Contraceptive Selection Research Articles

Characteristics and contraceptive practices among Chinese women seeking abortion: a multicentre, descriptive study from 2019 to 2021

IntroductionDespite the widespread provision of free contraceptives and post-abortion care (PAC) services, China grapples with a high rate of unintended pregnancies and subsequent abortions. We aimed to study the evolving...

Contraception Choice for Female Endurance Athletes: What's Sport Got to Do With It? A Cross-Sectional Survey.

While there are several prescribed contraceptive methods available, limited evidence exists to guide contraceptive decision-making in the context of endurance sport. Study objectives were to characterize current and previous use, perceived impacts, and the decision process around contraceptives in endurance athletes. This was an online survey study with female endurance athletes recruited through social media and emails to university/club coaches and sport organizations. Quantitative and qualitative data were analyzed with descriptive statistics and conventional content analysis, respectively. A total of 323 female endurance athletes participated. Among current contraception users (n = 182), 51% used hormonal intrauterine devices (hIUDs), 29% oral contraceptive pills (OCPs), and 13% nonhormonal IUDs (nhIUDs). hIUD users had the highest perceived positive training (39%) and competition (29%) impacts, citing reduced menstrual bleeding and symptoms as positive side effects. OCP and nhIUD users had higher rates of perceived negative training impacts (OCPs 10%, nhIUDs 30%). For OCP users, 31% reported perceived adverse body composition outcomes and 37% reported negative mood changes. Among nhIUD users, 74% experienced heavier, more irregular menstrual bleeding. Over half of participants were unsure about the impact of their current method on performance. For contraceptive selection, 95% felt that information from physicians was important, yet 32% felt performance was inadequately considered during counseling discussion. Athletes reported less frustration with their contraception choice when counseled in the context of sport. This exploratory study quantifies and qualifies the lived experiences of female endurance athletes with contraception. hIUDs were the most currently used and well-tolerated contraceptives among participants. This research offers valuable insights for athletes seeking contraception and looking to optimize both performance and health, along with the healthcare professionals guiding them.

Comparison of SAW and TOPSIS Methods in Decision Support Systems for Contraceptive Selection

Comparison of SAW and TOPSIS Methods in Decision Support Systems for Contraceptive Selection

Pregnancy after Tubal Sterilization in the United States, 2002 to 2015

BackgroundTubal sterilization is the most commonly used method of contraception in the United States. Because contraceptive effectiveness influences contraceptive selection, we examined typical use failure rates after tubal sterilization in the United States.MethodsWe estimated rates of pregnancy after tubal sterilization using data from four waves of the National Survey of Family Growth (NSFG), representative samples of U.S. women aged 15 to 44 years, collected in 2002, 2006 to 2010, 2011 to 2013, and 2013 to 2015. Survey weighting was used in survival analysis to examine time to first pregnancy after tubal sterilization. Data from these participants were censored after a tubal reversal procedure, infertility treatment, hysterectomy, or bilateral oophorectomy. Reported pregnancy rates after tubal sterilization procedures were examined by using Kaplan–Meier curves and then multivariable Cox proportional-hazards models to examine the effects of age at tubal sterilization, race/ethnicity, education, Medicaid funding, and postpartum versus interval procedures.ResultsPregnancy after tubal sterilization was reported by 2.9 to 5.2% of participants across NSFG waves. In the most recent survey wave (2013 to 2015), the estimated percentage of participants with pregnancies within the first 12 months after a tubal sterilization procedure was 2.9%; at 120 months after tubal sterilization, the estimated percentage with a pregnancy was 8.4%. At all the time points examined, pregnancy after tubal sterilization was less common after postpartum procedures than after interval procedures; however, this difference was not evident in multivariable models. In multivariable models, chance of pregnancy decreased with age at time of tubal sterilization. Race/ethnicity, education, and Medicaid funding were not consistently associated with pregnancy after tubal sterilization.ConclusionsThese data suggest that there may be nontrivial rates of pregnancy after tubal sterilization.

Patient-Centered Care in Action: How Clinicians Respond to Patient Dissatisfaction with Contraceptive Side Effects.

