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Clinical and endocrine effects of long-term hormonal contraception.

Clinical effectiveness and side effects of a biphasic oral hormonal contraceptive preparation (levonorgestrel /LNG/ 10 X 0.05 mg+ + 11 X 0.125 mg, ethinyl oestradiol /EO/ 21 X 0.05 mg) were compared with the effect of a classical high fixed dose combination pill (LNG 21 X 0.25 mg, EO 21 X 0.05 mg). The biphasic pill was used by 121 women during 1844 cycles, while the fixed dose pill was used by 142 women during 1940 cycles. In the comparison with the life table method, termination of pill use for medical reasons and loss to follow up proved to be significantly different in favour of the biphasic pill.

Contraceptives, Oral, Hormonal↗

Satisfied IUD acceptors as family planning motivators in Sri Lanka.

In this study, government midwives were teamed with currently satisfied IUD acceptors to strengthen field motivational and recruitment efforts. The objective was to increase the number of new IUD acceptors. In the experimental study areas, a total of 3,019 new IUD acceptors were recruited. Time series regression analysis revealed a significant difference between the experimental and comparison areas that was over and above what might be expected on the basis of the past history of differences between these two areas. These and other findings suggest that teaming currently satisfied acceptors with government field-workers can have a substantial impact on the recruitment of new family planning users.

Consumer Behavior↗

The triphasics: insights for effective clinical use.

Three triphasic oral contraceptive preparations are currently being widely used in the United States. These are Ortho-Novum 7/7/7 (Ortho Pharmaceutical), Tri-Norinyl (Syntex) and Triphasil (Wyeth). The hormone manipulation in these formulations more closely mimics the normal menstrual cycle and decreases the total amount of hormone delivered. These drugs were formulated to decrease menstrual irregularities and nuisance side effects and increase menstrual control, while maintaining efficacy and safety. This article describes these products, their mechanisms of action, efficacy and selected areas of concern for clinical practice in relation to side effects, safety and menstrual control. Findings and suggestions related to the therapeutic administration, patient use, counseling and management of these newer oral contraceptives will assist the nurse practitioner in providing optimum care to the consumer.

Contraceptives, Oral, Combined↗

Contraceptive prevalence in the slums of Rio de Janeiro.

A community-based family planning operations research project was undertaken in selected low income communities of Rio de Janeiro; project field work began in February 1982. Prevalence data were collected and service delivery strategies were tested, including home visits promoting family planning, home distribution of condoms, and the introduction of community family planning depots. A high baseline contraceptive prevalence rate (CPR) of 70.1 percent was found for nonpregnant women currently in union, as well as substantial use of the private sector for contraceptive supply, despite the presence of free or subsidized sources within the communities. However, the most economically disadvantaged subgroups made the greatest use of the subsidized sources. The provision of additional service delivery sites may have contributed to a small increase in contraceptive prevalence noted over the life of the project; however, the high baseline CPR precluded a large increase in contraceptive use as a result of the program.

Adolescent↗