Contraception
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Patients Desire Telemedicine for Abortion Care
New research confirms previous studies in demonstrating the safety and efficacy of medication abortion pills. Studies also show there is strong desire for this option among people seeking an end to their pregnancy.
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It May Be Ethical for Providers to Refuse to Comply with Abortion Laws
What should providers do when state law conflicts with their ethical duty to preserve the health and life of a patient? Each provider and healthcare organization has been left to interpret their states’ laws with little guidance and precedence. Some hospitals are sued for not providing care when a pregnant patient’s life was in danger. In other cases, physicians are required to visit their employer’s legal office for permission to save patients’ health and lives. The authors of a new paper defend physician noncompliance with anti-abortion legislation, arguing physicians’ obligations to comply with the law are defeated when the law is illegitimate.
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Study Finds Increased Risk of Depression with Use of Oral Contraceptives
A population-based cohort study with data for more than 260,000 women revealed oral contraception use can increase the risk of depression, particularly during the first two years of its use. For adolescents, its use can increase later-in-life risk of depression, as well. Investigators said their results were consistent with a causal relationship between oral contraceptive use and depression.
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People Can Safely Self-Manage Medication Abortion After 10 Weeks
Abortion care for women in their late first trimester and second trimester of pregnancy has been abolished in some states — even when the patient’s health or life is at risk during a miscarriage or other pregnancy crisis. As increasing numbers of people turn to self-managed abortion for ending their pregnancies, this option has not been seen as an alternative for U.S. women who are more than 10 weeks pregnant — until now.
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What Is Next for the First OTC Birth Control Pill Approved by the FDA?
It took contraceptive care advocates more than two decades, but they achieved success on July 13, when the U.S. Food and Drug Administration approved Opill, the first over-the-counter hormonal birth control pill, for use in the United States.
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Caregivers of Foster Youth Play Role in Contraceptive Decisions
Foster youth are vulnerable and at high risk of pregnancy. Reproductive health providers need to work with the youth and their caregivers to build a trusting relationship when discussing contraception.
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Abortion Bans Lead Physicians, Nurses to Avoid Certain States
Medical students, residents, and practicing OB/GYNs are saying they do not want to train and practice in states with extreme abortion bans, including Texas, Arkansas, Louisiana, Tennessee, Oklahoma, and others. The authors of a recent study found that four in five physicians and trainees preferred to avoid working in states with abortion bans.
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Stress, Burnout, Quitting May Increase in Coming Years
Nurses, physicians, and others who work in reproductive healthcare are under increasing stress and pressure since states began to enforce abortion laws that range from total bans to restrictions on most abortion care. The authors of a recent study found that abortion providers are burdened and affected emotionally when they help people who are turned away from abortion care in their own communities or state.
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Patients Face Barriers to Permanent Contraception
For people who want a permanent contraception method, both tubal surgery and vasectomy are safe, highly effective, and result in a quick recovery. The chief obstacles are insurance restrictions, finding a clinician who can do the procedure, securing an operating room, religious hospitals’ policies, and inconvenience to patients.
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Base Permanent Contraception Counseling on Patients’ Preferences
Increasingly, reproductive health providers are meeting with patients who are interested in a permanent contraceptive method. Roadblocks to these procedures include a patient’s personal concerns about the procedure or future regret, as well as insurance/cost concerns, and clinicians who turn them down because they are too young or have no or too few children.