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At least 451 records · Page 25Linked to original sources
PubMed1975

Postpartum and postabortal insertion of intrauterine contraceptive devices.

One hundred forty-four patients are studied over an 18 month period. Postpartum and postabortal insertions of intrauterine contraceptive devices using the Lippes Loop and the Dalkon Shield are compared. The age, parity, previous methods of contraception, and marital status of the study group indicated a poorly motivated patient population. Although accidental pregnancy rates and expulsion rates are higher, the technique is considered worth-while in the population studied. Future research should be directed toward improved devices in order to decrease side effects and to increase appeal of the technique to those who will benefit most.

Abortion, Induced↗
PubMed1975

[Pregnancies with intra-uterine devices in-situ (author's transl)].

Pregnancies occurring with an intra-uterine device in situ were reviewed. Of 438 insertions since 1966, 31 patients became pregnant. 25 pregancies occurred with a Lippes Loop C or D of 277 insertions. Six pregnancies occurred with the Dalkon Shield among 161 patients. About 50% of the pregnancies occurred in the age group from 26 to 29 years and only 13% in the age group 20 to 25 years. Pregnancy did not occur in the age group below 20 years and in the age group above 40 years. The highest number of pregnancies occurred in Para 2's and Para 3's. 84% of all pregnancies occurred within the first 18 months after the insertion of the I.U.C.D. 13 of the pregnancies ended in therapeutic abortion and nine of these were combined with sterilization. Five pregnancies (about 20%) ended in a spontaneous abortion and one pregnancy ended in a premature delivery at 22 weeks. Five pregnancies went to term and three of these patients had tubal ligations post-partum. -- The three ectopic pregnancies are described in detail. There was one ovarian pregnancy, one tubal pregnancy and one pregnancy in the uterosacral ligament. -- The intra-uterine device is considered to be an acceptable method of contraception. The incidence of spontaneous abortion and ectopic pregnancy with an intra-uterine device in situ is increased. Because of the increased incidence of infertility following an ectopic pregnancy, the intra-uterine contraceptive device is only recommended with great reservation as a contraceptive method for nulligravidas.

Abortion, Spontaneous↗
PubMed2002

Voluntary sterilization in Flanders.

From 1966 to 1990 there was a marked rise in the use of voluntary sterilization in Flanders, followed by a fall in women under the age of 40. In the last three decades a remarkable change has occurred in the choice between male and female sterilization. Compared with many other European countries, sterilization of men and women is widely practised in Flanders. In 1996 40% of 40- to 44-year-old women underwent voluntarily sterilization or had voluntarily sterilized partners. Additionally, another 9% of these women were sterilized for medical reasons. Voluntarily sterilized couples are on average older than non-sterilized couples, and, obviously, consider their families to be complete. For couples with a complete family, parity is the most important predictor in the choice between sterilization and non-sterilization. Regularly practising Catholics undergo sterilization least. Also, highly educated couples are less likely to have a sterilization. Couples who ever experienced a contraceptive failure choose sterilization more. Voluntary sterilization has no substantial effect on the fertility of the population since the effect on the prevented numbers of both wanted and unwanted births appears to be small. However, if voluntary sterilization did not occur, differences in fertility within the population would probably increase. It is presumed that the popularity of voluntary sterilization in Flanders has passed its peak and that its use will decline in the near future.

Adult↗
PubMed2002

[How to improve use of emergency contraception by adolescents?].

OBJECTIVES: To give an overview of knowledge on emergency contraception (EC) and its utilization in the adolescent population, and to present the practical guidelines useful for EC prescription. METHODS: Review of the literature on EC and results of a survey on sexual behavior of 16-20-year-olds in Switzerland are used. RESULTS: Both estrogen-progestin and estrogen are used for EC. Condom breakage, lack of compliance in oral contraception and failure in contraceptive use are the main reasons for using EC. Sexually active adolescents are aware of CPC and 20% of girls have used it in Switzerland. However, insufficient information and low quality of services in emergency situation could be important barriers to the use of EC. DISCUSSION: and conclusion. Practical knowledge and information on EC must be disseminated among adolescents and both professional training and development of the quality of services have to provide better access to EC.

Adolescent↗
PubMed1975

[X-ray determination of the coincidence of intrauterine pessary and pregnancy].

It is reported on 21 pregnancies during contraception with IUD, among them one tubal pregnancy, one pregnancy with normal outcome and one pregnancy with a partly perforated IUD. By means of an extra- and intraamnial opaque matter injection one can find out exactly the position of the IUD on the roentgenogram before artificial abortion is carried out. The IUD can be seen above the small pelvis as a result of the changed position and the growth of the uterus during pregnancy. Furthermore it is possible to notice a glide down of the IUD into the cervix uteri or a perforation of the IUD into the uterine wall respectively into the pelvic cavity.

Adult↗
PubMedDate not supplied

The IUD revisited.

Explore the source record for details and available documents.

Abortion, Induced↗
PubMed2002

Cervico-vaginal fistula from induced abortions causing subsequent spontaneous midtrimester abortions in Nigerians: case report.

A report of three cases of cervico-vaginal fistula (CVF) from induced abortions causing subsequent spontaneous mid-trimester abortions and a literature review is presented. Restrictive abortion laws, low contraceptive usage and increased sexual activity consequent upon adverse socio-economic conditions have led to an increase in the prevalence of illegal abortions in Nigeria over the previous two decades. CVF appears to be an emerging complication of such abortions. Cervical cerclage is preferred to trachelorrhaphy in the management of such cases. However, where vaginally performed cerclage does not succeed, the abdominal route should be used as a last resort. After a previous induced abortion, clinicians managing the subsequent pregnancy need to search carefully for cervico-vaginal fistula, which may compromise that particular pregnancy. Appropriate contraceptive use and safe abortions using modern methods in cases of contraceptive failure will prevent such horrendous complications of induced abortions in Nigeria and other developing countries.

Abortion, Induced↗