Article
Obstetrics & Gynecology
Rebecca McColl, Katie Gifford, Mary Joan McDuff, Michel Boudreaux
Summary: The Delaware Contraceptive Access Now initiative successfully increased the proportion of same-day receipt of long-acting reversible contraceptives through a statewide program.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2023)
Article
Psychology, Developmental
Kelly H. Bruce, Maqdooda A. Merchant, Alexa P. Kaskowitz, Riley S. Mickelsen, Josephine S. Lau
Summary: This study compares the use of long-acting reversible contraceptive (LARC), the pregnancy rate, and same-day LARC insertion among adolescents before and after a quality initiative at Kaiser Permanente Northern California. The results show a 90% increase in LARC use and a 36% decrease in teenage pregnancy rate after the implementation of the quality initiative.
JOURNAL OF ADOLESCENT HEALTH
(2023)
Article
Obstetrics & Gynecology
Ella F. Eastin, Alan Nelson, Jonathan G. Shaw, Kate A. Shaw, Lianne M. Kurina
Summary: This study investigated the use of postpartum long-acting reversible contraception among active-duty female soldiers and found relatively low rates of use. Even among a population with universal healthcare coverage, significant disparities in the uptake of effective postpartum long-acting contraceptive methods were observed across different racial categories.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2023)
Review
Emergency Medicine
Nicole Irgens-Moller, Carl R. Baum
Summary: Long-acting reversible contraception, particularly intrauterine devices and subcutaneous hormonal implants, has become increasingly popular in the United States, especially among adolescents. These methods are highly effective, easy to use, and safe. This article provides an overview of their pharmacology, common complications and presentations, as well as initial evaluation and management in the pediatric emergency department, with a focus on issues specific to adolescents.
PEDIATRIC EMERGENCY CARE
(2023)
Article
Obstetrics & Gynecology
K. Emtell Iwarsson, N. Envall, I Bizjak, J. Bring, H. Kopp Kallner, K. Gemzell-Danielsson
Summary: The study evaluated the impact of structured contraceptive counselling on the uptake of long-acting reversible contraceptives (LARCs) and pregnancy rates. It was found that structured contraceptive counselling increased LARC uptake in all clinics and significantly reduced unintended pregnancy rates at abortion clinics at the 12-month follow-up.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2021)
Article
Psychology, Developmental
Chirag G. Patel, Shanna Cox, Rui Li, Karen Pazol, Guoyu Tao
Summary: This study evaluated the receipt of chlamydia and gonorrhea screening among women aged 15-24 years undergoing long-acting reversible contraception (LARC) insertion and found that approximately one in four sexually active women undergoing LARC insertion had not received recommended screening in the past year.
JOURNAL OF ADOLESCENT HEALTH
(2021)
Article
Family Studies
Kirsten Norma Shankie-williams, Sarah E. Ratcliffe, Samson N. Dowland, Kirsten Black
Summary: Through in-depth interviews with 30 Australian end-users, we found that contraceptive decision-making is primarily influenced by contraceptive properties and usage context. Side effects, efficacy, and financial burden are considered more important than the mechanism of action. Users are willing to try new methods, with a particular interest in non-hormonal long-acting reversible contraception.
BMJ SEXUAL & REPRODUCTIVE HEALTH
(2023)
Article
Obstetrics & Gynecology
Michelle H. Moniz, Vanessa K. Dalton, Roger D. Smith, Lauren E. Owens, Zach Landis-Lewis, Alex F. Peahl, Barbara Van Kainen, Margaret R. Punch, Marisa K. Wetmore, Kirsten Bonawitz, Giselle E. Kolenic, Christine Dehlendorf, Michele Heisler
Summary: This study aimed to develop a theory-informed toolkit for immediate postpartum long-acting reversible contraception care and assess its feasibility. The implementation of the toolkit was associated with high acceptability but varied healthcare quality outcomes. The toolkit was refined to optimize counseling rates and improve the patient experience of contraceptive care.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2022)
Article
Public, Environmental & Occupational Health
Chyongchiou J. Lin, John Maier, Chidinma Nwankwo, Cassie Burley, Leyan deBorja, Yassmin Al Aaraj, Elizabeth Lewis, Marla Rhem, Mary Patricia Nowalk, Jeannette South-Paul
Summary: The study revealed that white women generally had higher awareness and usage rates of various contraceptive methods compared to non-white women, except for injectable contraceptives where non-white women had a higher usage rate. Differences in awareness, usage, and perceptions of contraceptive methods were observed between women of different races.
JOURNAL OF WOMENS HEALTH
(2021)
Article
Obstetrics & Gynecology
Anna Egardt, Michael Algovik, Helena Kopp Kallner
Summary: The study investigated if Swedish abortion clinics follow national guidelines regarding early insertion of long-acting reversible contraception after medical abortions and found that less than half of clinics fully adhere to the guidelines. Reasons for nonadherence include lack of updated local guidelines, perceived lack of time, and insufficient number of nurse midwives.