Patient-centered care is widely cited as a component of quality contraceptive health care, but its operationalization in clinical interaction is contested. This article examines patient-centered care as an interactional phenomenon using the case of patient dissatisfaction with side effects of hormonal contraceptive medications. Drawing on transcript data from 109 tape-recorded reproductive health visits, I find that provider responses to treatment dissatisfaction range from patient-centered to relatively authoritarian. Providers typically offer patient-centered responses that validate patient experiences and integrate them into contraceptive counseling and method selection. At the same time, explicit communication about patients' contraceptive priorities is rare. In its absence, providers use patient-centered communication to smooth the interactional path toward uptake of highly effective hormonal methods, mostly ignoring the possibility that some patients may prefer less effective methods. Patient-centered contraceptive care was circumscribed by the clinical goal of pregnancy prevention.

The effect of health promotion based on audiovisual media on man’s contraception used in rural areas : A quasi-experimental study

Background: The user of male contraceptives in Indonesia very low (6.34%), included Special Region of Yogyakarta is only (9.34%). The multifactorial causes, there are knowledge, awareness and interested of contraceptives. Its very important to increase the use of male contraceptives by professional contribution by health promostion. Objective: Determined the influence of education-based education audiovisuals on men's knowledge, awarness, and interested of contraception in Nglanggeran Patuk Yogyakarta. Method: This research used Quasi-Experiment with pre and post-test design without control (control self). Study was conducted between June and July 2023 using Quistionare. The intervention was given 2 session health promotion based on Informational by audiovisual media, then motivation and behaviour skill (IMB) model on contraceptive use among male.The sample size is 40 respondents collected by total sampling technique, data analysis was done using SPSS softwere version 22 with Wilcoson's test with significant level of P<0,005 was used. Results: Knowledge before education was sufficient for 23 (57.5%) and 36 (90.0%) after good knowledge education with a p-value of 0.00. awarness before positive awarness education 39 (97.5%) and after positive awarness education 40 (100%), with a p-value of 0.00. Interest before education moderated at 22 (55.0%), and after high-interest education, at 35 (87.5%), with a p-value of 0.00. Condoms dominate the selection of contraceptives before and after education. Conclusion: It was found that health promotion based on audiovisual media was effective in increase men's knowledge, creating awarness and interest in contraception use

Factors Influencing PUS Women on the Selection of Long-Term Contraceptive Methods (MKJP) at Puskesmas Lamno, Jaya District, Aceh Jaya Regency

Family Planning (KB) policy aims to control population growth by reducing birth rates. However, many women experience difficulty in choosing the appropriate type of contraception. This study aims to analyze the factors that influence women of childbearing age (WUS) in choosing a long-term contraceptive method (MKJP). The design of this research is an analytical survey with a cross-sectional approach. The sample for this research was 95 WUS mothers who were selected by accidental sampling. Data was collected through primary and secondary data and analyzed using the binary logistic regression test. The research results show that knowledge, attitudes, husband's support, and socio-cultural factors have a significant influence on the selection of MKJP. However, the role of health workers does not have a significant influence. This research concludes that knowledge, attitudes, husband's support, and socio-cultural factors influence the selection of MKJP, while the role of health workers has no influence. It is hoped that these results can serve as a guide for family planning service officers to improve WUS knowledge and attitudes and provide comprehensive contraception.

Gambaran Tingkat Pengetahuan Akseptor KB dengan Pemilihan Metode Kontrasepsi Jangka Panjang di Wilayah Kerja Puskesmas Madurejo

The Indonesian government initiated the Family Planning Program to enhance the welfare of the population, given the high prevalence of couples of reproductive age (CRA). However, the coverage of family planning participants remains at only 57.4% of the total CRA. This research aims to provide an overview of the knowledge levels among family planning acceptors regarding the selection of long-term contraceptive methods (LTCMs) in the working area of Madurejo Health Center. Using a quantitative descriptive approach through a survey method, this study describes the knowledge levels and characteristics of LTCM selection among Madurejo Health Center's clients. The research involved a total of 60 respondents, categorized into LTCM acceptors and non-acceptors. The results indicate that the majority of respondents are aged between 21 and 35 years (46.7%), highly educated (90%), employed (78.3%), and possess a high economic status (63.3%). The most commonly chosen contraceptive methods are implants (28.3%) and IUDs (13.3%). Approximately 58.3% of respondents fall into the category of having moderate knowledge. In conclusion, the majority of family planning acceptors in the Madurejo Health Center area are individuals of reproductive age, with higher education, employment, high economic status, and moderate knowledge of long-term contraceptive methods. It is essential to continually enhance the knowledge and understanding of respondents in selecting suitable contraceptive methods.

