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OBSTETRICS AND GYNECOLOGY (207 journals)                  1 2 | Last

Showing 1 - 200 of 207 Journals sorted alphabetically
Acta Obstétrica e Ginecológica Portuguesa     Open Access   (Followers: 1)
Acta Obstetricia et Gynecologica Scandinavica     Hybrid Journal   (Followers: 16)
Advances in Neonatal Care     Hybrid Journal   (Followers: 47)
Advances in Reproductive Sciences     Open Access   (Followers: 2)
Advances in Sexual Medicine     Open Access   (Followers: 7)
African Journal for Infertility and Assisted Conception     Open Access   (Followers: 1)
African Journal of Midwifery and Women's Health     Full-text available via subscription   (Followers: 13)
African Journal of Reproductive Health     Open Access   (Followers: 8)
Aktuální Gynekologie a Porodnictví     Open Access   (Followers: 1)
American Journal of Obstetrics & Gynecology MFM     Hybrid Journal   (Followers: 2)
American Journal of Obstetrics and Gynecology     Hybrid Journal   (Followers: 276)
American Journal of Perinatology     Hybrid Journal   (Followers: 39)
American Journal of Perinatology Reports     Open Access   (Followers: 18)
American Journal of Reproductive Immunology     Hybrid Journal   (Followers: 6)
Andrology & Gynecology : Current Research     Hybrid Journal   (Followers: 4)
Archives of Gynecology and Obstetrics     Hybrid Journal   (Followers: 19)
Asian Pacific Journal of Reproduction     Open Access  
Australian and New Zealand Journal of Obstetrics and Gynaecology     Hybrid Journal   (Followers: 52)
Best Practice & Research Clinical Obstetrics & Gynaecology     Hybrid Journal   (Followers: 34)
Biology of Reproduction     Full-text available via subscription   (Followers: 11)
Birth     Hybrid Journal   (Followers: 40)
Birth Defects Research Part B: Developmental and Reproductive Toxicology     Hybrid Journal   (Followers: 8)
BJOG : An International Journal of Obstetrics and Gynaecology     Partially Free   (Followers: 299)
British Journal of Midwifery     Full-text available via subscription   (Followers: 91)
Case Reports in Obstetrics and Gynecology     Open Access   (Followers: 11)
Case Reports in Perinatal Medicine     Hybrid Journal   (Followers: 11)
Clínica e Investigación en Ginecología y Obstetricia     Full-text available via subscription  
Clinical Lactation     Open Access   (Followers: 22)
Clinical Medicine Insights : Reproductive Health     Open Access   (Followers: 2)
Clinical Medicine Insights : Women's Health     Open Access   (Followers: 4)
Clinical Obstetrics & Gynecology     Full-text available via subscription   (Followers: 27)
Clinics in Perinatology     Full-text available via subscription   (Followers: 25)
Contemporary OB GYN - Obstetrics-Gynecology & Women's Health     Full-text available via subscription   (Followers: 6)
Contraception     Hybrid Journal   (Followers: 20)
Contraception : X     Open Access   (Followers: 1)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Current Obstetrics and Gynecology Reports     Hybrid Journal   (Followers: 4)
Current Opinion in Obstetrics & Gynecology     Hybrid Journal   (Followers: 13)
Current Women's Health Reviews     Hybrid Journal   (Followers: 5)
Early Human Development     Hybrid Journal   (Followers: 13)
Ecography     Hybrid Journal   (Followers: 27)
EMC - Ginecología-Obstetricia     Full-text available via subscription   (Followers: 1)
European Clinics in Obstetrics and Gynaecology     Hybrid Journal   (Followers: 5)
European Journal of Contraception & Reproductive Health Care     Hybrid Journal   (Followers: 5)
European Journal of Obstetrics & Gynecology and Reproductive Biology     Hybrid Journal   (Followers: 29)
European Journal of Obstetrics & Gynecology and Reproductive Biology : X     Open Access  
Expert Review of Obstetrics & Gynecology     Hybrid Journal   (Followers: 5)
Fertility and Sterility     Full-text available via subscription   (Followers: 79)
Fertility Research and Practice     Open Access   (Followers: 2)
Fertility Science and Research     Open Access  
Fetal and Maternal Medicine Review     Hybrid Journal   (Followers: 6)
