Intrauterine contraception

2021 ◽  
Author(s):  
Joanne Ritchie ◽  
Nicholas Phelan ◽  
Paula Briggs
Keyword(s):  
Intrauterine Contraception

CONTRACEPTION IN DIABETIC PATIENTS

1974 ◽  
Vol 77 (3_Suppl) ◽  
pp. S87-S94 ◽  
Author(s):  
J. Wiese ◽  
M. Osler
Keyword(s):  
Side Effects ◽  
Contraceptive Method ◽  
Low Dose ◽  
Unplanned Pregnancy ◽  
Intrauterine Device ◽  
Diabetic Patients ◽  
Intrauterine Contraception ◽  
Unwanted Pregnancies ◽  
Unreliable Method ◽  
Retrospective Investigation

ABSTRACT A retrospective investigation was made of contraception in diabetic women delivered in our department in 1969 and 1970. Seventy-nine (69 per cent) answered the questionnaires. About one third had found the contraceptive instruction insufficient. A shift from conventional to intrauterine contraception and sterilization was seen, but nearly 25% of the patients were still using conventional methods, mainly the condom. The patients consider this an unreliable method. Thirty-three patients were using intrauterine contraception. Although 10 of them had bleeding irregularities, all were satisfied with the method. Sterilization had been performed on 17 patients, all of whom were fully satisfied and had experienced no side effects. Four of 11 insulin-requiring diabetics, who have used combined oestrogen-progesterone medication have had difficulties in the regulation of the diabetes. Of 24 unwanted pregnancies 12 occurred since the hospitalization in 1969 and 1970. In diabetic women the contraceptive method should either be sterilization, intrauterine device or low dose progestagens, and only in a few cases conventional. A thorough contraceptive instruction as well as a close control of the diabetic women are of importance in order to avoid unplanned pregnancy. The best way to achieve this is by having an out-patient clinic in connection with the obstetrical department to supervise contraception in all diabetic women in the area.

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

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Rebecca Gormley ◽  
Brian Vickers ◽  
Brooke Cheng ◽  
Wendy V. Norman
Keyword(s):  
Adverse Events ◽  
Tubal Ligation ◽  
Risk Of Bias ◽  
High Quality ◽  
Tubal Occlusion ◽  
High Resource ◽  
Intrauterine Contraception ◽  
Permanent Contraception ◽  
Long Acting

Abstract 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].

Knowledge of intrauterine contraception: a survey of women in the St. Louis region

Contraception ◽  
2009 ◽  
Vol 80 (2) ◽  
pp. 215-216 ◽  
Author(s):  
K. Hladky ◽  
J. Allsworth ◽  
T. Madden ◽  
G. Secura ◽  
J. Peipert
Keyword(s):  
Intrauterine Contraception

A new procedure for the statistical evaluation of intrauterine contraception

1977 ◽  
Vol 128 (3) ◽  
pp. 329-335 ◽  
Author(s):  
Stanley P. Azen ◽  
Subir Roy ◽  
Malcolm C. Pike ◽  
John Casagrande ◽  
Daniel R. Mishell
Keyword(s):  
Statistical Evaluation ◽  
Intrauterine Contraception

Trophoblastic Markers in Women Using Intrauterine Contraception

1980 ◽  
Vol 55 (3) ◽  
pp. 329-332 ◽  
Author(s):  
O. YLIKORKALA ◽  
MARITA SILJANDER ◽  
J. HUHTANIEMI ◽  
A. KAUPPILA ◽  
M. SEPPÄLÄ
Keyword(s):  
Intrauterine Contraception

Recommendations for intrauterine contraception: Dehlendorf et al

2010 ◽  
Vol 203 (4) ◽  
pp. 411-412
Author(s):  
David L. Eisenberg ◽  
Jenifer E. Allsworth ◽  
Zevidah Vickery ◽  
Caren P. Schaecher ◽  
Jacqueline O. Ogutha
Keyword(s):  
Intrauterine Contraception

Interest in using intrauterine contraception when the option of self-removal is provided

Contraception ◽  
2012 ◽  
Vol 85 (3) ◽  
pp. 257-262 ◽  
Author(s):  
Diana Greene Foster ◽  
Deborah Karasek ◽  
Daniel Grossman ◽  
Philip Darney ◽  
Eleanor Bimla Schwarz
Keyword(s):  
Intrauterine Contraception
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