Social Determinants of Health and Patient-Reported Difficult Removal of Long-Acting Reversible Contraception [ID 2683430

INTRODUCTION: Lack of access to high-quality reproductive health care has been reported by persons negatively affected by social determinants of health (SDH). The inability to discontinue a contraceptive method when desired can deleteriously affect a person’s reproductive autonomy. The objective of this study is to evaluate the association of SDH with participant-reported difficult long-acting reversible contraception (LARC) removal. METHODS: A retrospective cross-sectional analysis of data from the 2017–2019 cycle of the National Survey of Family Growth was conducted. The main outcome was patient-reported difficulty discontinuing a LARC method (intrauterine device or implant) in the last 10 years. Descriptive statistics were used to identify demographic characteristics and SDH domains. Multivariable logistic regression models were used to estimate associations across SDH domains with difficult LARC removal. RESULTS: Seven hundred fifty-four respondents reported wanting to have their LARC removed. One-third of respondents experienced one or more SDH, notably food insecurity (26%) or transportation barriers (30%). 105 (11%) reported difficult LARC removal. After adjusting for age, race, education, geographic location, parity, and body mass index, persons with one or more SDH had an increased adjusted odds ratio (aOR) for difficult LARC removal compared to respondents without any SDH (2.11 [95% CI: 1.21, 3.69]). Transportation barriers demonstrated the largest aOR of 2.90 [95% CI: 1.07, 7.87]. CONCLUSION: Social determinants of health are unique risk factors that can negatively affect reproductive justice. Social determinants of health are associated with participant-reported difficult LARC removal. Consideration of SDH at the time of contraceptive selection may be a critical step in addressing equitable and safe access to contraceptives with attention to method discontinuation.

Health Education About Contraception With Tiktok Media On The Level Of Knowledge Of Couples Of Childbearing Age In Choosing Contraception

Purpose: The purpose of this study was to determine whether there is an effect of health education through Tiktok video media on the knowledge of couples of childbearing age in choosing contraceptives. Methods: This study uses descriptive research with a case study approach method, with a total of 30 respondents who meet the predetermined inclusion criteria. Results: The results showed that there was an increase in the knowledge of couples of childbearing age in the selection of contraceptives, after health education was carried out, namely from a sufficient level of knowledge as many as 15 respondents (50%) to a good level of knowledge as many as 17 respondents (56%). Conclusions: From the results obtained, it can be concluded that there is an effect of health education through Tiktok video media on the knowledge of couples of childbearing age in the use of contraceptives.

Faktor Predisposisi Yang Berhubungan Dengan Pemilihan Metode Kontrasepsi Jangka Panjang (MKJP) Pada Wanita Usia Subur (WUS) Di Puskesmas Binong Tahun 2023

One of the government's efforts to reduce the population growth rate in Indonesia is the Family Planning Program. The Indonesian government recommends the Long-Term Contraceptive Method as it is mentioned as one of the targeted outcomes in Indonesia's Medium-Term National Development Plan 2020-2024 (28% by 2024). The number of MKJP acceptors at Binong Health Center has decreased in the last 3 years. In 2021 it is 7.6%, in 2022 it is 6.8%, and in 2023 until November 2023 it is 5%. This indicates that the interest of MKJP at the Binong Health Center is still very low compared to non-MKJP. This research was conducted to determine the predisposing factors associated with the selection of long contraceptive methods at Binong Health Center in 2023. The type of research is quantitative research with a case-control study design with a ratio of 1: 1, consisting of 62 case groups and 62 control groups. This study used Simple Random Sampling technique. This research was conducted using secondary data through medical document review. Data analysis was performed using the chi-square test. The results of the bivariate analysis showed that variables related to the selection of MKJP at Binong Health Center are occupation (p-value = 0.029) and the number of children (p-value = 0.007), while the unrelated variables with the election of MKJP at the Binong Health Center are age (p-value = 0.189) and education (p-value = 0.082). It is expected that further research will be conducted at the Binong Health Center related to factors that affect the use of MKJP with different variables that are likely to influence more such as perception, attitude, side effects. knowledge and exposure to information.

