“She just told me to leave it”: Women's experiences discussing early elective IUD removal

Amico, Jennifer; Bennett, A. E.; Karasz, Alison; Gold, Marji

doi:10.1016/j.contraception.2016.04.012

Cited by 125 publications

(57 citation statements)

References 18 publications

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“…Although LARC methods are effective for 3 to 12 years, there is no medical reason to require someone using a LARC method to www.whijournal.com keep the device to the end of its effective life. However, interviews with women who considered elective IUD removal within 9 months of insertion found many of the study participants "reported that their providers communicated a preference, explicitly or implicitly, for them to keep the IUD" (Amico, Bennett, Karasz, & Gold, 2016). Participants' comments suggest that providers may have been concerned about patients using less effective methods in place of the LARC method or may have predicted that side effects would subside after several months of use (Amico et al, 2016).…”

Section: Providers' Role In Ensuring Reproductive Autonomymentioning

confidence: 99%

“…However, interviews with women who considered elective IUD removal within 9 months of insertion found many of the study participants "reported that their providers communicated a preference, explicitly or implicitly, for them to keep the IUD" (Amico, Bennett, Karasz, & Gold, 2016). Participants' comments suggest that providers may have been concerned about patients using less effective methods in place of the LARC method or may have predicted that side effects would subside after several months of use (Amico et al, 2016). Although such concerns may be rooted in desires to help patients avoid unintended pregnancy, patients who reported that their providers resisted removal were less likely to be satisfied with the visit and more likely to experience frustration (Amico et al, 2016).…”

Section: Providers' Role In Ensuring Reproductive Autonomymentioning

confidence: 99%

See 1 more Smart Citation

Access to Removal of Long-acting Reversible Contraceptive Methods Is an Essential Component of High-Quality Contraceptive Care

Strasser

Borkowski

Couillard

et al. 2017

Women's Health Issues

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Section: Providers' Role In Ensuring Reproductive Autonomymentioning

confidence: 99%

Section: Providers' Role In Ensuring Reproductive Autonomymentioning

confidence: 99%

Access to Removal of Long-acting Reversible Contraceptive Methods Is an Essential Component of High-Quality Contraceptive Care

Strasser

Borkowski

Couillard

et al. 2017

Women's Health Issues

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show abstract

“…In a patient-centered healthcare model, providers offer and fully inform patients about their options and engage in a shared-decision-making approach that respects patient preferences [29]. This approach can support patients to take ownership over and feel more satisfied with their decision, as evidenced by research on patient preferences for IUD removal, contraceptive counseling and other healthcare decision-making [30][31][32][33][34]. With regard to EC method choices, many women do not have access to the IUD as EC, given existing structural barriers [7][8][9].…”

Section: Discussionmentioning

confidence: 99%

Exploring young women’s reasons for adopting intrauterine or oral emergency contraception in the United States: a qualitative study

et al. 2020

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Background: The recent focus on increasing access to long-acting reversible contraceptive methods has often overlooked the diverse reasons why women may choose less effective methods even when significant access barriers have been removed. While the copper intrauterine device (IUD) is considered an acceptable alternative to emergency contraception pills (ECPs), it is unclear to what extent low rates of provision and use are due to patient preferences versus structural access barriers. This study explores factors that influence patients' choice between ECPs and the copper IUD as EC, including prior experiences with contraception and attitudes toward EC methods, in settings where both options are available at no cost. Methods: We telephone-interviewed 17 patients seeking EC from three San Francisco Bay Area youth-serving clinics that offered the IUD as EC and ECPs as standard practice, regarding their experiences choosing an EC method. We thematically coded all interview transcripts, then summarized the themes related to reasons for choosing ECPs or the IUD as EC. Results: Ten participants left their EC visit with ECPs and seven with the IUD as EC option. Women chose ECPs because they were familiar and easily accessible. Reasons for not adopting the copper IUD included having had prior negative experiences with the IUD, concerns about its side effects and the placement procedure, and lack of awareness about the copper IUD. Women who chose the IUD as EC did so primarily because of its long-term efficacy, invisibility, lack of hormones, longer window of post-coital utility, and a desire to not rely on ECPs. Women who chose the IUD as EC had not had prior negative experiences with the IUD, had already been interested in the IUD, and were ready and able to have it placed that day. Conclusions: This study highlights that women have varied and well-considered reasons for choosing each EC method. Both ECPs and the copper IUD are important and acceptable EC options, each with their own features offering benefits to patients. Efforts to destigmatize repeated use of ECPs and validate women's choice of either EC method are needed to support women in their EC method decision-making.

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“…53 Issues around autonomy and power are especially important in regard to long-acting reversible methods that require a procedure for removal, given the history of state-controlled sterilization of women of color. 54 This review highlights several gaps in the literature. Of studies identified at the onset of the literature search, a majority specifically addressed adolescent or young adult women's perceptions of contraception.…”

Section: Discussionmentioning

confidence: 99%

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

Alspaugh

Barroso

Reibel

et al. 2019

J Midwife Womens Health

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Introduction: Unintended pregnancy rates will remain high until researchers explore the lived experience of women's relationships with contraception. This integrative review examines the extant qualitative literature on women's contraception to illuminate common themes in women's perspectives through the lens of the feminist poststructuralist framework. Methods: A literature review of PubMed and CINAHL databases was completed for English-language studies conducted in the United States from January 2008 through September 2018 that qualitatively examined women's perceptions, beliefs, and attitudes regarding contraception. Reports, dissertations, mixed-methods research, and literature reviews were excluded. The sample, methods, and findings of 19 studies were reviewed. Themes were identified using the 5 major tenets of the feminist poststructuralist framework: discourse, power, language, subjectivity, and agency. Results: Themes of power imbalance between partners and health care providers; societal and communal discourses on femininity and motherhood; distrust of hormonal contraception; the ability to enhance personal agency through contraceptive decision making; and a need for open, patient-focused communication arose from the 19 studies included in the review. Discussion: Using a feminist poststructuralist framework to examine women's contraceptive perceptions illuminates and magnifies the many ways in which contraceptive beliefs and use are dependent on gender roles and power dynamics. Gaps in knowledge specific to older women and exploration of women's subjectivity should be addressed. Clinicians should evaluate the power structures inherent to their practice while providing woman-focused, evidence-based contraceptive education.

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“She just told me to leave it”: Women's experiences discussing early elective IUD removal

Cited by 125 publications

References 18 publications

Access to Removal of Long-acting Reversible Contraceptive Methods Is an Essential Component of High-Quality Contraceptive Care

Access to Removal of Long-acting Reversible Contraceptive Methods Is an Essential Component of High-Quality Contraceptive Care

Exploring young women’s reasons for adopting intrauterine or oral emergency contraception in the United States: a qualitative study

Women's Contraceptive Perceptions, Beliefs, and Attitudes: An Integrative Review of Qualitative Research

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