Fetal Diagnosis and Therapy     Full-text available via subscription   (Followers: 10)
Ginekologia i Perinatologia Praktyczna     Hybrid Journal  
Ginekologia Polska     Open Access  
Global Reproductive Health     Open Access  
gynäkologie + geburtshilfe     Full-text available via subscription   (Followers: 2)
Gynäkologisch-geburtshilfliche Rundschau     Full-text available via subscription   (Followers: 1)
Gynakologische Endokrinologie     Hybrid Journal  
Gynecologic and Obstetric Investigation     Full-text available via subscription   (Followers: 5)
Gynecologic Oncology     Hybrid Journal   (Followers: 28)
Gynecologic Oncology Reports     Open Access   (Followers: 11)
Gynecologic Oncology Research and Practice     Open Access   (Followers: 1)
Gynecological Endocrinology     Hybrid Journal   (Followers: 6)
Gynecological Surgery     Open Access   (Followers: 4)
Gynécologie Obstétrique & Fertilité     Full-text available via subscription   (Followers: 1)
Gynécologie Obstétrique Fertilité & Sénologie     Hybrid Journal   (Followers: 1)
Gynecology     Open Access  
Gynecology and Minimally Invasive Therapy     Open Access  
Gynecology Obstetrics & Reproductive Medicine     Open Access   (Followers: 1)
Health Care For Women International     Hybrid Journal   (Followers: 8)
Human Reproduction     Hybrid Journal   (Followers: 77)
Human Reproduction Open     Open Access   (Followers: 1)
Human Reproduction Update     Hybrid Journal   (Followers: 19)
Hypertension in Pregnancy     Hybrid Journal   (Followers: 9)
Indian Journal of Gynecologic Oncology     Hybrid Journal  
Indonesian Journal of Obstetrics and Gynecology     Open Access  
Infectious Diseases in Obstetrics and Gynecology     Open Access   (Followers: 5)
International Journal of Anatomical Variations     Open Access  
International Journal of Childbirth     Hybrid Journal   (Followers: 8)
International Journal of Gynecological Cancer     Hybrid Journal   (Followers: 24)
International Journal of Gynecological Pathology     Hybrid Journal   (Followers: 9)
International Journal of Gynecology & Obstetrics     Hybrid Journal   (Followers: 26)
International Journal of Neonatal Screening     Open Access   (Followers: 3)
International Journal of Obstetric Anesthesia     Full-text available via subscription   (Followers: 14)
International Journal of Obstetrics, Perinatal and Neonatal Nursing     Full-text available via subscription  
International Journal of Reproduction, Contraception, Obstetrics and Gynecology     Open Access   (Followers: 14)
International Journal of Reproductive Medicine     Open Access   (Followers: 5)
International Urogynecology Journal     Hybrid Journal   (Followers: 4)
Italian Journal of Anatomy and Embryology     Open Access   (Followers: 1)
Journal de Gynécologie Obstétrique et Biologie de la Reproduction     Full-text available via subscription  
Journal für Gynäkologische Endokrinologie / Schweiz     Hybrid Journal  
Journal für Gynäkologische Endokrinologie/Österreich     Hybrid Journal  
Journal of Assisted Reproduction and Genetics     Hybrid Journal   (Followers: 6)
Journal of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
Journal of Breast Health     Open Access  
Journal of Clinical Gynecology and Obstetrics     Open Access   (Followers: 7)
Journal of Endometriosis and Pelvic Pain Disorders     Hybrid Journal  
Journal of Evidence-based Care     Open Access   (Followers: 8)
Journal of Family Planning and Reproductive Health Care     Hybrid Journal   (Followers: 12)
Journal of Genital System & Disorders     Hybrid Journal   (Followers: 3)
Journal of Gynecologic Surgery     Hybrid Journal   (Followers: 1)
Journal of Gynecological Research and Obstetrics     Open Access   (Followers: 1)
Journal of Gynecology Obstetrics and Human Reproduction     Hybrid Journal  
Journal of Human Lactation     Hybrid Journal   (Followers: 30)
Journal of Human Reproductive Sciences (JHRS)     Open Access   (Followers: 3)
Journal of Lower Genital Tract Disease     Hybrid Journal  
Journal of Maternal and Child Health     Open Access  