Amenorrhea in adolescents using the etonogestrel contraceptive implant

ObjectiveClinical factors related to development of amenorrhea in adolescents with the etonogestrel contraceptive implant are not well-understood. The purpose of this study is to describe what baseline clinical characteristics are associated with amenorrhea in adolescents with a contraceptive implant 12 months after placement. Study designThis retrospective cohort study included 252 post-menarchal individuals aged 12–22 years with a contraceptive implant placed between 2016–2020. Data abstracted at insertion, three months post-insertion, and 12 months post-insertion included demographics, baseline bleeding pattern, prior contraception use, post-insertion bleeding pattern, and method discontinuation. We assessed possible predictive characteristics of our outcomes using bivariate and multivariable logistic regression analyses. ResultsTwenty nine percent of patients were amenorrheic 12 months after placement. Patients who were amenorrheic at 12 months were more likely to be obese (41.1% vs 24.6%, p = 0.01), to have been amenorrheic prior to implant insertion (16.9% vs 5.4%, p < 0.01, to have used hormonal contraception immediately prior to insertion (42.5% vs 26.3%, p = 0.01), to have had the most recent contraceptive method being another implant (12.3% vs 3.6%, p = 0.02), and to have developed amenorrhea within three months after placement (22.2% vs 12.6%, p < 0.01). After multivariable regression analysis, only obesity (adjusted odds ratio [aOR] 2.2 95% CI 1.1–4.2) and amenorrhea at three months (aOR 3.6, CI 1.1–11.5) were associated with amenorrhea at 12 months. ConclusionObesity and early amenorrhea were associated with 12-month amenorrhea in adolescents using the etonogestrel subdermal implant. Understanding this can help with contraceptive method selection and counseling for patients and providers. ImplicationsObesity and early amenorrhea with the etonogestrel contraceptive implant are associated with longer-term amenorrhea in adolescents using this method. These findings can aid providers with method selection and pre-insertion decision-making for adolescents considering contraceptive implant use, as well as continued counseling after placement.

Edukasi Pemilihan Alat Kontrasepsi Pada Wanita Usia Subur, Pasangan Usia Subur Dan Ibu Nifas

The family planning program is the main pillar in preventing risky pregnancies and reducing maternal mortality and infant mortality. the prevalence of contraceptive use by married women is projected to be 62.2%. The percentage continues to increase until it reaches 64.4% in 2030. The level of achievement in the use of contraceptives can be seen from the coverage of couples of childbearing age and postpartum mothers. The number of mothers giving birth in 2021 will be 25,430 who will become new family planning participants. The importance of educating the public is to increase understanding regarding the selection of appropriate contraceptives for couples of childbearing age and postpartum mothers. The aim of this education is to increase knowledge regarding the selection of appropriate contraceptives, especially for couples of childbearing age and postpartum mothers. This education uses community service methods with outreach to women and couples of childbearing age and also post partum mothers, using power points and pamphlets. The results of this education showed an increase in public knowledge during the pretest and posttest.

Динамика психоэмоционального и когнитивного статусов женщин репродуктивного возраста на фоне приема комбинированного орального контрацептива, содержащего эстетрол

Objective. To study the dynamics of change in psycho-emotional and cognitive indicators in reproductive-aged women receiving a combined oral contraceptive (COC) with estetrol/drospirenone. Patients and methods. A prospective open-label observational study included 64 patients aged 18 to 45 years who applied for contraception selection. According to the study protocol, all patients underwent general clinical examination at baseline, 3 and 6 months from the start of COC administration. The examination included calculation of body mass index (BMI) by Brey formula, measurement of blood pressure, transvaginal ultrasound, assessment of psycho-emotional state and cognitive function. Results. The data obtained in this study indicate a positive effect of COC containing estetrol/drospirenone on the psychoemotional state and cognitive function in patients, which is characterized by increased levels of physical activity regardless of age, decreased levels of anxiety and depression, greater satisfaction with sleep quantity and quality, improved cognitive function due to a positive effect mainly on mild cognitive disorders. Conclusion. Current data on the neuroprotective effect of estetrol in relation to the central nervous system require further study and comprehension. Key words: psycho-emotional state, cognitive disorders, combined oral contraceptive, estetrol, drospirenone

