Young Pregnant Women’s Knowledge of Modern Intrauterine Devices

Stanwood, Nancy L.; Bradley, Karen

doi:10.1097/01.aog.0000245447.56585.a0

Cited by 84 publications

(46 citation statements)

References 26 publications

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“…45 In another study, 50% of pregnant women aged 14-25 years had ever heard of IUDs. 44 Furthermore, after a brief (3-minute) educational session about intrauterine contraception, 45 more than half of nonpregnant young adult women reported a positive attitude toward IUDs, and there was no difference between the younger (14-18 years) and the older (19-24 years) women. Thus, it is not entirely surprising that 92% of the adolescents in the current study consented to the levonorgestrel-releasing IUD.…”

Section: Acceptance Of Levonorgestrel-releasing Iudmentioning

confidence: 99%

“…Two prior studies have evaluated young adult women's knowledge and attitudes toward intrauterine contraceptives. 44,45 In a study of 144 single, sexually active, African American and white women aged 14-24 years, it is remarkable that only 40% had ever heard of IUDs. 45 In another study, 50% of pregnant women aged 14-25 years had ever heard of IUDs.…”

Section: Acceptance Of Levonorgestrel-releasing Iudmentioning

confidence: 99%

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Menstrual Concerns and Intrauterine Contraception Among Adolescent Bariatric Surgery Patients

Hillman

Miller

Inge

2011

Journal of Women's Health

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Objective: Adolescent obesity has dramatically increased in recent decades, and along with that so have other medical comorbidities, such as hypertension, diabetes, hyperlipidemia, nonalcoholic steatohepatitis, polycystic ovary syndrome (PCOS), and pseudotumor cerebri. Obesity and related comorbidites may be contraindications to hormonal contraception, making contraception counseling of morbidly obese adolescents more challenging. Obese adolescent females seeking bariatric surgery need effective contraception in the postoperative period. This study is designed to determine the acceptance rate of the levonorgestrel-releasing intrauterine device (IUD) and describe common menstrual problems in obese adolescent bariatric surgery patients. Methods: This is a historic cohort study of adolescent females who underwent bariatric surgery over a 2-year period at a tertiary referral center for pediatric obesity. Data were systematically abstracted. The percent of patients with menstrual problems and the acceptance rate for the levonorgestrel-releasing IUD were determined. Results: Twenty-five adolescents met inclusion criteria. The mean age was 17.4 years (standard deviation [SD] 2.6), and the mean body mass index (BMI) was 51.4 (SD 6.3) kg/m 2 . Eighty-four percent were white. Twentyeight percent had menorrhagia, 32% had oligomenorrhea, 40% had dysmenorrhea, and 36% had PCOS. Ninetytwo percent (23 of 25) underwent IUD placement. Conclusions: There was a high prevalence of menstrual problems among this sample of severely obese adolescent females. The majority accepted the IUD, indicating it is a viable option among this population.

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Section: Acceptance Of Levonorgestrel-releasing Iudmentioning

confidence: 99%

Section: Acceptance Of Levonorgestrel-releasing Iudmentioning

confidence: 99%

Menstrual Concerns and Intrauterine Contraception Among Adolescent Bariatric Surgery Patients

Hillman

Miller

Inge

2011

Journal of Women's Health

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“…More recently, in a 2002 survey of American College of Obstetricians and Gynecologists (ACOG) members, with a response rate of 50%, found that 79% had inserted 10 or fewer IUDs in the past year [4]. Surveys of US women in 2006 and in 2008 found that most young women were unaware of IUDs in general [5] [6].…”

Section: Introductionmentioning

confidence: 99%

Long Tail Strings: Impact of the Dalkon Shield 40 Years Later

Roepke¹,

Schaff²

2014

OJOG

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Intrauterine devices (IUDs) are the most effective, reversible and longest acting birth control method. They require no effort for compliance and avoid systemic synthetic hormones. Evidencebased effectiveness and safety studies have demonstrated IUDs rival sterilization. IUDs low cost make them the most popular method worldwide. Despite these benefits, IUDs have minimal market penetration in the United States where they are expensive, disparaged by an older generation of physicians, and withheld from teenagers, nulliparous women, and women not in mutually monogamous relationships, i.e., those who would most benefit. This article reviews the nearly forgotten history of the IUD that resulted in broadening the Food and Drug Administration's oversight of medical devices, brought needed transparency to physicians' conflicts of interests, uncovered a corporate scandal with a whistleblower that led to a major pharmaceutical bankruptcy, and involved 327,000 women (though only 195,000 met strict criteria for claims) in the largest US personal injury case.

