Abstract:
OBJECTIVE:As part of a strategy to revitalize postpartum family planning services, Government of India revised its policy in 2013 to permit trained nurses and midwives to insert postpartum intrauterine contraceptive devices (PPIUCDs). This study compares two key outcomes of PPIUCD insertions--expulsion and infection--for physicians and nurses/midwives to generate evidence for task sharing. STUDY DESIGN:We analyzed secondary data from the PPIUCD program in seven states using a case-control study design. We included facilities where both doctors and nurses/midwives performed PPIUCD insertions and where five or more cases of expulsion and/or infection were reported during the study period (January-December 2013). For each case of expulsion and infection, we identified a time-matched control who received a PPIUCD at the same facility and had no complaints. We performed a multiple logistic regression analysis focusing on provider cadre while controlling for potential confounding factors. RESULTS:In 137 facilities, 792 expulsion and 382 infection cases were matched with 1041 controls. Provider type was not significantly associated with either expulsion [odds ratio (OR) 1.84; 95% confidence interval (CI): 0.82-4.12] or infection (OR 0.73; 95% CI: 0.39-1.37). Compared with centralized training, odds of expulsion were higher for onsite (OR 2.32, 95% CI: 1.86-2.89) and on-the-job training (OR 1.23, 95% CI: 1.11-1.36), but odds of infection were lower for onsite (OR 0.45, 95% CI: 0.27-0.75) and on-the-job training (OR 0.31, 95% CI: 0.25-0.37). CONCLUSION:Trained nurses and midwives who conduct deliveries at public health facilities can perform PPIUCD insertions as safely as physicians. IMPLICATIONS:Institutional deliveries are increasing in India, but most normal vaginal deliveries at public health facilities are attended by nurses and midwives due to a shortage of physicians. Task sharing with nurses and midwives can increase women's access to and the acceptability of quality PPIUCD services.
journal_name
Contraceptionjournal_title
Contraceptionauthors
Yadav V,Balasubramaniam S,Das S,Srivastava A,Srivastava A,Kumar S,Sood Bdoi
10.1016/j.contraception.2015.12.012subject
Has Abstractpub_date
2016-04-01 00:00:00pages
347-355issue
4eissn
0010-7824issn
1879-0518pii
S0010-7824(15)30117-7journal_volume
93pub_type
杂志文章相关文献
CONTRACEPTION文献大全abstract:OBJECTIVES:We wanted to explore the effects of two different low doses (0.5μM and 0.05μM) of mifepristone, exposed during the receptive period, on the human embryo implantation process, using a well-established three-dimensional in vitro cell culture model, specifically developed to study this process. METHODS:An in v...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2016.03.009
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVES:Contraceptive prevalence is relatively low in Albania, and abortion is the mainstay of family planning. Although levonorgestrel-only emergency contraceptive pills are available, uptake of this method is minimal. Emergency contraception (EC) could play a significant role in addressing women's need for an effe...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2018.03.033
更新日期:2018-04-11 00:00:00
abstract:BACKGROUND:In levonorgestrel intrauterine system (LNG-IUS) users, the prevention of sperm penetration through cervical mucus has not been demonstrated. STUDY DESIGN:Subjects were enrolled in an investigator-blinded study to compare quality and sperm penetrability of mid-cycle cervical mucus between LNG-IUS users and h...
journal_title:Contraception
pub_type: 临床试验,杂志文章
doi:10.1016/j.contraception.2010.06.006
更新日期:2010-12-01 00:00:00
abstract:OBJECTIVES:To develop and validate standardized criteria for assessing abortion-related incidents (adverse events, morbidities, near misses) for first-trimester aspiration abortion procedures and to demonstrate the utility of a standardized framework [the Procedural Abortion Incident Reporting & Surveillance (PAIRS) Fr...
journal_title:Contraception
pub_type: 杂志文章,评审
doi:10.1016/j.contraception.2017.05.004
更新日期:2017-07-01 00:00:00
abstract::Surveys undertaken in the 1970s and 1980s suggested that amenorrhea was unacceptable to most women, especially in developing countries. More recent research suggests that increasing numbers of women in the developed world prefer to menstruate less often. In a questionnaire survey of 1001 women attending family-plannin...