Journal of Maternal-Fetal & Neonatal Medicine     Hybrid Journal   (Followers: 40)
Journal of Midwifery     Open Access   (Followers: 3)
Journal of Midwifery & Women's Health     Hybrid Journal   (Followers: 66)
Journal of Midwifery and Reproduction     Open Access   (Followers: 5)
Journal of Midwifery and Reproductive Health     Open Access   (Followers: 15)
Journal of Minimally Invasive Gynecology     Full-text available via subscription   (Followers: 12)
Journal of Neonatal-Perinatal Medicine     Hybrid Journal   (Followers: 14)
Journal of Obstetric Anaesthesia and Critical Care     Open Access   (Followers: 22)
Journal of Obstetric, Gynecologic, & Neonatal Nursing     Hybrid Journal   (Followers: 36)
Journal of Obstetrics and Gynaecology     Hybrid Journal   (Followers: 34)
Journal of Obstetrics and Gynaecology Canada     Hybrid Journal   (Followers: 1)
Journal of Obstetrics and Gynaecology Research     Hybrid Journal   (Followers: 9)
Journal of Obstetrics and Gynecology of India     Hybrid Journal   (Followers: 4)
Journal of Obstetrics and Women's Diseases     Open Access  
Journal of Pediatric and Adolescent Gynecology     Full-text available via subscription   (Followers: 3)
Journal of Perinatal Education     Hybrid Journal   (Followers: 5)
Journal of Perinatal Medicine     Hybrid Journal   (Followers: 12)
Journal of Perinatology     Hybrid Journal   (Followers: 7)
Journal of Psychosomatic Obstetrics & Gynecology     Hybrid Journal   (Followers: 3)
Journal of Reproduction and Contraception     Full-text available via subscription   (Followers: 4)
Journal of Reproductive and Infant Psychology     Hybrid Journal   (Followers: 24)
Journal of Reproductive Biotechnology and Fertility     Open Access   (Followers: 2)
Journal of Reproductive Health and Medicine     Full-text available via subscription   (Followers: 2)
Journal of Reproductive Immunology     Hybrid Journal   (Followers: 2)
Jurnal Kebidanan Midwiferia     Open Access  
Jurnal Ners     Open Access  
La Revue Sage-Femme     Full-text available via subscription  
Majalah Obstetri & Ginekologi     Open Access  
Maternal Health, Neonatology and Perinatology     Open Access   (Followers: 9)
Menopause     Hybrid Journal   (Followers: 14)
Menopause International     Hybrid Journal   (Followers: 9)
MHR: Basic science of reproductive medicine     Hybrid Journal   (Followers: 1)
Middle East Fertility Society Journal     Open Access   (Followers: 3)
Midwifery     Hybrid Journal   (Followers: 74)
Midwifery Today     Full-text available via subscription   (Followers: 16)
Nascer e Crescer : Birth and Growth Medical Journal     Open Access  
Neonatal Network - Journal of Neonatal Nursing     Hybrid Journal   (Followers: 25)
Neonatology     Full-text available via subscription   (Followers: 48)
Nepal Journal of Obstetrics and Gynaecology     Open Access   (Followers: 2)
OA Women's Health     Open Access   (Followers: 1)
Obstetric Anesthesia Digest     Full-text available via subscription   (Followers: 1)
Obstetric Medicine     Hybrid Journal   (Followers: 8)
Obstetrical & Gynecological Survey     Hybrid Journal   (Followers: 14)
Obstetrics & Gynecology     Partially Free   (Followers: 93)
Obstetrics and Gynaecology Forum     Full-text available via subscription   (Followers: 1)
Obstetrics and Gynecology Clinics of North America     Full-text available via subscription   (Followers: 21)
Obstetrics and Gynecology International     Open Access   (Followers: 7)
Obstetrics, Gynaecology & Reproductive Medicine     Full-text available via subscription   (Followers: 17)
Open Journal of Obstetrics and Gynecology     Open Access   (Followers: 5)
Paediatric and Perinatal Epidemiology     Hybrid Journal   (Followers: 9)
Perinatología y Reproducción Humana     Open Access   (Followers: 1)
Perspectives On Sexual and Reproductive Health     Hybrid Journal   (Followers: 7)
Placenta     Hybrid Journal   (Followers: 2)
Postgraduate Obstetrics & Gynecology     Full-text available via subscription   (Followers: 1)
Proceedings in Obstetrics and Gynecology     Open Access   (Followers: 4)
Progresos de Obstetricia y Ginecología     Full-text available via subscription   (Followers: 1)