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“…[3] Worldwide there is a high prevalence of teenage and unwanted pregnancies with an increasing incidence every year, [4] and abortion rates in SA remaining virtually unchanged.…”

mentioning

confidence: 99%

“…[2] It is also considered safe and effective for use in selected HIV-infected patients. [3] Worldwide there is a high prevalence of teenage and unwanted pregnancies with an increasing incidence every year, [4] and abortion rates in SA remaining virtually unchanged. [5] In a study performed in the USA, 42% of adolescents reported having been sexually active at least once in their lives.…”

mentioning

confidence: 99%

Patient knowledge and intention to use the intrauterine contraceptive device (IUCD) at a tertiary level hospital.

Popper

2016

S Afr J OG

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Background. The intrauterine contraceptive device (IUCD) is a highly effective and safe method of contraception. Prevention of unwanted pregnancies has made its use a matter of national priority in certain countries. Despite numerous advantages and suitability, the uptake of the IUCD is poor. Patients in South Africa (SA) seem to lack knowledge regarding this contraceptive. Objectives. To determine the quantity and quality of knowledge about the IUCD, and to evaluate its acceptability for future use. Methods. A prospective cross-sectional study was conducted at Pelonomi Tertiary Hospital. A total of 201 consecutive patients were interviewed using structured questionnaires: of these, 193 formed the final study group. Results. Almost half (49.2%, n=95) of our patients were aware of the existence of the IUCD. Its use was very low, with only one patient having used it before. Overall qualitative knowledge was poor, even among those aware of the existence of the IUCD. There was a significant association between level of education and knowledge, with patients having passed grade 12 or higher significantly more likely to have knowledge of the IUCD than those at lower levels (relative risk 1.57, 95% confidence interval 1.18 -2.08). Forty-five percent (n=86) of patients indicated a desire for future IUCD use. Conclusion. Despite the availability of the IUCD in SA clinics and hospitals, its uptake is poor. Awareness of this method seems to have improved over the past few years, but the qualitative knowledge is still considerably lacking. Education plays a major role in the knowledge of contraception. Better educational aids at all facilities will increase its use and reduce unwanted pregnancies. The intrauterine contraceptive device (IUCD), a long-acting re versible contraceptive (LARC), has been shown to be one of the most reliable contraceptive methods, which can be considered as effective as tubal ligation.[1] Advantages of the IUCD include reversibility, long-term efficacy and confidentiality.[2] It is also considered safe and effective for use in selected HIV-infected patients. [3] Worldwide there is a high prevalence of teenage and unwanted pregnancies with an increasing incidence every year, [4] and abortion rates in SA remaining virtually unchanged.[5] In a study performed in the USA, 42% of adolescents reported having been sexually active at least once in their lives. The methods of contraception used by this group, however, were mostly those with a relatively high failure rate with typical use, such as withdrawal, oral contraception or condom use. [6] Unintended pregnancies have been reported as being a result of low use of LARCs. These methods have been suggested to lower the rate of unwanted pregnancies, and the use of the IUCD has been made a national priority in the USA since 2009. [7] Currently the IUCD is the best method of contraception for high-risk obstetric patients. This group includes patients with previous venous thrombo-embolism, ovarian cancer, valvular heart disease, and those with chronic diseas...

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Young Pregnant Women’s Knowledge of Modern Intrauterine Devices

Abstract: II-2.

Cited by 84 publications

References 26 publications

Menstrual Concerns and Intrauterine Contraception Among Adolescent Bariatric Surgery Patients

Menstrual Concerns and Intrauterine Contraception Among Adolescent Bariatric Surgery Patients

Long Tail Strings: Impact of the Dalkon Shield 40 Years Later

Patient knowledge and intention to use the intrauterine contraceptive device (IUCD) at a tertiary level hospital.

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