Document Detail


Efficacy of cervical mucus observations plus electronic hormonal fertility monitoring as a method of natural family planning.
MedLine Citation:
PMID:  17371516     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the effectiveness of an electronic hormonal fertility monitor plus cervical mucus monitoring to avoid pregnancy. DESIGN: A 12-month prospective clinical efficacy trial. SETTING AND PARTICIPANTS: One hundred ninety five (195) women (mean age 29.8 years) seeking to avoid pregnancy with a natural method at 5 clinical sites in 4 cities. INTERVENTION: Each participant was taught to track fertility by self-observation of cervical mucus and an electronic monitor that measures urinary levels of estrone-3-glucuronide and luteinizing hormone. MAIN OUTCOME MEASURES: Correct- and typical-use unintended pregnancy rates. RESULTS: There were a total of 26 unintended pregnancies, 3 with correct use. With 1,795 months of use, the correct-use pregnancy rate was 2.1% per 12 months of use (i.e., 97.9% effective in avoiding pregnancy when rules of the method were always followed) and the imperfect-use pregnancy rate was 14.2% per 12 months of use (i.e., 85.8% effective in avoiding pregnancy when rules of the method were not always followed and all unintended pregnancies and months of use were included in the calculations). CONCLUSIONS: Correct use of an electronic hormonal fertility monitor with cervical mucus observations can be as effective as other fertility awareness-based methods of natural family planning. Comparative studies are needed to confirm this conclusion.
Authors:
Richard J Fehring; Mary Schneider; Kathleen Raviele; Mary Lee Barron
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Publication Detail:
Type:  Clinical Trial; Journal Article; Multicenter Study    
Journal Detail:
Title:  Journal of obstetric, gynecologic, and neonatal nursing : JOGNN / NAACOG     Volume:  36     ISSN:  0884-2175     ISO Abbreviation:  J Obstet Gynecol Neonatal Nurs     Publication Date:    2007 Mar-Apr
Date Detail:
Created Date:  2007-03-20     Completed Date:  2007-06-19     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8503123     Medline TA:  J Obstet Gynecol Neonatal Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  152-60     Citation Subset:  IM; N    
Affiliation:
Institute for Natural Family Planning, Marquette University, College of Nursing, Milwaukee, WI 53201-1881, USA. richard.fehring@marquette.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Biological Markers / analysis
Cervix Mucus / physiology*
Female
Humans
Menstrual Cycle / psychology*
Natural Family Planning Methods / methods*
Ovulation Detection / methods*
Pregnancy
Pregnancy, Unwanted
Prospective Studies
Chemical
Reg. No./Substance:
0/Biological Markers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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