Hubungan Pengetahuan Pasangan Usia Subur dengan Pemakaian Kontrasepsi IUD di Desa Manunggal Kec. Labuhan Deli Tahun 2023

The low coverage of PUS (Couples of Childbearing Age) regarding the use of IUD contraception certainly cannot be separated from the experience of family planning acceptors regarding the selection of contraceptives, because having good knowledge about certain contraceptive methods will change the perspective of acceptors in determining the most appropriate and effective contraception to use so that make contraceptive users more comfortable. The aim of the research is to determine the relationship between knowledge of couples of childbearing age and the use of IUD contraception in Manunggal Village, Labuhan Deli District, Deli Serdang Regency in 2023.The type of research carried out was descriptive analytical with a cross sectional approach, the population in the study was 321 acceptors using a random sampling system. The data collected in the research is primary data, namely data obtained directly from respondents. The data analysis used is chi square.The research results showed that the majority of respondents lacked knowledge, as many as 34 (44.7%) respondents did not use an IUD with a Chi square of 0.000.The conclusion is that there is a relationship between knowledge of couples of childbearing age and coverage of IUD contraceptive use in Manunggal Village, Labuhan Deli District, Deli Serdang Regency in 2023. It is hoped that all health workers in Manunggal Village will be able to encourage and develop the community to better maintain health and improve the health of couples of childbearing age so as to reduce risk of unwanted pregnancy

Factors influencing the choice of Long-Term Contraceptive Methods (LTCM) among family planning acceptors: A literature review

Long-term contraceptive methods refer to contraception that can be used for an extended period, exceeding two years. Many family planning acceptors prefer non-long-term contraceptive methods due to their practicality. The aim of this study is to identify the factors influencing the choice of long-term contraceptive methods among family planning acceptors. The study design is a literature review. Articles selected through Google Scholar's correlation articles with respondents were included. Inclusion criteria for the chosen articles were thematic relevance, family planning acceptors population, and scholarly articles published from 2018 to 2023. The results analyzed by the researcher it can be concluded that several factors significantly influence the selection of Long-Term Contraceptive Methods (LTCM) among family planning acceptors. The most dominant factor is knowledge, followed by other factors such as spousal support, age, number of children, personal attitudes and experiences, sociocultural factors, healthcare accessibility, as well as income and occupation.

The Indonesian national family planning program: progress and remaining challenges in implementing a rights-based approach

Purpose Indonesia subscribes to rights-based principles of family planning. However, a chasm between principles and practice has long been noted on a global basis, and progress has not been well-documented. This paper aims to assess the extent to which the Indonesian national family planning program has evolved in a manner that is consistent with rights-based principles. Design/methodology/approach The primary source of data was five Indonesian Demographic Health Surveys undertaken from 1997 to 2017. The analyses were organized around three major categories of family planning-related human rights. Trend analysis and logistic regression were used in analyzing the data. Findings Indonesian women have considerable autonomy in family planning decision, reporting that family planning decisions were mainly made by themselves or jointly with their spouse. Although contraceptive method awareness and demand for family planning are high, Indonesia fares poorly with regard to informed choice in contraceptive method selection. Access to family planning services is comparatively high as judged by contraceptive prevalence, family planning demand satisfaction and unmet need for family planning. However, significant geographic and socioeconomic inequity were observed on many indicators, with eastern Indonesian provinces consistently lagging behind. Research limitations/implications This paper focuses on married couple, as Indonesia has a restrictive policy to limiting access and information of family planning for other groups, unmarried youth in particular. Originality/value This paper makes an important contribution to document how effectively the prohuman rights policy orientation toward family planning has been translated into services.