journal_title:Contraception
pub_type: 杂志文章,多中心研究
doi:10.1016/s0010-7824(02)00474-2
更新日期:2003-01-01 00:00:00
abstract::Twelve young women were prospectively evaluated for the short-term metabolic effects of a low-dose oral contraceptive containing 30 micrograms ethinyl estradiol and 150 micrograms levonorgestrel. To each volunteer a 50 g glucose challenge was administered monthly as a screening test for changes in the glucose metaboli...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(83)90080-x
更新日期:1983-11-01 00:00:00
abstract::Levels of contraceptive steroids in breast milk and plasma of lactating women were investigated. 7 lactating women received 150 mg medroxyprogesterone acetate (MPA) 1 week after delivery. 5 women (lactating) took 350 mcg norethisterone (NET) and 2 took 150 mcg d-norgestrel (d-ng) + 30 mcg ethinyl estradiol. Milk an...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(77)90061-0
更新日期:1977-12-01 00:00:00
abstract:INTRODUCTION:This prospective observational study evaluated the bleeding patterns of women using a vaginal ring releasing 120 microg of etonogestrel and 15 microg of ethinyl estradiol daily, over a continuous period of 84 days followed by 7 ring-free days. METHODS:The study enrolled 75 volunteers aged 18 to 37 years. ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2006.10.009
更新日期:2007-03-01 00:00:00
abstract::The discovery of the reversible antifertility action of an extract from Tripterygium wilfordii both in male rats and in men in 1986 stimulated worldwide interest. International and national collaborations aimed at the bioassay-directed sub-fractionation of materials extracted from the plant was then organized and to d...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(94)00018-r
更新日期:1995-02-01 00:00:00
abstract::Oral contraceptives (OCs) have been shown to effectively treat acne. Clinical trials of various doses of ethinyl estradiol (EE) combined with progestins such as levonorgestrel, desogestrel, norgestimate, gestodene, cyproterone acetate and drospirenone in monophasic, triphasic and combiphasic formulations used to treat...
journal_title:Contraception
pub_type: 杂志文章,评审
doi:10.1016/j.contraception.2005.07.010
更新日期:2006-01-01 00:00:00
abstract::To determine knowledge of, attitudes toward, and use of emergency contraception (EC), interviews were held with 1068 clients of 89 public sector primary healthcare facilities in two urban and two rural areas of South Africa. Only 22.8% of the clients had heard of EC. Awareness was significantly lower in the most rural...
journal_title:Contraception
pub_type: 杂志文章,多中心研究
doi:10.1016/s0010-7824(01)00272-4
更新日期:2001-12-01 00:00:00
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
更新日期:2012-07-01 00:00:00
abstract:BACKGROUND:The Copper T intrauterine device (IUD) is a safe, effective, reversible contraceptive that is used widely worldwide but little in South Africa. This study assesses the knowledge, attitudes and practices of potential IUD users and health care providers to inform strategies for expanding IUD use in South Afric...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2010.07.009
更新日期:2011-02-01 00:00:00
abstract:OBJECTIVES:Healthy People 2020 establishes objectives for reducing the proportion of pregnancies in the United States that are unintended and for improving contraceptive use. This analysis describes ways to more closely align measurement of contraceptive use with periods of risk for unintended pregnancy using the Natio...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2020.04.009
更新日期:2020-08-01 00:00:00
abstract::In a study of 1074 women, 696 and 338 subjects would not seriously consider permanent and hypothetically reversible sterilization, respectively; they were asked to explain their feelings. The reason accounting for most objections to permanent sterilization (65%) was irreversibility and of the subjects who would not co...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(80)80001-1
更新日期:1980-09-01 00:00:00
abstract::A large international multi-center IUD data set (N = 5520) coordinated by Family Health International was analysed to determine if the uterine position of a woman (anteverted, mid-positioned or retroverted) affects the ease of IUD insertion and if knowledge of uterine position would diminish insertion-related problems...
journal_title:Contraception
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1016/0010-7824(90)90059-5
更新日期:1990-05-01 00:00:00
abstract:OBJECTIVE:To understand knowledge, current practices, barriers and facilitators for pharmacists prescribing emergency contraception (EC). STUDY DESIGN:We conducted a cross-sectional survey among California community pharmacists. We distributed the online survey, consisting of 34 close-ended questions, to members of th...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2019.08.012
更新日期:2019-12-01 00:00:00
abstract::RU 486, a new antiprogestational compound, was given to 37 women seeking termination of pregnancy and with amenorrhea of 42 days or less. One patient was found at the second follow-up visit to have an extrauterine pregnancy. The patients received either 25 mg, 50 mg or 100 mg RU 486 twice daily for four days. All pati...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/0010-7824(84)90014-3
更新日期:1984-05-01 00:00:00
abstract:BACKGROUND:In 2013, Texas House Bill 2 (HB 2) placed restrictions on the use of medication abortion, which later were nullified with the 2016 FDA-approved mifepristone label. METHODS:Using data collected directly from Texas abortion facilities, we evaluated changes in the provision and use of medication abortion durin...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2019.01.001
更新日期:2019-05-01 00:00:00
abstract:OBJECTIVE:The objective was to describe the efficacy of medical abortion using mifepristone and misoprostol for gestations less than 6 weeks. STUDY DESIGN:We searched PubMed and Cochrane databases for articles in any language that examined the success of mifepristone and misoprostol abortion at gestational ages <42 da...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2017.09.006
更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:Combined oral contraceptives (COCs) decrease testosterone (T) levels. This study investigated restoration of T and other androgen concentrations during COC use by 'co-administration' of dehydroepiandrosterone (DHEA). STUDY DESIGN:In this randomized, double-blind, placebo-controlled study in 99 new COC start...
