targeting factors for change: contraceptive counselling and care of female adolescents

Bitzer

Abalos²,

Apter

et al. 2016

The European Journal of Contraception & Reproductive Health

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Introduction: Sexual and reproductive health care should empower and enable all individuals to have a sex life that is as safe and pleasurable as possible. Achievement of this goal for adolescents is often impeded by regional and sociocultural barriers. Objectives: To review global barriers to provision of effective counselling and care of adolescents seeking advice on contraception and sexual and reproductive health and identify elements of best practice that can be adapted to meet their needs at regional level. Methods: Experts with clinical experience and a scholarly background in the provision of contraceptive services to adolescents participated in a stepwise process of literature review and discussion according to the agreed objectives. Results: The Global CARE (Contraception: Access, Resources, Education) group identified barriers to the access, availability and acceptance of contraception by adolescents, not only at the political and sociocultural level but also within health care practice. The group collected and summarized successful local strategies and tools suitable for adaptation in other regions. Elements of best practice for providing contraception regardless of setting or regional constraints, including required skills, knowledge, and attitudes, were also proposed. Conclusion: Sharing of evidence-based best practice in delivering contraceptive services, improvements in health care provider education, and sharing of experience between countries will hopefully help to overcome the barriers to appropriate and effective counselling and care of adolescents.

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“…Political, religious, ethical, safety concerns, misconceptions, lack of healthcare provider knowledge or skills, low awareness of the benefits of LARC by women, and high upfront costs are major barriers. Many healthcare providers were found reluctant to provide intrauterine contraceptive device to nulliparous women or women post-abortion without knowing the evidence-based recommendations [18,19]. It very important that misconceptions about LARC are dispelled based on current evidence to increase the uptake.…”

Section: Introductionmentioning

confidence: 99%

Uptake of Long-Acting Reversible Contraceptive Methods in Enugu State University Teaching Hospital Enugu, South-East, Nigeria.

Okafor¹

2018

Divers Equal Health Care

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Background: Long Acting Reversible Contraceptive (LARC) methods provide very effective contraception for extended periods that do not depend on clients' daily compliances or adherences. They are the ideal methods for the prevention of the harmful consequences of unintended pregnancies in most women including adolescents. Objectives:To determine the uptake rate of LARC in ESUTH Enugu, assess the characteristics of the acceptors, identify barriers, and make recommendations. Method:The new client register in ESUTH, Enugu was reviewed retrospectively from December 31, 2015 back to January 1, 2011. Data on clients' characteristics, and uptakes of LARC and Non-LARC were extracted from the register, entered in Excel 2007 software, analyzed, and presented using percentages and graphs.Results: A total of 1737 clients accepted the available family planning methods during the five-year study period. One thousand five hundred and sixty seven (90.21%) accepted LARC while 170(9.79%) only accepted non-LARC. The LARC uptake rate was 90.21%. Majority of the clients were 30-39 years of age 1121(64.54%), 690 (39.72%) had secondary education, 821(47.27%) had tertiary education, and Christians were 1510 (86.93%). The acceptors increased as parity increased with a peak at Para 4 of 490(28.21%). Clients less than 20 years (0.06%), not educated (1.27%), and Para 0 (0.4%) rarely access the family planning clinic. The LARC acceptors opted for jadelle 526(30.28%) and implanon 465(26.77%) sub-dermal implants, depo-provera 276(15.89%), interval intrauterine contraceptive device 232(13.36%), noristerat 48(2.76%), and postpartum intrauterine contraceptive device 20(1.15%). Conclusion:There is a very high uptake of LARC in Enugu. Jadelle and implanon constitute over 50% of the LARC uptakes. Adolescents (< 20 years), less educated and low parity clients rarely access the family planning clinic.

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Global survey of healthcare practitioners’ beliefs and practices around intrauterine contraceptive method use in nulliparous women

Cited by 35 publications

References 21 publications

Understanding the barriers and myths limiting the use of intrauterine contraception in nulliparous women: results of a survey of European/Canadian healthcare providers

Understanding the barriers and myths limiting the use of intrauterine contraception in nulliparous women: results of a survey of European/Canadian healthcare providers

Targeting factors for change: contraceptive counselling and care of female adolescents

Uptake of Long-Acting Reversible Contraceptive Methods in Enugu State University Teaching Hospital Enugu, South-East, Nigeria.

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