Reprodução & Climatério     Open Access   (Followers: 1)
Reproduction     Full-text available via subscription   (Followers: 7)
Reproduction Fertility and Development     Hybrid Journal   (Followers: 5)
Reproductive Biology and Endocrinology     Open Access   (Followers: 4)
Reproductive BioMedicine Online     Full-text available via subscription   (Followers: 8)
Reproductive Endocrinology     Open Access   (Followers: 3)
Reproductive Health     Open Access   (Followers: 2)
Reproductive Health Matters     Open Access   (Followers: 5)
Reproductive Medicine and Biology     Open Access   (Followers: 3)
Reproductive Sciences     Hybrid Journal   (Followers: 1)
Research and Reports in Neonatology     Open Access   (Followers: 5)
Research in Obstetrics and Gynecology     Open Access   (Followers: 2)
Research Journal of Obstetrics and Gynecology     Open Access   (Followers: 5)
Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics     Open Access  
Revista Chilena de Obstetricia y Ginecologia     Open Access   (Followers: 1)
Revista Cubana de Obstetricia y Ginecología     Open Access  
Revista Internacional de Andrología     Full-text available via subscription  
Revista Peruana de Ginecología y Obstetricia     Open Access  
Revue de médecine périnatale     Hybrid Journal   (Followers: 1)
Scientific Journal of Hamadan Nursing & Midwifery Faculty     Open Access   (Followers: 1)
Seksuologia Polska     Full-text available via subscription  
Seminars in Breast Disease     Hybrid Journal   (Followers: 1)
Seminars in Perinatology     Hybrid Journal   (Followers: 21)
Seminars in Reproductive Medicine     Hybrid Journal  
Sexes     Open Access  
Siklus : Journal Research Midwifery Politeknik Tegal     Open Access   (Followers: 2)
South African Journal of Obstetrics and Gynaecology     Open Access   (Followers: 2)
Southern African Journal of Gynaecological Oncology     Open Access   (Followers: 1)
Sri Lanka Journal of Obstetrics and Gynaecology     Open Access   (Followers: 1)
Systems Biology in Reproductive Medicine     Hybrid Journal  
Taiwanese Journal of Obstetrics and Gynecology     Open Access   (Followers: 1)
Teratology Studies     Open Access  
Thai Journal of Obstetrics and Gynaecology     Open Access  
The Obstetrician & Gynaecologist     Hybrid Journal   (Followers: 7)
The Practising Midwife     Full-text available via subscription   (Followers: 8)
Trends in Urology Gynaecology & Sexual Health     Hybrid Journal   (Followers: 2)
Tropical Journal of Obstetrics and Gynaecology     Open Access   (Followers: 2)

        1 2 | Last

Similar Journals
Journal Cover
Journal of Family Planning and Reproductive Health Care
Journal Prestige (SJR): 0.63
Citation Impact (citeScore): 1
Number of Followers: 12  
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1471-1893 - ISSN (Online) 2045-2098
Published by BMJ Publishing Group Homepage  [68 journals]
  • In this issue
    • Pages: 75 - 76
      Abstract: Towards evidence-based reform of abortion law in the Isle of Man The Isle of Man is a self-governing British Crown dependency, located between Great Britain and Ireland in more ways than one. Many of its laws are entirely local, and abortion is available only in very restricted circumstances. Women seeking abortion therefore either travel abroad, or self-source abortion medication. In 2017, a general practitioner member of the island’s parliament was granted leave to introduce a bill to liberalise abortion and the government asked for evidence on which any new legislation could be based. In their Editorial, Aiken and colleagues describe how they compiled data on the demographics, circumstances and needs of Manx women who seek abortions to inform and guide the policy debate, paving the way for abortion law reform that is based firmly on evidence of its necessity. See page 77 Intrauterine contraception...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2018-200108
      Issue No: Vol. 44, No. 2 (2018)
  • Using evidence to guide abortion law reform on the Isle of Man
    • Authors: Aiken, A. R. A; Gomperts, R, James, A.