Article
Obstetrics & Gynecology
Courtney C. Baker, Mitchell D. Creinin
Summary: Long-acting reversible contraceptives are effective options for pregnancy prevention, with this review covering clinical challenges, evidence-based duration of use, and ways to mitigate side effects.
OBSTETRICS AND GYNECOLOGY
(2022)
Article
Obstetrics & Gynecology
Maria I. Rodriguez, Thomas Meath, Jiaming Huang, Blair G. Darney, K. John McConnell
Summary: This study evaluated the equitable accessibility of long-acting, reversible contraception (LARC) to Medicaid recipients in rural and urban areas. The findings suggest that LARC is used equitably in rural areas, but IUD use is slightly more frequent in urban areas among Oregon's Medicaid enrollees.
Review
Public, Environmental & Occupational Health
Laura Rouncivell, Simbarashe Takuva, Neo Ledibane, Alfred Musekiwa, Trudy D. Leong
Summary: The study assessed the knowledge, attitudes, and perceptions of long-acting reversible contraceptive methods among healthcare workers in sub-Saharan Africa. Findings suggest that unnecessary provider-imposed restrictions and lack of training may hinder the uptake of LARC methods in the region.
TROPICAL MEDICINE & INTERNATIONAL HEALTH
(2021)
Article
Public, Environmental & Occupational Health
Jamie L. Manzer, Ann Bell
Summary: This article explores the implementation of patient-centered care in the context of contraception, specifically early removals of long-acting reversible contraception (LARC). The study reveals that healthcare providers, despite claiming to embrace patient-centeredness, often neglect patient preferences and needs when it comes to early LARC removals. Providers employ various strategies to resist removal requests and even use patient-centered care principles to undermine them. These findings highlight the challenges in implementing patient-centered care and emphasize the importance of enhanced training, specificity, and institutionalization of patient-centered models of care, as well as improving patient-provider exchanges.
SOCIAL SCIENCE & MEDICINE
(2022)
Review
Public, Environmental & Occupational Health
Natnael Atnafu Gebeyehu, Kirubel Dagnaw Tegegne, Gebyaw Biset, Dagne Addisu Sewuyew, Biresaw Wassihun Alemu, Alemker Mola Yitayew
Summary: In Ethiopia, the pooled prevalence of discontinuation of long-acting contraceptives is high, with factors such as side effects, lack of counseling on side effects, and dissatisfaction with provided services contributing to this phenomenon. Healthcare professionals should focus on the client's reproductive goals, proper management of side effects, counseling, and post-insertion visits to address this public health issue effectively.
FRONTIERS IN PUBLIC HEALTH
(2022)
Editorial Material
Medicine, General & Internal
Danielle Mazza
MEDICAL JOURNAL OF AUSTRALIA
(2023)
Article
Medicine, General & Internal
Danielle Mazza, Mridula Shankar, Jessica R. Botfield, Jessica E. Moulton, Samantha Paubrey Chakraborty, Kirsten Black, Jane Tomnay, Deborah Bateson, Jody Church, Tracey-Lea Laba, Jessica Kasza, Wendy Norman
Summary: The ORIENT trial aims to evaluate the effectiveness of a nurse-led model of care in increasing uptake of long-acting reversible contraception (LARC) and improving access to medical abortion services in rural and regional areas of Australia. The trial will enroll 32 general practices and randomize them to implement the nurse-led model or continue with usual care. The primary outcome measures include changes in LARC prescribing rates, while secondary outcomes include changes in medical abortion prescribing rates and provision of telehealth services.
Article
Public, Environmental & Occupational Health
Thomas Yeatman, Joanne Enticott, Vinay Lakra, Graham Meadows
Summary: This study investigates the impact of the Australian government's introduction of subsidized telephone and video-linked consultations on the inequity of psychiatry service delivery. The findings show that while there was a reduction in face-to-face consultations, this was compensated for by the new telephone and video-linked consultations. However, the distribution of video-linked consultations was found to be highly unequal, exacerbating overall inequities in psychiatric service provision.
FRONTIERS IN PUBLIC HEALTH
(2023)
Review
Family Studies
Sharon James, Jessica E. Moulton, Anisa Assifi, Jessica Botfield, Kirsten Black, Mark Hanson, Danielle Mazza
Summary: Engaging in lifestyle risk reduction during the interconception period can help reduce adverse outcomes, but there are challenges such as information needs, managing competing priorities, physical and mental health, self-perception and motivation, access to services and professional support, and family and peer networks.
BMJ SEXUAL & REPRODUCTIVE HEALTH
(2023)
Article
Geriatrics & Gerontology
Julie Byles, Dominic Cavenagh, Jamie Bryant, Mariko Carey, Daniel Mazza, Rob Sanson-Fisher
Summary: The aim of this study was to investigate the effect of health assessments on permanent residential aged care admission for older Australian women with and without dementia. The results showed that women who had health assessments were less likely to be admitted to residential aged care in the short term (100 days), regardless of dementia status. However, there were no significant differences at 500- and 1000-days follow-up. At 2000-days follow-up, women who had a health assessment were more likely to be admitted to residential aged care, regardless of dementia status.
