Unintended pregnancy risk in an emergency department population.

Abstract:

OBJECTIVE:To assess unintended pregnancy risk and associated factors among female urban Baltimore emergency department (ED) attendees. METHODS:A cross-sectional anonymous questionnaire study was completed by 790 women, sufficient to detect a 5% difference of unintended pregnancy risk in the national population and a 10% intersite difference with 80% power. The results were analyzed with chi-square tests, univariate and multivariate logistic regression analyses. RESULTS:Female ED attendees are at greater risk for unintended pregnancy (33.5%), particularly those of lower income (p=.006) and without a primary care provider (p=.003). Unintended pregnancy risk did not vary between sites by any variable except young age despite the fact that sites varied significantly by race, insurance and income measures. CONCLUSION:Women using the ED are at increased risk for unintended pregnancy and are less likely to have access to a regular medical care source; thus, the ED represents a possible contraceptive provision site.

journal_name

Contraception

journal_title

Contraception

authors

Todd CS,Mountvarner G,Lichenstein R

doi

10.1016/j.contraception.2004.08.005

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

35-9

issue

1

eissn

0010-7824

issn

1879-0518

pii

S0010-7824(04)00227-6

journal_volume

71

pub_type

杂志文章
  • Progestin-only pill use and pill switching during breastfeeding.

    abstract::The opinions of 20 international experts in reproductive endocrinology and family planning service delivery were solicited concerning contraceptive pill use during breastfeeding and, in particular, to determine whether the experts felt that breastfeeding women who use progestin-only pills (POPs) should be advised to s...

    journal_title:Contraception

    pub_type: 社论

    doi:10.1016/0010-7824(95)00076-m

    authors: Visness CM,Rivera R

    更新日期:1995-05-01 00:00:00

  • Plasma levels and progestational activity of levonorgestrel after repeated intravenous and subcutaneous administration in the beagle bitch.

    abstract::In pharmacological test models providing repeated daily administrations of steroid hormones, differing time courses of the drug level depending upon the pharmacokinetics can be observed often. The present study should make a contribution to the question whether the time course of the drug level can have an influence o...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(84)90068-4

    authors: Düsterberg B,Beier S

    更新日期:1984-04-01 00:00:00

  • Oral contraceptives and venous thromboembolism: a five-year national case-control study.

    abstract::The objective of this study was to assess the influence of oral contraceptives (OCs) on the risk of venous thromboembolism (VTE) in young women. A 5-year case-control study including all Danish hospitals was conducted. All women 15-44 years old, suffering a first ever deep venous thrombosis or a first pulmonary emboli...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0010-7824(01)00307-9

    authors: Lidegaard Ø,Edström B,Kreiner S

    更新日期:2002-03-01 00:00:00

  • Effects of three types of combined O.C. pills on blood coagulation, fibrinolysis and platelet function.

    abstract::The results of a prospective longitudinal controlled study comparing the coagulation effects of a standard low-dose combined oral contraceptive (Microgynon 30), a desogestrel-containing pill (Marvelon) and a triphasic preparation (Triquilar) after one year's treatment in ethnic Chinese women is presented in this paper...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0010-7824(89)90116-9

    authors: Prasad RN,Koh S,Ratnam SS

    更新日期:1989-04-01 00:00:00

  • Physical examination prior to initiating hormonal contraception: a systematic review.

    abstract:BACKGROUND:Provision of contraception is often linked with physical examination, including clinical breast examination (CBE) and pelvic examination. This review was conducted to evaluate the evidence regarding outcomes among women with and without physical examination prior to initiating hormonal contraceptives. STUDY...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/j.contraception.2012.08.010

    authors: Tepper NK,Curtis KM,Steenland MW,Marchbanks PA

    更新日期:2013-05-01 00:00:00

  • Hemostatic changes in women using a monthly injectable contraceptive for one year.

    abstract::The effect of consecutively injecting a one-a-month contraceptive (norethisterone enantate 50 mg with estradiol valerate 5 mg) for one year on haematological parameters was evaluated in 42 Chinese women. The healthy volunteers were randomly allocated to either the treatment group (22) or a control group (20). Blood sa...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0010-7824(90)90052-w

    authors: Meng YX,Jiang HY,Chen AJ,Lu FY,Yang H,Zhang MY,Shen KY,Sun DL,Shao QX,Fotherby K

    更新日期:1990-10-01 00:00:00

  • Over-the-internet availability of hormonal contraceptives regardless of risk factors.

