| Long-acting, reversible and permanent methods of contraception: insight into women's choice of method. | |
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MedLine Citation:
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PMID: 19416603 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: This study aims to explore the views of women concerning their choice of long-acting method of contraception. METHOD: Two-hundred and eighty-six women who had either been sterilised or fitted with an etonorgestrel (ETN) implant or the levonorgestrel intrauterine system (LNG IUS) were invited to take part. A response rate of 54% was achieved. Women from all three groups reported positive and negative experiences with their chosen method. RESULTS: Women frequently choose sterilisation specifically because it is irreversible, does not involve hormonal treatment, and they do not wish to retain choice of future fertility. Women incorrectly regard sterilisation as more reliable than any reversible method. Regret after sterilisation was common, even if this was preceded by full counselling. Even among patients of practices with a special interest in family planning, long-acting methods, although available, were not widely known about. CONCLUSION: This study suggests that women chose sterilisation for one of three main reasons: to avoid the possible side-effects of hormones; to avoid continually having to make decisions regarding child-bearing; and/or a lack of information regarding reversible methods. Sterilisation is often chosen by women specifically because of its irreversibility. This may explain why long-acting reversible methods have remained relatively unpopular. |
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Authors:
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Roslyn Kane; Gwen Irving; Sally Brown; Neal Parkes; Martin Walling; Stephen Killick |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Quality in primary care Volume: 17 ISSN: 1479-1072 ISO Abbreviation: Qual Prim Care Publication Date: 2009 |
Date Detail:
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Created Date: 2009-05-06 Completed Date: 2009-06-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101182136 Medline TA: Qual Prim Care Country: England |
Other Details:
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Languages: eng Pagination: 107-14 Citation Subset: IM |
Affiliation:
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Faculty of Health Life and Social Sciences, University of Lincoln, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Choice Behavior* Contraception / methods*, psychology* Contraception Behavior / psychology* Desogestrel Drug Implants Emotions Female Health Knowledge, Attitudes, Practice Humans Interviews as Topic Intrauterine Devices Middle Aged Pregnancy, Unplanned Retrospective Studies Young Adult |
| Chemical | |
Reg. No./Substance:
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0/Drug Implants; 54024-22-5/Desogestrel; 54048-10-1/3-keto-desogestrel |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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