Relationship between user satisfaction with the levonorgestrel‐releasing intrauterine system and bleeding patterns

Carvalho, Nelsilene Mota; Chou, Victoria B; Modesto, Waleska; Margatho, Deborah; Garcia, Elaine; Bahamondes, Luís

doi:10.1111/jog.13441

Cited by 17 publications

(16 citation statements)

References 27 publications

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“…Considerations including patient satisfaction, time to return to work, and other factors need to be explored further. Separate reviews have found have high patient satisfaction after the insertion of the LNG-IUC, and an almost immediate recovery time [65][66][67].…”

Section: Summary Of Evidencementioning

confidence: 99%

Comparing options for females seeking permanent contraception in high resource countries: a systematic review

et al. 2021

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Background Multiple options for permanent or long-acting contraception are available, each with adverse effects and benefits. People seeking to end their fertility, and their healthcare providers, need a comprehensive comparison of methods to support their decision-making. Permanent contraceptive methods should be compared with long-acting methods that have similar effectiveness and lower anticipated adverse effects, such as the levonorgestrel-releasing intrauterine contraception (LNG-IUC). We aimed to understand the comparability of options for people seeking to end their fertility, using high-quality studies. We sought studies comparing laparoscopic tubal ligation, hysteroscopic tubal occlusion, bilateral salpingectomy, and insertion of the LNG-IUC, for effectiveness, adverse events, tolerability, patient recovery, non-contraceptive benefits, and healthcare system costs among females in high resource countries seeking to permanently avoid conception. Methods We followed PRISMA guidelines, searched EMBASE, Pubmed (Medline), Web of Science, and screened retrieved articles to identify additional studies. We extracted data on population, interventions, outcomes, follow-up, health system costs, and study funding source. We used the Newcastle–Ottawa Scale to assess risk of bias and excluded studies with medium–high risk of bias (NOS < 7). Due to considerable heterogeneity, we performed a narrative synthesis. Results Our search identified 6,612 articles. RG, BV, BC independently reviewed titles and abstracts for relevance. We reviewed the full text of 154 studies, yielding 34 studies which met inclusion criteria. We excluded 10 studies with medium–high risk of bias, retaining 24 in our synthesis. Most studies compared hysteroscopic tubal occlusion and/or laparoscopic tubal ligation. Most comparisons reported on effectiveness and adverse events; fewer reported tolerability, patient recovery, non-contraceptive benefits, and/or healthcare system costs. No comparisons reported accessibility, eligibility, or follow-up required. We found inconclusive evidence comparing the effectiveness of hysteroscopic tubal occlusion to laparoscopic tubal ligation. All studies reported adverse events. All forms of tubal interruption reported a protective effect against cancers. Tolerability appeared greater among tubal ligation patients compared to hysteroscopic tubal occlusion patients. No high-quality studies included the LNG-IUC. Conclusions Studies are needed to directly compare surgical forms of permanent contraception, such as tubal ligation or removal, with alternative options, such as intrauterine contraception to support decision-making. Systematic review registration PROSPERO [CRD42016038254].

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Section: Summary Of Evidencementioning

confidence: 99%

Comparing options for females seeking permanent contraception in high resource countries: a systematic review

et al. 2021

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“…Separate reviews have found that those who undergo the insertion of the LNG-IUC have high patient satisfaction and an almost immediate recovery time. [54][55][56] Lastly, we considered costs to the healthcare system. While three out of four studies assessing hysteroscopic tubal occlusion and laparoscopic tubal ligation found that hysteroscopic tubal occlusion was signi cantly less costly to perform than laparoscopic tubal ligation, [45][46][47] costs related to complications or failures were higher after hysteroscopic tubal ligation.…”

Section: Summary Of Evidencementioning

confidence: 99%

Comparing Female Permanent Contraception Options in High Resource Countries: A Systematic Review

