The effect of 1-year use of the cut 380a and oral contraceptive pills on hemoglobin and ferritin levels

Hassan, Ezzeldin Osman; El-Husseini, Moustafa; El-Nahal, N.

doi:10.1016/s0010-7824(99)00065-7

Cited by 10 publications

(6 citation statements)

References 12 publications

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“…) through the side effect of heavy menstrual blood loss (Hassan et al . ). However, some hormone‐coated IUDs may reduce excessive menstrual blood loss and may be more appropriate to use, to limit risk of anaemia.…”

Section: Discussionmentioning

confidence: 97%

Determinants of moderate‐to‐severe anaemia among women of reproductive age in Tanzania: analysis of data from the 2010 Tanzania demographic and health survey

Wilunda

Massawe

Jackson

2013

Tropical Med Int Health

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Abstractobjective To identify determinants of moderate-to-severe anaemia among women of reproductive age in Tanzania.methods We included participants from the 2010 Tanzania Demographic and Health Survey, which collected data on socio-demographic and maternal health and determined haemoglobin levels from blood samples. We performed logistic regression to calculate adjusted odds ratios for associations between socio-demographic, contextual, reproductive and lifestyle factors, and moderate-to-severe anaemia and investigated interactions between certain risk factors.results Of 9477 women, 20.1% were anaemic. Pregnancy was significantly associated with anaemia (adjusted OR 1.75, 95% CI 1.43-2.15), but the effect varied significantly by urban/rural residence, wealth and education. The effect of pregnancy was stronger in women without education and those who were in lower wealth groups, with significant interactions observed for each of these factors. Education was associated with a lower anaemia risk, particularly in the poorest group (OR 0.58, 95% CI 0.43-0.80), and in pregnant women. The risk of anaemia fell with rising iron supplementation coverage. Lack of toilet facilities increased anaemia risk (OR 1.26, 95% CI 1.00-1.60), whereas using hormonal contraception reduced it. There was no association with age, urban/rural residence, wealth or type of cooking fuel in adjusted analysis.conclusion Pregnant women in Tanzania are particularly at risk of moderate-to-severe anaemia, with the effect modified by urban/rural residence, education and wealth. Prevention interventions should target women with lower education or without proper sanitation facilities, and women who are pregnant, particularly if they are uneducated or in lower wealth groups.

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Section: Discussionmentioning

confidence: 97%

Determinants of moderate‐to‐severe anaemia among women of reproductive age in Tanzania: analysis of data from the 2010 Tanzania demographic and health survey

Wilunda

Massawe

Jackson

2013

Tropical Med Int Health

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“…A systematic review identified four studies that provided direct evidence for changes in hemoglobin among women with anemia who received Cu-IUDs (58). Evidence from one randomized trial (59) and one prospective cohort study (60) showed no significant changes in hemoglobin among Cu-IUD users with anemia, whereas two prospective cohort studies (61,62) showed a statistically significant decrease in hemoglobin levels during 12 months of follow-up; however, the magnitude of the decrease was small and most likely not clinically significant. The systematic review also identified 21 studies that provided indirect evidence by examining changes in hemoglobin among healthy women receiving Cu-IUDs , which generally showed no clinically significant changes in hemoglobin levels with up to 5 years of follow up (Level of evidence: I to II-2, fair, direct).…”

Section: Examinations and Tests Needed Before Initiation Of A Cu-iud mentioning

confidence: 99%

U.S. Selected Practice Recommendations for Contraceptive Use, 2016

Curtis

Jatlaoui²,

Tepper³

et al. 2016

MMWR Recomm. Rep.

339

351

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The 2016 U.S. Selected Practice Recommendations for Contraceptive Use (U.S. SPR) addresses a select group of common, yet sometimes controversial or complex, issues regarding initiation and use of specific contraceptive methods. These recommendations for health care providers were updated by CDC after review of the scientific evidence and consultation with national experts who met in Atlanta, Georgia, during August 26-28, 2015. The information in this report updates the 2013 U.S. SPR (CDC. U.S. selected practice recommendations for contraceptive use, 2013. MMWR 2013;62[No. RR-5]). Major updates include 1) revised recommendations for starting regular contraception after the use of emergency contraceptive pills and 2) new recommendations for the use of medications to ease insertion of intrauterine devices. The recommendations in this report are intended to serve as a source of clinical guidance for health care providers and provide evidence-based guidance to reduce medical barriers to contraception access and use. Health care providers should always consider the individual clinical circumstances of each person seeking family planning services. This report is not intended to be a substitute for professional medical advice for individual patients. Persons should seek advice from their health care providers when considering family planning options.

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“… 12 Women who use the Cu-IUD may have decreased hemoglobin concentrations when compared to OC users or contraceptive non-users, however it is usually not a clinically significant decrease. 13 , 14 Anticipatory counseling is critical and patients should be counselled to expect heavier and possibly more painful menses, although for some women these symptoms may improve with time. 11 Continuation rates for the Cu-IUD in one large prospective study were 84% at 1 year, 76% at 2 years, and 70% at 3 years.…”

Section: Copper-intrauterine Devicementioning

confidence: 99%

Unscheduled bleeding and contraceptive choice: increasing satisfaction and continuation rates

Villavicencio¹,

Allen²

2016

OAJC

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Approximately half (51%) of the 6.6 million pregnancies in the US each year are unintended and half of those pregnancies (54%) occur among women not using contraception. Many women discontinue their contraceptives due to method dissatisfaction. Bothersome unscheduled bleeding is one of the main reasons cited by women for stopping a birth control method. Improving counseling and management of these side effects will aide in increasing satisfaction with contraceptive methods. The following review will discuss the bleeding profiles associated with the contraceptive options available in the US. A valuable resource from the Centers for Disease Control and Prevention, the US Selected Practice Recommendations for Contraceptive Use, will be introduced. Definitions of the types of unscheduled bleeding are included, as well as strategies for treatment for each contraceptive method. The evidence whether or not anticipatory counseling increases continuation rates will also be reviewed.

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The effect of 1-year use of the cut 380a and oral contraceptive pills on hemoglobin and ferritin levels

Cited by 10 publications

References 12 publications

Determinants of moderate‐to‐severe anaemia among women of reproductive age in Tanzania: analysis of data from the 2010 Tanzania demographic and health survey

Determinants of moderate‐to‐severe anaemia among women of reproductive age in Tanzania: analysis of data from the 2010 Tanzania demographic and health survey

U.S. Selected Practice Recommendations for Contraceptive Use, 2016

Unscheduled bleeding and contraceptive choice: increasing satisfaction and continuation rates

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