    abstract:OBJECTIVE:The purpose of this study is to measure the accessibility to purchase oral and transdermal contraceptives over the Internet for low- and high-risk individuals. METHODS:The Internet was used to search for and order both oral and transdermal contraceptives. Using the "Google" search engine to locate online pha...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2005.10.001

    authors: Memmel LM,Miller L,Gardner J

    更新日期:2006-04-01 00:00:00

  • Monthly combined injectable contraceptives and neoplasia.

    abstract::Monthly injectable contraceptives, containing a combination of a long-acting progestogen and an estrogen, have been used in Latin America and China for many years. While knowledge about the effects of other hormonal contraceptives on cancer risk is relevant, close analogies with monthly injectables cannot be made. The...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/0010-7824(94)90002-7

    authors: Skegg DC

    更新日期:1994-05-01 00:00:00

  • The benefits of family planning training: a 10-year review of the Ryan Residency Training Program.

    abstract:OBJECTIVE:The objective was to determine the effect of routine, opt-out abortion and family planning training on clinical exposure to uterine evacuation, contraception and other gynecologic skills. METHODS:Data from the first 10 years of the Kenneth J. Ryan Residency Training Program in Abortion and Family Planning we...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2013.02.006

    authors: Steinauer JE,Turk JK,Fulton MC,Simonson KH,Landy U

    更新日期:2013-08-01 00:00:00

  • Introduction of cyclofem once-a-month injectable contraceptive in Mexico.

    abstract::A large introductory study of Cyclofem, a once-a-month injectable contraceptive, was conducted in three Mexican provinces. A total of 3457 healthy women participated: 640 women from rural areas (community-based component) and 2817 women from urban and suburban areas (health center-based component). A total of 20,316 w...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0010-7824(98)00062-6

    authors: Garza-Flores J,Moraks del Olmo A,Fuziwara JL,Figueroa JG,Alonso A,Monroy J,Perez M,Urbina-Fuentes M,Guevara SJ,Cedeno E,Barrios R,Ferman JJ,Medina LM,Velazquez E,Perez-Palacios G

    更新日期:1998-07-01 00:00:00

  • Analysis of anti-implantational action of norethisterone-3-oxime.

    abstract::Mature rabbits received norethisterone-3-oxime (NETO) 2 mg/kg/day from day 2 through day 4 of pregnancy by gavage. Control rabbits were given vehicle. All animals were sacrificed on day 5. The oviducts were removed and sections stained with HE. Morphological changes were evaluated. The outer and inner diameters of tub...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(87)90040-0

    authors: Li QG,Li DZ

    更新日期:1987-12-01 00:00:00

  • The cost-effectiveness of a long-acting reversible contraceptive (Implanon) relative to oral contraception in a community setting.

    abstract:BACKGROUND:Within the setting of a UK community sexual health service, the cost-effectiveness of Implanon and oral contraception provision over a 36-month period was compared. STUDY DESIGN:A case-controlled retrospective cost-effectiveness study was done on a cohort of 493 Implanon users and 493 oral contraceptive use...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2008.11.003

    authors: Lipetz C,Phillips CJ,Fleming CF

    更新日期:2009-04-01 00:00:00

  • Can we identify women at risk of pregnancy despite using emergency contraception? Data from randomized trials of ulipristal acetate and levonorgestrel.

    abstract:BACKGROUND:Emergency contraception (EC) does not always work. Clinicians should be aware of potential risk factors for EC failure. STUDY DESIGN:Data from a meta-analysis of two randomized controlled trials comparing the efficacy of ulipristal acetate (UPA) with levonorgestrel were analyzed to identify factors associat...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2011.02.009

    authors: Glasier A,Cameron ST,Blithe D,Scherrer B,Mathe H,Levy D,Gainer E,Ulmann A

    更新日期:2011-10-01 00:00:00

  • Choice of the levonorgestrel intrauterine device, etonogestrel implant or depot medroxyprogesterone acetate for contraception after aspiration abortion.

    abstract:OBJECTIVE:Women who have abortions are at high risk of contraception discontinuation and subsequent unintended pregnancy. The objective of this analysis was to identify factors associated with choice of highly effective, long-acting, progestin-only contraceptive methods after abortion. STUDY DESIGN:Women presenting fo...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2015.06.013

    authors: Steinauer JE,Upadhyay UD,Sokoloff A,Harper CC,Diedrich JT,Drey EA

    更新日期:2015-12-01 00:00:00

  • Emetine ditartrate: a possible lead for emergency contraception.

