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Biomedical subjects

Linda Prine

Publications and source records attributed to Linda Prine.

7 recordsLinked to original sources
PubMed2006

Initiating hormonal contraception.

Most women can safely begin taking hormonal birth control products immediately after an office visit, at any point in the menstrual cycle. Because hormonal contraceptives do not accelerate cervical neoplasia or interfere with cervical cytology, women who have not had a recent Papanicolaou smear can begin using hormonal contraceptives before the test is performed. After childbirth, most women can begin using progestin-only contraceptives immediately. Estrogen-containing methods can safely be initiated six weeks to six months postpartum for women who are breastfeeding their infants and three weeks postpartum for women who are not breastfeeding. Women can begin any appropriate contraceptive method immediately following an early abortion. Delaying contraception may decrease adherence. Physicians can help patients improve their use of birth control by providing anticipatory guidance about the most common side effects, giving comprehensive information about available choices, and honoring women's preferences. An evidence-based, flexible, patient-centered approach to initiating contraception may help to lower the high rate of unintended pregnancy in the United States.

Abortion, Induced↗
PubMed2006

Hospital religious affiliation and emergency contraceptive prescribing practices.

With access to reproductive health care eroding, examination of prescribing of contraception, including emergency contraception (EC), is important. We examined whether working in a family practice affiliated with a religious institution changes the likelihood of a provider prescribing EC. Our survey asked about EC prescribing practices in a range of situations. As predicted, practitioners in non-religiously affiliated practices reported higher rates of prescribing EC than those in religiously affiliated practices. In both cases, however, the practitioners' prescribing patterns were inadequate.

Contraceptives, Postcoital↗
PubMedDate not supplied

Medical abortion in family practice: a case series.

BACKGROUND: We wanted to determine the outcomes of medical abortions in four family practice centers. METHODS: This study was a retrospective case series of consecutive medical abortions in four community health centers between November 2000 and April 2002. We defined a successful medical abortion as one that required no further intervention after the administration of the medications mifepristone and misoprostol. The subset of abortions in patients who had suction procedures were called failures. RESULTS: In this series of 236 abortions, only 1 woman had a viable pregnancy after taking the medication as directed, and she had an elective suction procedure to terminate the pregnancy. None of the patients under the complete care of family physicians received suction procedures for other indications. Two patients underwent suction procedures at other institutions for unknown indications. Eight were lost to follow-up. One did not adhere to the protocol and so was excluded from the data analysis. The failure rate of the protocol for patients cared for by the family physicians at follow-up was 0.4%. CONCLUSIONS: Medical abortion in a family practice setting is a safe and effective procedure. If practiced widely, it could make abortion care much more accessible to women.

Abortifacient Agents, Steroidal↗
PubMedDate not supplied

Integrating medical abortion into a residency practice.

While changing residency services and curricula is difficult under the best of circumstances, adding something as controversial as medical abortion can provoke seemingly insurmountable resistance. This paper describes an innovative approach to adding medical abortion services. We first surveyed staff, faculty, residents, and colleagues to examine their reservations. These concerns were addressed in a structured manner, using a range of educational forums. While residents' participation in the service was voluntary, all patients were assured access to medical abortion.

Abortion, Induced↗