Gormley

Vickers

Cheng

et al. 2020

Preprint

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Background: Multiple options for permanent or long-acting contraception are available, each with adverse effects and non-contraceptive benefits. A comprehensive comparison of methods to support decision-making for people seeking to end their fertility and their healthcare providers is needed. We aimed to understand what is known from high quality studies about the comparability of options for permanent contraception. We sought studies comparing these methods of permanent or long-acting contraception: laparoscopic tubal ligation, hysteroscopic tubal occlusion, bilateral salpingectomy, and levonorgestrel-releasing intrauterine contraception (LNG-IUC), for effectiveness, adverse events, tolerability, patient recovery, non-contraceptive benefits and healthcare system costs among females in high resource countries seeking to permanently avoid conception. Methods: We followed PRISMA guidelines, searched EMBASE, Pubmed (Medline), Web of Science, and screened retrieved articles to identify additional relevant studies. We extracted data on population, interventions, outcomes, follow-up, health system costs, and study funding source. We assessed risk of bias using the Newcastle-Ottawa Scale, excluding studies with high risk of bias. Due to considerable heterogeneity, we performed a narrative synthesis. Results: Our search identified 6,612 articles. We reviewed the full text of 154 studies, yielding 35 studies which met inclusion criteria. We excluded 10 studies with high risk of bias, retaining 25 at low or medium risk for bias in our synthesis. Most studies assessed hysteroscopic tubal occlusion and/or laparoscopic tubal ligation. Most comparisons reported on effectiveness and adverse events, with fewer reporting tolerability, patient recovery, non-contraceptive benefits, and healthcare system costs. No comparisons reported accessibility, eligibility, or follow-ups required. We found inconclusive evidence comparing the effectiveness of hysteroscopic tubal occlusion to laparoscopic tubal ligation. All studies reported adverse events. All forms of tubal interruption reported a protective effect against cancers. Tolerability appeared greater among tubal ligation patients compared to hysteroscopic tubal occlusion patients. No medium or high-quality studies compared LNG-IUC to other methods.Conclusions: High-quality studies comparing outcomes relevant for those seeking female permanent contraception are needed to support informed decision-making. Research is needed to directly compare surgical forms of permanent contraception, such as tubal ligation or removal, with alternative options, such as intrauterine contraception.Systematic review registration: PROSPERO [CRD42016038254].

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“…Use of intrauterine devices (IUDs) has in fact reached an all‐time high with use by 4.4 million women or 16% of women using contraception . Some women, especially older women, view amenorrhea from levonorgestrel IUDs (LNG‐IUDs) as a benefit . However, at least one recent study has identified amenorrhea as a leading cause for discontinuation .…”

Section: Sergison Je Maldonado Ly Gao X Hubacher D Levonorgestrelmentioning

confidence: 99%

Current Resources for Evidence‐Based Practice, September/October 2019

Barger

2019

J Midwife Womens Health

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MIXED-RESEARCH SYNTHESIS ON POSTTRAUMATIC BIRTH MAY POINT TO POTENTIAL INTERVENTIONSStudying the effects of traumatic birth on women and their lives can be difficult because birth trauma is defined by the person who experiences it. Perinatal care providers, who see a range of birth experiences daily, may not perceive a particular birth for a particular family as traumatic. It is clear that studying a complex phenomenon, such as traumatic birth stress, benefits from both qualitative and quantitative research methods.Additionally, an individual may experience posttraumatic stress symptoms that do not necessarily meet the criteria for posttraumatic stress disorder (PTSD), and, unfortunately, the 2 concepts may not be clearly differentiated in research studies. The prevalence of PTSD is around 4% in general community samples of postpartum women and is much greater (18%) in women at higher risk for PTSD, according to a recent meta-analysis of 25 studies. 1 Presumably, the number of women with posttraumatic stress symptoms is much higher.Beck and Casavant set out in this synthesis of studies using both quantitative and qualitative approaches to more deeply understand what we know about the effect of traumatic birth on women having term births. 2 They rigorously used mixedresearch synthesis methods with the aim of the narrative analysis of both quantitative and qualitative studies providing new theoretical insights to understanding the mechanisms of studied interventions. 3 For this synthesis, they identified 59 studies (55 quantitative and 4 qualitative) meeting their criteria (eg, participants had term births of living newborns not in the neonatal intensive care unit; studies were not focused on fathers' experiences or intimate partner violence). The synthesis focused on 4 questions: 1) prevalence of posttraumatic symptoms after a traumatic birth, 2) risk factors for posttraumatic stress symptoms, 3) the lived experience of women with symptoms, and 4) interventions that have been tested to decrease posttraumatic symptoms. The quality appraisal rating for the studies could range from 0 to 10 or 12, depending on study type; scores were mostly 9 to 11, with 2 studies rated as 7 and one as 8.There were 19 quantitative studies among 12 different countries examining prevalence and risk factors for posttraumatic stress after traumatic birth, of which 17 studies were among 7206 lower-risk women. It was difficult to identify a prevalence of posttraumatic stress symptoms because of the Hahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, San Diego, California.studies' use of 15 different instruments to measure stress and a wide range of timing of posttraumatic stress assessment, from 24 to 48 hours to 10 years later. Multiple studies in the United States, Belgium, and Japan found rates of around 20% measured at one week to one month postpartum. A smaller number of studies made the diagnosis of PTSD, which ranged between 2.4% at 4 weeks and 17% at 6 weeks postpartum.The pred...

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Relationship between user satisfaction with the levonorgestrel‐releasing intrauterine system and bleeding patterns

Cited by 17 publications

References 27 publications

Comparing options for females seeking permanent contraception in high resource countries: a systematic review

Comparing options for females seeking permanent contraception in high resource countries: a systematic review

Comparing Female Permanent Contraception Options in High Resource Countries: A Systematic Review

Current Resources for Evidence‐Based Practice, September/October 2019

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