    abstract::Interception of pregnancy in its initial stage is an attractive and viable approach to contraception. A chemical agent, taken within the first few days of missed menses, intercepts the conception, which is expelled with menstrual flow. The main targets of such agents are the uterus, blastocyst and the growing trophobl...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2003.12.011

    authors: Mehrotra PK,Kitchlu S,Dwivedi A,Agnihotri PK,Srivastava S,Roy R,Bhaduri AP

    更新日期:2004-05-01 00:00:00

  • Perceptions of intrauterine contraception among women seeking primary care.

    abstract:BACKGROUND:Intrauterine contraception (IUC) is safe, highly effective and has few medical contraindications. Primary care providers see many women with chronic conditions who might benefit from IUC. STUDY DESIGN:We surveyed women aged 18-50 who visited one of four primary care clinics in Pennsylvania between October 2...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2013.02.004

    authors: Callegari LS,Parisi SM,Schwarz EB

    更新日期:2013-08-01 00:00:00

  • Midtrimester abortion with intramuscular injection of 15-methyl-prostaglandin F2alpha.

    abstract::This study examines the efficacy and side effects of 15-methyl-prostaglandins F2alpha (PGF2a) free acid administered intramuscularly for midtrimester abortion. 50 healthy women aged 14 to 37 years and between 12 to 18 weeks gestation were randomly selected from the abortion clinic at the Los Angeles County/USC Medica...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(75)90107-9

    authors: Slaughter L,Ballard CA

    更新日期:1975-05-01 00:00:00

  • Safety and tolerability of depot medroxyprogesterone acetate among HIV-infected women on antiretroviral therapy: ACTG A5093.

    abstract:BACKGROUND:Concomitant use of antiretroviral (ARV) and hormonal contraceptives may change the metabolism of each and the resulting safety profiles. We evaluated the safety and tolerability of depot medroxyprogesterone acetate (DMPA) among women on ARV. STUDY DESIGN:HIV-infected women on selected ARV regimens or no ARV...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2007.10.002

    authors: Watts DH,Park JG,Cohn SE,Yu S,Hitti J,Stek A,Clax PA,Muderspach L,Lertora JJ

    更新日期:2008-02-01 00:00:00

  • A study of the relationship between tensile testing of condoms and breakage in use.

    abstract::The ability of the condom wall to maintain its integrity throughout sexual intercourse is critical to its role in halting the spread of major sexually transmissible pathogens including the human immunodeficiency virus. There are three principal in vitro performance tests applied to condoms: a test for freedom from hol...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(91)90045-h

    authors: Gerofi J,Shelley G,Donovan B

    更新日期:1991-02-01 00:00:00

  • Effect of dose on the pharmacokinetics of levonorgestrel in the rat during the rapid elimination phase following subcutaneous administration.

    abstract::Adult female rats were given a single, subcutaneous injection of 8, 16 or 32 micrograms of levonorgestrel (LNG). Blood samples were collected at various time intervals and serum concentrations of LNG were determined by radioimmunoassay. The patterns of temporal decline in LNG concentrations in the three dose groups in...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(84)90009-x

    authors: Naqvi RH,Mitra SB,Lindberg MC

    更新日期:1984-12-01 00:00:00

  • Can mifepristone medical abortion be simplified? A review of the evidence and questions for future research.

    abstract::Mifepristone medical abortion has been a valuable addition to the reproductive health options of women. Aspects of its provision have however sometimes limited its accessibility and use. This article summarizes existing evidence for simplifying the provision of medical abortion and thus increasing its availability. We...

    journal_title:Contraception

    pub_type: 杂志文章,评审

    doi:10.1016/j.contraception.2006.11.011

    authors: Clark WH,Gold M,Grossman D,Winikoff B

    更新日期:2007-04-01 00:00:00

  • How women anticipate coping after an abortion.

    abstract:BACKGROUND:There has been some study of women's emotional and psychological well-being after an abortion but no research into women's expectations, at the time of seeking an abortion, of how they will cope after the abortion. STUDY DESIGN:We abstracted counseling needs assessment forms of 5109 women who sought an abor...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2011.11.002

    authors: Foster DG,Gould H,Kimport K

    更新日期:2012-07-01 00:00:00

  • Vaginal swab specimen processing methods influence performance of rapid semen detection tests: a cautionary tale.

