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PubMed1988

Postcoital contraception: some characteristics of women who use this method.

This paper describes some of the characteristics of the women who attended a medical clinic requesting postcoital contraception. The information is derived from 871 observations in 653 women who requested this contraception. The mean age of women at the time of first request for this method was older than expected (21.9 years) and the mean time from first coitus to first request for the method was longer than expected (2.7 years). Previous pregnancy with therapeutic abortion was reported by 11.3% of the women. Multiple users of the method were younger at their first visit, and more likely to report a previous pregnancy. The method of contraception used before and after the need for postcoital contraception tended to be the same. Barrier method users have need of this method either for use when they fail to use their barrier method or for use when their barrier method fails. The need for more general availability of this method is discussed.

Abortion, Induced↗
PubMed1988

The American man who chooses vasectomy: a profile.

Who is the typical American man choosing vasectomy? The evidence from studies is clear. He is most likely to be white, to live in the West, and to be better educated and have a higher income than the average. He is in his mid- to late thirties and has at least 1 son. He has been actively involved in birth control and strongly dislikes other contraceptive methods. Vasectomy, to him, is a matter of convenience. He is more strongly motivated than his wife to end childbearing and is protective of his wife's health. He is secure, with lower than average need for social approval. How does he arrive at a decision? American men take a long time to make a decision about vasectomy. The process may last anywhere from 2 to 10 years. Stephen Mumford has outlined a 7-step decision making process. A man: becomes aware of vasectomy, talks to a vasectomized man, decides to have no more children, seriously considers vasectomy, decides temporary methods are no longer acceptable, decides vasectomy is the best method, has a pregnancy "scare". Then the man schedules an appointment with his doctor.

Behavior↗
PubMedDate not supplied

Evaluation of safety, efficacy, and acceptability of NORPLANT implants in Sri Lanka.

This paper presents findings based on a one-year pre-introductory clinical investigation concerning safety, efficacy, and acceptability of the new contraceptive NORPLANT implants in Sri Lanka. The study is based on 400 acceptors of the implants at two clinics in Sri Lanka. Acceptors' mean age was 27 years, mean number of children was about two, and average educational attainment was eight years. Nearly half of the acceptors did not want to have another child. Follow-up was conducted at one, three, six, and twelve months. The one-year termination rate due to medical problems was very low, and the one-year life-table pregnancy rate was 0.5. Menstrual pattern disruption was the most frequently reported complaint with the implants. Amenorrhea increased in the first three months of use, and intermenstrual bleeding was common among those menstruating. In spite of these changes and some significant variations between the acceptors in the two study center, the overall degree of satisfaction with the implants was very high. The features most important to the acceptability of the implants were low risk of pregnancy, the long duration of action, and the convenience of use. The results of the study suggest that NORPLANT implants are safe, effective, and highly acceptable to Sri Lankan women.

Adolescent↗
PubMed1977

FP/MIS: a management information system for a community family planning clinic.

The management information system (FP/MIS) used by the Howard University Center for Family Planning Services, which operates community family planning clinics in Washington, D.C. is described. The system was developed to satisfy program objectives in patient management, program planning and evaluation, resource management, federal reporting systems and clinical, epidemiological and health services research. The data collection forms used in the system and the output from the four data display groups--patient profile, resource management, quality of care and epidemiology-are described along with examples of their use.

Computers↗