GERIATRICS & GERONTOLOGY INTERNATIONAL
(2023)
Article
Rheumatology
Romi Haas, Alexandra Gorelik, Denise A. O'Connor, Christopher Pearce, Danielle Mazza, Rachelle Buchbinder
Summary: General practitioners commonly request early diagnostic imaging for musculoskeletal complaints, which is not in line with recommended practice. We observed a trend towards more complex imaging for neck and back complaints.
ARTHRITIS CARE & RESEARCH
(2023)
Article
Medicine, General & Internal
Danielle Mazza, Anisa Rojanapenkul Assifi, Safeera Yasmeen Hussainy, Deborah Bateson, Stefanie Johnston, Jane Tomnay, Jessica Kasza, Jody Church, Luke E. Grzeskowiak, Lisa Nissen, Sharon Tracey Cameron
Summary: The ALLIANCE trial aims to compare the subsequent uptake of effective contraception in women seeking emergency contraceptive pills or medical abortion medicines who receive the ALLIANCE community pharmacy-based intervention with those who do not receive the intervention.
Meeting Abstract
Medicine, General & Internal
Romi Haas, Alexandra Gorelik, Denise O'Connor, Chris Pearce, Danielle Mazza, Suzanne Nielsen, Ting Xia, Jenni Ilomaki, Simon Bell, Rachelle Buchbinder
INTERNAL MEDICINE JOURNAL
(2023)
Article
Medicine, General & Internal
Rhea Singh, Danielle Mazza, Lauren Moloney, Mridula Shankar, Asvini K. Subasinghe
Summary: This study examines how Australian general practitioners (GPs) provide early medical abortion (EMA) to women from culturally and linguistically diverse (CALD) backgrounds. The challenges identified include communication difficulties, cultural competency issues, and limited access to multilingual resources and interpreters. The study suggests that upskilling GPs in culturally competent care, improving language resources, and ensuring efficient interpreter use can enhance EMA delivery to CALD women.
AUSTRALIAN JOURNAL OF GENERAL PRACTICE
(2023)
Article
Primary Health Care
Karyn Alexander, Danielle Mazza
Summary: This study tested the effect of an intervention using the Parents' Evaluation of Developmental Status (PEDS) tool in a general practice in Australia. The results showed that training and implementation of PEDS doubled the documented rates of child developmental status. Overcoming related barriers may be necessary when applying these results in practice.
Review
Health Care Sciences & Services
Swapna Gokhale, David Taylor, Jaskirath Gill, Yanan Hu, Nikolajs Zeps, Vincent Lequertier, Helena Teede, Joanne Enticott
Summary: This systematic review assessed the method, quality, and performance of prediction models for length of stay (LOS) in general surgery and total knee arthroplasty (TKA) populations. The results showed that these risk prediction models were rarely externally validated with poor study quality, mainly due to poor reporting. However, both machine learning and statistical modelling methods, as well as meta-analysis, demonstrated acceptable to good predictive performance, which is encouraging.
Review
Public, Environmental & Occupational Health
Tahlee B. Stevenson, Alice Rumbold, Emily Callander, Pip Buckingham, Anisa Assifi, Danielle Mazza, Luke E. Grzeskowiak
Summary: There are 8 online contraception platforms operating in Australia, providing services such as oral contraception and emergency oral contraception, but not long-acting reversible contraception. There is variability in product and membership costs across platforms, with only one platform offering subsidised medicines. While online contraception platforms may be a valuable option for individuals facing access barriers, they do not necessarily address financial and structural barriers to contraceptive care.
Article
Primary Health Care
Romi Haas, Alexandra Gorelik, Ljoudmila Busija, Denise O'Connor, Christopher Pearce, Danielle Mazza, Rachelle Buchbinder
Summary: This study used electronic health record datasets to examine the prevalence and characteristics of patients with musculoskeletal complaints presenting to general practitioners in three Primary Health Networks in Victoria, Australia. The study found a high burden of musculoskeletal complaints at the primary care level, with a large number of consultations per year. Strategies to reduce this burden need to be identified and evaluated.
Article
Health Care Sciences & Services
Marion Haas, Jody Church, Deborah J. Street, Deborah Bateson, Danielle Mazza
Summary: This study aimed to investigate the barriers and facilitators to the provision of early medical abortion (EMA) in primary care in Australia. The study found that the lack of clinical guidelines, the amount of information provision and counseling required, and the possibility of non-patients not returning for follow-up were the most important barriers. The formation of a community of practice to support EMA provision was identified as the most important facilitator.
AUSTRALIAN JOURNAL OF PRIMARY HEALTH
(2023)
Article
Medicine, General & Internal
Emily J. Callander, Joanne C. Enticott, Bonnie Eklom, Jenny Gamble, Helena J. Teede
Summary: The costs of maternity care in Queensland have increased, and there has been an increase in adverse birth outcomes. Broad collaboration among healthcare professionals, effective prevention and treatment strategies, and comprehensive maternal health services are necessary to ensure the quality and sustainability of maternity care in Australia.
MEDICAL JOURNAL OF AUSTRALIA
(2023)
