Obstetrics/Gynecology General
RSSArticles
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Model Contraceptive Program Increased LARC Access Among Title X Clients
The Affordable Care Act’s contraceptive mandate led to an increase in injectable contraceptives, but did not help improve access to long-acting, reversible contraceptives, research revealed.
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Family Planning Centers Looking for Solutions in a Difficult Era
In recent years, family planning clinics have faced many obstacles to providing contraceptive access to all patients who need it. Access issues worsened under changes to Title X and the Supreme Court’s recent ruling that allows some employers to opt out of providing contraception coverage. Reproductive health experts worry these recent changes — and COVID-19’s effect on access — could result in more unintended pregnancies.
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Supreme Court’s Contraception Ruling Could Affect Women Nationwide
The Affordable Care Act mandated that employers provide contraceptive coverage to workers at no cost. In July, the U.S. Supreme Court allowed a Trump administration regulation to let employers with religious or moral objections opt out of the mandate.
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An Over-the-Counter Progestin-Only Pill Would Appeal to Millions
In a model based on a national survey of 2,539 reproductive-age women in the United States, an over-the-counter, progestin-only contraceptive pill would appeal to 12.5 million adults and 1.75 million teens, assuming there were no out-of-pocket costs.
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Intervention Reduces Pregnancy and STI Risk Among Young Women with Depression
Young women with depression experience a higher rate of unintended pregnancy and sexually transmitted infections than young women, in general. The challenge for family planning clinicians is to find an effective intervention to help them prevent pregnancy and maintain their health.
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Study Reveals Low Rate of Contraceptive Use in Women with Recent Preterm Births
Medicaid claims data among a North Carolina cohort show that women were less likely to fill a contraceptive claim within 90 days after preterm birth. Investigators theorized it would be harder for women to access contraception after a preterm birth because they would be caring for a medically fragile infant. Also, women who deliver preterm experience shorter pregnancies, which means there is less time for a conversation with their healthcare providers about contraception.
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Servicewomen Experience Barriers to Contraception
A follow-up survey of United States servicewomen and their access to contraceptives during their deployment revealed both good and bad news. Some women reported greater access to contraception, while others experienced barriers to obtaining contraceptives in the weeks leading up to their deployment.
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Study: Copper IUDs Do Not Appear to Prevent Implantation or Increase HIV Risk
For decades, clinicians and the public assumed that copper intrauterine devices (IUDs) prevented pregnancy by preventing implantation. There also was fear that IUDs could increase a woman’s risk of HIV infection. Results of a new study suggested these assumptions are incorrect.
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Contraceptive Implants Are an Option for Patients Taking Isotretinoin
When clinicians prescribe the acne medication isotretinoin, they advise reproductive-age women to avoid pregnancy through two different contraceptives and an online iPledge app. Since the drug causes severe birth defects, it is important young women do not become pregnant while taking the drug. Etonogestrel contraceptive implants could be one contraceptive option for women taking isotretinoin, but there are concerns the acne drug would decrease the effectiveness of hormonal contraceptives.