The Use of ACOG Guidelines: Perceived Contraindications to IUD and Implant Use Among Family Planning Providers

Philliber, Ash E; Hirsch, Heather; Brindis, Claire D.; Turner, R.; Philliber, Susan

doi:10.1007/s10995-017-2320-1

Cited by 11 publications

(11 citation statements)

References 22 publications

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“…The IUD is an effective contraceptive method that is currently underused by providers who hold invalid beliefs; however, these providers' can enhance their knowledge through continuing education. 6 This current study confirms the findings of Thompson et al 15 that measured the positive effect of provider LARC education and reinforces the need for continued training to translate best practices into clinical practice. Our educational intervention yielded an increase in provider beliefs that favor IUD provision and in providers' IUD use, echoing other research findings.…”

Section: Discussionsupporting

confidence: 89%

“…10 These findings are consistent with the current literature affirming the need for provider training and updated knowledge of IUDs. 6,14 Health care providers' biases and long-held misconceptions on the safety of the IUD exist in practice currently. 7 Kohn et al 7 examined the likelihood of providers to recommend the IUD to patient groups and reported that only 58% of providers would recommend the IUD to nulliparous women and that only 55% would recommend the IUD to women younger than 20 years.…”

Section: Background and Significancementioning

confidence: 99%

“…4,5 Health care providers themselves are a large barrier to IUD use given that not all providers adhere to current IUD best practices. 6…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Beliefs and Use of Intrauterine Devices (IUDs) Among Women’s Health Care Providers

Esposito¹,

LoGiudice²

2019

The Journal for Nurse Practitioners

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providers recall past issues from nearly 50 years ago when IUDs, like the Dalkon Shield in the 1970s, were linked to these complications. 10 Research on the newer and current generation of IUDs has dispelled these correlations and shown that the IUD is in fact a safe contraceptive choice. 10 Nevertheless, provider bias against the IUD restricts its use. The Contraceptive CHOICE Project, and other studies, found that barriers cited by women who desire and seek out a reliable birth control method include the lack of information and access to appropriate methods, specifically the IUD. 8,11,12 In the US, only 11.8% of women currently use an IUD. 13 Past research has demonstrated that health care providers' lack of knowledge regarding IUD use leads to decreased access to this form of contraception. 7 In a seminal study in California, Harper et al 10 examined the knowledge and practice patterns of 816 practitioners on the use of IUDs and found that the lack of accurate practitioner beliefs led to less access and use of IUDs for patients. The providers' beliefs negatively affected the recommendation and insertion rates of IUDs to otherwise appropriate women for this method. Harper et al 10 reported that although 94% of providers agreed the IUD was safe, 40% of providers did not offer the IUD as a choice during contraceptive

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Section: Discussionsupporting

confidence: 89%

Section: Background and Significancementioning

confidence: 99%

See 1 more Smart Citation

Beliefs and Use of Intrauterine Devices (IUDs) Among Women’s Health Care Providers

Esposito¹,

LoGiudice²

2019

The Journal for Nurse Practitioners

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“…Midwives have a role in the ongoing education of the interprofessional women's health care team. Consistency in women's health care providers’ translation of IUD best practices into clinical practice needs improvement 8,20 . It is important to ensure all health care providers, including those who provide primary and pediatric care, are aware that the use of IUDs is recommended for young women and that STIs are not a contraindication for IUD use or continuation 1,15,21 …”

Section: Implications For Clinical Practicementioning

confidence: 99%

“…The rate of unintended pregnancy may be reduced by women's health care providers offering IUD counseling and provision 7 . In the context of the STIs N gonorrhoeae and C trachomatis , some health care providers may not to adhere to IUD best practices 8 . This article reviews evidence‐based care for women with, or seeking, an IUD while experiencing a gonococcal infection, chlamydial infection, or PID.…”

Section: Introductionmentioning

confidence: 99%

Intrauterine Devices in the Context of Gonococcal Infection, Chlamydial Infection, and Pelvic Inflammatory Disease: Not Mutually Exclusive

Esposito

2020

J Midwife Womens Health

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The use of long‐acting reversible contraception, namely, intrauterine device (IUDs) and the subdermal implant, has been recommended to address the high rate of the unintended pregnancy in the United States. IUDs are a safe, highly effective contraceptive method, suitable for most women. The underutilization of IUDs arises in part from the lack of translation of best practices in the clinical setting as well as fears and misperceptions about this contraceptive method held by health care providers and women. This article reviews screening and management of Neisseria gonorrhoeae and Chlamydia trachomatis infection and pelvic inflammatory disease (PID) in women who are using or want to use an IUD. An IUD may be inserted without prior screening for N gonorrhoeae or C trachomatis in women who are at low risk for sexually transmitted infections and asymptomatic. An in situ IUD may remain in the uterus during and after treatment for gonococcal infection, chlamydial infection, or PID. The risk of PID with an IUD in situ is less than 1%. Following IUD best practices, including their use in the context of sexually transmitted infections, can increase the availability of this method for suitable candidates and decrease the unintended pregnancy rate.

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Intrauterine Device Initiation After Gonococcal and Chlamydial Infections: A Practice Workflow Initiative

Esposito¹

2021

The Journal for Nurse Practitioners

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The Use of ACOG Guidelines: Perceived Contraindications to IUD and Implant Use Among Family Planning Providers

Cited by 11 publications

References 22 publications

Beliefs and Use of Intrauterine Devices (IUDs) Among Women’s Health Care Providers

Beliefs and Use of Intrauterine Devices (IUDs) Among Women’s Health Care Providers

Intrauterine Devices in the Context of Gonococcal Infection, Chlamydial Infection, and Pelvic Inflammatory Disease: Not Mutually Exclusive

Intrauterine Device Initiation After Gonococcal and Chlamydial Infections: A Practice Workflow Initiative

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