Assessment of a Novel Interactive Website to Inform Adolescent and Young Adult Decision-Making about Contraception

Study ObjectiveAdolescents and young adults (AYAs) rely on internet resources for sexual and reproductive health (SRH) information. Interactive tools are promising in health education, yet existing SRH websites do not contain validated resources to support AYAs in contraception decision-making. “Teen Health” is an original, interactive educational website designed for AYAs that includes a novel contraception education tool (CET). MethodsA convenience sample of pregnancy-capable patients aged 13-25 years were recruited during scheduled appointments at outpatient clinics affiliated with a tertiary children's hospital from January-June 2022. Electronic surveys evaluated participants’ contraception preferences before and after website exposure. CET results were reported in the post-website exposure survey. Written feedback was solicited after website exposure. Results128 participants with a mean age of 15.95 years (SD 1.93) participated in this study. Participant demographics were notable for diverse representation of gender identities and sexual preferences. Contraception preferences before and after website exposure differed significantly (p<0.001). Oral contraceptive pills (OCPs) were the most commonly-selected contraception method both pre- and post-website exposure. There was a significant relationship between CET results and post-website contraception preference. Many participants asked for additional topics in adolescent health to be featured on “Teen Health”. ConclusionsThis study demonstrates the feasible implementation and utility of an interactive, teen-friendly SRH educational tool for AYAs. Further study of this website's utility may include broadening the research population to include other languages, clinical institutions, and educational settings, non-contraceptive uses for this resource, as well as contraception selection outcomes after exposure to this website.

FAKTOR-FAKTOR YANG MEMPENGARUHI PEMILIHAN ALAT KONTRASEPSI PASCA SALIN DI RUANG NIFAS RSUD PANGERAN JAYA SUMITRA

Family planning programs prevent maternal and child mortality because they help married couples avoid high-risk pregnancies, reduce the risk of maternal death through pregnancy prevention, delay, gestational age and reduce pregnancy. The high population growth rate is due to the low coverage of post-saline family planning use which is influenced by several factors. Childbirth as many as 75.4%, of which 8.7% of mothers do not use postpartum contraceptive methods. The purpose of the study was to analyze the factors that influence the selection of postpartum contraceptives in the postpartum room of Pangeran Jaya Sumitra Hospital, Kotabaru Regency.The research method uses a cross-sectional approach analytical survey method. This research will be carried out in the postpartum room of Pangeran Jaya Sumitra Hospital, Kotabaru Regency in January 2023. The population is all postpartum mothers recorded from November 2022 to January 2023 as many as 159 people. Samples using accidental sampling techniques as many as 30. Data collection using questionnaires analyzed using frequency distribution and Chi Square test with a signification level of 5% (α=0.05).The results showed that most respondents were well informed as many as 18 people (53.3%), had the support of their husbands as many as 19 people (63.3%), did not use postpartum contraceptives as many as 11 people (36.7%). There is an influence of knowledge on the selection of post-saline contraceptives (pvalue = 0.0060.05). There was an effect of husband support on the choice of post-saline contraceptives (pvalue = 0.00280.05). So that in this study the knowledge and support of the husband influenced the selection of post-saline contraceptives.

HUBUNGAN TINGKAT KECEMASAN, PENDIDIKAN, DAN PEKERJAAN DENGAN PEMILIHAN ALAT KONTRASEPSI IUD DI DESA GUNUNG MERAKSA

Intra Uterine Device or commonly known as IUD is a contraceptive in the form of a small, silastic, with a sleeve or copper wire around it that is installed in the uterus which provides long-term protection against pregnancy. The purpose of this study was to find out the relationship between anxiety levels, education, and work with the choice of IUD contraception in Gunung Meraksa Village, Lubuk Batang OKU District in 2023. This type of research was an analytic observational study with a cross sectional design or approach. The population in this study were all active family planning acceptors, totaling 385 respondents, the total sample being 80 respondents. The type of data uses primary data, the dependent variable is the selection of IUD contraception, the independent variables are anxiety level, education, and occupation. The results of bivariate research on the relationship between anxiety levels, education, and employment with the choice of IUD contraception based on the chi square statistical test anxiety level p-value 0.000 &lt;0.05, education p-value 0.000 &lt;0.05 and employment p-value 0.000 &lt;0, 05 it can be concluded that there is a relationship between anxiety levels, education, and work with the selection of IUD contraception in Gunung Meraksa Village, Lubuk Batang District OKU in 2023. As for suggestions for village midwives in Gunung Meraksa village, it is expected that health workers/staff conduct education regarding IUD contraception both physically and face to face or with media that can be accessed.