    abstract:BACKGROUND:Detection of semen biomarkers in vaginal fluid can be used to assess women's recent exposure to semen. Quantitative tests for detection of prostate-specific antigen (PSA) perform well, but are expensive and require specialized equipment. We assessed two rapid immunochromatographic strip tests for identificat...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2010.02.022

    authors: Hobbs MM,Steiner MJ,Rich KD,Gallo MF,Warner L,Macaluso M

    更新日期:2010-09-01 00:00:00

  • Anti-implantation activity of luteal phase mifepristone administration is not mimicked by prostaglandin synthesis inhibitor or prostaglandin analogue in the rhesus monkey.

    abstract::The use of mifepristone as an anti-implantation agent in the primate has been explored in the rhesus monkey with two specific aims: (i) to determine the contraceptive efficacy of very low-dose mifepristone administered on mated cycle days 16, 17, and 18; and (ii) to test the hypothesis that alteration in endometrial p...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/s0010-7824(96)00280-6

    authors: Nayak NR,Ghosh D,Lasley BL,Sengupta J

    更新日期:1997-02-01 00:00:00

  • Contraceptive knowledge and use among low-income Hispanic immigrant women and non-Hispanic women.

    abstract:BACKGROUND:With the rising influx of Hispanics to the United States, there is an ongoing need to promote health and wellness care to this non-English-speaking, minority population group. Programs, specifically developed to address the unique cultural mores of Hispanics, need to focus on increasing knowledge about healt...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2007.12.008

    authors: Garcés-Palacio IC,Altarac M,Scarinci IC

    更新日期:2008-04-01 00:00:00

  • Biochemical studies with once-a-month contraceptive pill containing quinestrol-quingestanol acetate.

    abstract::Biochemical studies with a once-a-month contraceptive pill containing 2 mg quinestrol and 2.5 mg quingestanol acetate were undertaken during a period of 24 months. The 1st pill was given on the 2nd day of the menstrual cycle and the 2nd on the 22nd day of the same cycle; thereafter the pills were given every 28th day...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(75)90065-7

    authors: Donde UM,Virkar KD

    更新日期:1975-06-01 00:00:00

  • Induction of menstruation by antiprogesterone ZK 98.299 in cycling bonnet monkeys.

    abstract::The antiprogestin ZK 98.299 (11 beta-(4-dimethylaminophenyl)-17 alpha-hydroxy-17 beta-(3-hydroxypropyl)-13 alpha-methyl-4,9-gonadien-3-one) was administered s.c. (30mg/day) to two groups of cycling bonnet monkeys. In Group I (n = 6), it was injected from day 16 to 18 and in Group II (n = 9) from day 21 to 23 of the cy...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/0010-7824(87)90077-1

    authors: Puri CP,Elger WG,Pongubala JM

    更新日期:1987-04-01 00:00:00

  • Acceptability evaluation of a natural rubber latex, a polyurethane, and a new non-latex condom.

    abstract::After more than a century of reliance on latex condoms, male condoms fabricated from new materials are finally becoming commercially available to consumers. This study was an open label acceptability study that compared three lubricated condom products during vaginal intercourse: a natural rubber latex condom, a polyu...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0010-7824(00)00119-0

    authors: Frezieres RG,Walsh TL

    更新日期:2000-06-01 00:00:00

  • Developing future leaders in reproductive health through a scholarly concentration for medical students.

    abstract:OBJECTIVES:To evaluate the impact of a scholarly concentration for medical students, which aims to develop students' research, clinical and advocacy skills to promote women's reproductive health. STUDY DESIGN:Scholarly concentration programs provide opportunities to engage in scholarship beyond the traditional medical...

    journal_title:Contraception

    pub_type: 杂志文章

    doi:10.1016/j.contraception.2014.07.005

    authors: Nothnagle M,Radlinski H,Magee SR,Allen RH

    更新日期:2014-11-01 00:00:00

  • Using complete breastfeeding and lactational amenorrhoea as birth spacing methods.

    abstract::The aim of this study was to evaluate the effectiveness of lactational amenorrhoea and to determine the relationship between extended breastfeeding and the return of fertility. Breastfeeding pattern, basal body temperature, cervical mucus, salivary ferning, vaginal blood discharge, frequency of sexual intercourse, and...

    journal_title:Contraception

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0010-7824(00)00101-3

    authors: Tommaselli GA,Guida M,Palomba S,Barbato M,Nappi C

    更新日期:2000-04-01 00:00:00