Document Detail


Evaluation of the usefulness of the 'hormones with optional pelvic exam' programme offered at a family planning clinic.
MedLine Citation:
PMID:  22524280     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objectives In the United States, access to hormonal contraception commonly requires medical procedures, including Pap smears, breast and pelvic examinations. Over the past 15 years, these procedures, which may constitute barriers to effective contraception, have been declared unnecessary by several organisations. This study aims to evaluate the usefulness of the hormonal contraception with optional pelvic exam (HOPE) programme offered in Southeastern Virginia. Methods A cross-sectional survey was conducted among women participating in the HOPE programme over a four-month period. Questionnaire items included demographics, reproductive history and perceptions concerning physical examinations and access to contraception. Results The HOPE programme was perceived as enhancing unintended pregnancy prevention by 73% of respondents. Most of them valued the opportunity to obtain contraception without Pap smears, breast or pelvic examinations. Conclusions The HOPE programme, which provides access to contraception without the requirement for invasive examinations, increases and maintains effective levels of pregnancy prevention. HOPE patients were mostly satisfied with the programme. Lower expense and prompt appointment appear to weigh more than the optional pelvic examination programme in the choice of the modality of contraceptive guidance.
Authors:
Laura Armstrong; Erin Zabel; Hind A Beydoun
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-4-23
Journal Detail:
Title:  The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception     Volume:  -     ISSN:  1473-0782     ISO Abbreviation:  -     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-4-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9712127     Medline TA:  Eur J Contracept Reprod Health Care     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
* Graduate Program in Public Health, Eastern Virginia Medical School , Norfolk , Virginia.
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