[Influence of selected demographic attributes on the use of contraceptive methods in the Tel-Aviv area].
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Bolivia, like most developing countries, has experienced a decline in fertility. However, in 1998, as many as 27.6% of all married women in Bolivia were classified as having an unmet need for contraception, of whom 20.6% needed to limit and 7% needed to space an additional child. The current article analyzes the unmet need for contraception in Bolivia. A multinomial hierarchical model was used to identify factors associated with the unmet need for contraception. Variables such as woman's age, number of living children, length of marriage, region, and schooling were strongly associated with unmet need for contraception. Despite the large number of variables in the model, a certain amount of unexplained variation at the individual level still remains, indicating the need to incorporate more detailed analysis at the community level.
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A study of endometrial biopsies that was carried out around the 21st day after abortions in 424 patients who had had therapeutic terminations showed the effects of giving a sequential type of oral contraceptive immediately after the abortion had been carried out. This did not increase the rate of regeneration nor the proliferation of the endometrium and did not alter the local inflammatory reactions. It did, however, make it more difficult to eliminate decidua that had been retained as well as trophoblastic and villous structures and made it more likely that the classical appearance of the endometrium following pregnancy would be maintained.
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