Effectiveness of long-acting reversible contraception.

@article{Winner2012EffectivenessOL,
  title={Effectiveness of long-acting reversible contraception.},
  author={Brooke Winner and Jeffrey F. Peipert and Qiuhong Zhao and Christina M Buckel and Tessa Madden and Jenifer E. Allsworth and Gina M. Secura},
  journal={The New England journal of medicine},
  year={2012},
  volume={366 21},
  pages={
          1998-2007
        }
}
BACKGROUND The rate of unintended pregnancy in the United States is much higher than in other developed nations. Approximately half of unintended pregnancies are due to contraceptive failure, largely owing to inconsistent or incorrect use. METHODS We designed a large prospective cohort study to promote the use of long-acting reversible contraceptive methods as a means of reducing unintended pregnancies in our region. Participants were provided with reversible contraception of their choice at… 

Figures and Tables from this paper

Preventing Unintended Pregnancy: The Contraceptive CHOICE Project in Review.

TLDR
Improved access to long-acting reversible contraceptive methods can result in fewer unintended pregnancies and abortions and considerable cost savings to the health care system.

Preventing Unintended Pregnancies by Providing No-Cost Contraception

TLDR
A clinically and statistically significant reduction in abortion rates, repeat abortions, and teenage birth rates is noted and unintended pregnancies may be reduced by providing no-cost contraception and promoting the most effective contraceptive methods.

Long‐Acting Reversible Contraception: A Review in Special Populations

TLDR
A MEDLINE search from 1990–2012 was conducted to identify articles describing the use of LARCs in populations with limited data, including postpartum women, adolescents and nulliparous women, and women with sexually transmitted infections, including human immunodeficiency virus (HIV).

Contraception Selection, Effectiveness, and Adverse Effects: A Review.

TLDR
Oral contraceptive pills are the most commonly used reversible contraceptives, intrauterine devices and subdermal implants have the highest effectiveness, and progestin-only and nonhormonal methods have the lowest risks.

Provision of no-cost, long-acting contraception and teenage pregnancy.

TLDR
Teenage girls and women who were provided contraception at no cost and educated about reversible contraception and the benefits of LARC methods had rates of pregnancy, birth, and abortion that were much lower than the national rates for sexually experienced teens.

New developments in contraception for US women.

Cost-benefit analysis of enhancing the uptake of long-acting reversible contraception in Australia.

TLDR
Greater use of LARC would result in a net gain in economic benefits to Australia, largely driven by women switching from an OCP to LARC who have reduced costs, as well as women wishing to avoid pregnancy who choose to use LARC rather than no method.

A practical guide to contraception. Part 2: Long-acting reversible methods

TLDR
Important information to consider when initiating LARCs is included, as well as some of the common clinical issues that arise during their use.

Long-Acting Reversible Contraception for Adolescents: A Review

TLDR
Effective, confidential communication with sensitive language to inform adolescents of the different types of LARC is necessary to normalize offering LARC as a contraceptive option and improve its uptake among adolescents.

Twenty-Four–Month Continuation of Reversible Contraception

TLDR
Intrauterine devices and the implant have the highest rates of continuation at 24 months, and should be first-line contraceptive options and shorter-acting methods such as OCPs, patch, ring, and DMPA should be second tier.
...

References

SHOWING 1-10 OF 25 REFERENCES

Continuation and Satisfaction of Reversible Contraception

TLDR
IUDs and the subdermal implant have the highest rates of satisfaction and 12-month continuation and should be the first-line contraceptive methods offered to patients, according to this analysis.

Contraception: from accessibility to efficiency.

TLDR
A cross-sectional population-based survey was designed to study the characteristics of current contraceptive use in France, the different types of contraceptive failure, and the reasons reported for not using contraception, showing a misadaptation between women's contraceptive needs and the method they use.

Improving contraceptive use in the United States.

TLDR
A complex picture of women's motivation and of client-provider interactions that sometimes hinder effective contraceptive use is revealed, and a number of measures that providers can take to help clients improve their contraceptive practice are suggested.

Contraceptive failure rates: new estimates from the 1995 National Survey of Family Growth.

TLDR
Levels of contraceptive failure vary widely by method, as well as by personal and background characteristics, and income's strong influence on contraceptive failure suggests that access barriers and the general disadvantage associated with poverty seriously impede effective contraceptive practice in the United States.

U.S. medical eligibility criteria for contraceptive use, 2010.

TLDR
The Centers for Disease Control and Prevention has recently developed the U.S. Medical Eligibility Criteria for Contraceptive Use, 2010, which provides evidence-based recommendations for the safety of contraceptive use among women with medical conditions.

Intrauterine devices in adolescents

  • A. Davis
  • Medicine
    Current opinion in pediatrics
  • 2011
TLDR
IUDs are now considered by many experts as a first-line contraceptive option for teens in the United States, and current data do not support that IUDs affect long-term fertility or increase sexually transmitted diseases in teens.

Patterns of oral contraceptive pill-taking and condom use among adolescent contraceptive pill users.

Use of contraception in the United States: 1982-2008.

  • W. MosherJo Jones
  • Sociology
    Vital and health statistics. Series 23, Data from the National Survey of Family Growth
  • 2010
TLDR
While contraceptive use is virtually universal in the United States, women with different characteristics make different choices of methods--for example, college educated women are much more likely to use the pill and less likely to using female sterilization than less educated women.