journal_title:Contraception
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.contraception.2014.11.002
更新日期:2015-02-01 00:00:00
abstract:BACKGROUND:Globally, 14.3% of women of reproductive age use intrauterine contraception (IUC), but the distribution of IUC users is strikingly nonuniform. In some countries, the percentage of women using IUC is <2%, whereas in other countries, it is >40%. Reasons for this large variation are not well documented. The aim...
journal_title:Contraception
pub_type: 杂志文章,评审
doi:10.1016/j.contraception.2013.11.011
更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:Determine if erythromycin is an effective agent for achieving occlusion of the Fallopian tube for nonsurgical female sterilization. METHODS:Two studies of 100 healthy volunteers requesting sterilization were planned, one in Julpia Andhermanik and the other in Kolkata (Calcutta). A readily available marketed ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2003.07.005
更新日期:2004-01-01 00:00:00
abstract::This article presents results from a small, introductory clinical study offering a simplified regimen medical abortion to women in Turkey. A total of 208 women from five sites were recruited from July 2000 through March 2001. All eligible consenting women were given 200 mg oral mifepristone at the clinic followed by 4...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2004.05.005
更新日期:2004-11-01 00:00:00
abstract::The objective of this double-blind, placebo-controlled study was to evaluate the effect of mefenamic acid and placebo on controlling irregular uterine bleeding in depot-medroxyprogesterone acetate (DMPA) users. A total of 48 DMPA users attending the Family Planning Clinic, Chulalongkorn Hospital were studied, all had ...
journal_title:Contraception
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/j.contraception.2004.04.003
更新日期:2004-10-01 00:00:00
abstract:OBJECTIVES:This study is designed to evaluate the popularity of vasectomy in Iran. The study was conducted to calculate the frequency of vasectomy over time, to compare vasectomy users' characteristics with the general population and whether these characteristics have changed over time. STUDY DESIGN:A cross-sectional ...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2015.07.010
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Little is known about attitudes and beliefs among teenagers and young women about the intrauterine device (IUD). STUDY DESIGN:We surveyed 252 women, ages 14-27 years, presenting for appointments at an urban family planning clinic about demographics, sexual and birth control history, and opinions about the I...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/j.contraception.2010.02.020
更新日期:2010-08-01 00:00:00
abstract::The effect of aromatase inhibitors on the implantation process is not well known. This study examined the anti-implantation action in rats of a nonsteroidal aromatase inhibitor of high specific activity, fadrozole hydrochloride (Fad). Continuous subcutaneous infusion of Fad at 300 microg/day from Day 1 (the day of spe...
journal_title:Contraception
pub_type: 杂志文章
doi:10.1016/s0010-7824(03)00076-3
更新日期:2003-07-01 00:00:00
abstract::The Copper T-220C intrauterine device was modified for use in early postpartum insertions. Biodegradable extensions consisting of No. 2 chromic suture were added to the horizontal arms of the device to enhance retention. This new device, Delta-T IUD, was inserted in 100 patients within 55 hours of the delivery of the ...
journal_title:Contraception
pub_type: 临床试验,杂志文章
doi:10.1016/0010-7824(83)90013-6
更新日期:1983-08-01 00:00:00
abstract:BACKGROUND:Induced fetal demise by intraamniotic injection of digoxin is an alternative to methods using intracardiac or umbilical vein injection. This study was designed to evaluate the effectiveness of intraamniotic injection and the timing of fetal demise after injection. STUDY DESIGN:Twenty-two women had ultrasoni...
journal_title:Contraception
pub_type: 临床试验,杂志文章
doi:10.1016/j.contraception.2009.12.001
更新日期:2010-04-01 00:00:00