      Pages: 77 - 81
      Abstract: Introduction An opportunity for abortion policy reform is on the horizon for the Isle of Man, a self-governing British Crown dependency situated in the Irish Sea between Great Britain and Ireland. After almost 150 years of severe restrictions, the island’s Parliament, Tynwald, will shortly debate a new bill to allow Manx women widespread access to abortion services through the island’s healthcare system. In January 2017, Dr Alex Allinson, a general practitioner and a member of the lower branch of Tynwald, the House of Keys, was granted leave to introduce a private member’s bill on abortion. The bill would allow abortion on request up to 14 weeks gestation, or in the case of serious health concerns, serious social grounds, or severe fetal anomaly, up to 24 weeks gestation.1 The draft bill has undergone public consultation and is due to be considered by Tynwald in early 2018.
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-200044
      Issue No: Vol. 44, No. 2 (2018)
  • Provider-based barriers to provision of intrauterine contraception in
           general practice
    • Authors: Hoggart, L; Walker, S, Newton, V. L, Parker, M.
      Pages: 82 - 89
      Abstract: ObjectivesIntrauterine contraception (IUC) is highly effective, safe and long-lasting, but is not a popular method of contraception among British women. This study examined barriers to the uptake of IUC in general practice in England.MethodA sequential mixed-method approach to explore the views of practitioners regarding the provision of IUC. We e-surveyed 208 practitioners from 69 practices in a region of England and subsequently interviewed 14 practitioners from eight practices.ResultsJust under half of general practitioners (GPs) (46.8%; 58/124), and only 8.2% (4/49) of nurses reported being trained to fit IUC. Lack of knowledge of IUC was a barrier to fitting, and also to recommending IUC, especially by practitioners who were not trained to fit. There was discordance between reported knowledge of eligibility for IUC and the likelihood of recommending IUC. Respondents were less likely to recommend IUC to young, nulliparous women, women who had experienced a previous ectopic pregnancy, a recent sexually transmitted infection (STI), or an abnormal cervical smear. The qualitative data indicate that risk aversion and limited training, together with practitioners’ assessments that women are uninterested, may lead to IUC being precluded as a suitable method.ConclusionsIncreased practitioner education, for those not trained to fit IUC, may remove a barrier to the uptake of IUC in general practice. More research is required on the discordance between the practitioners’ views on the characteristics of women considered suitable for IUC, and the criteria set out in the UK Medical Eligibility Criteria (UKMEC) guidelines.
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101805
      Issue No: Vol. 44, No. 2 (2018)
  • "I think maybe 10 years seems a bit long." Beliefs and attitudes of women
           who had never used intrauterine contraception
    • Authors: Walker, S; Newton, V. L, Hoggart, L, Parker, M.
      Pages: 90 - 96
      Abstract: AimTo explore, in a general practice setting, the concerns, beliefs and attitudes about intrauterine contraception (IUC) reported by women, who had never used the methods.MethodsWe used a sequential mixed-method (QUAL/quant) approach. A pragmatic, self-selecting sample of 30 women, aged 18–46 years, who had never used IUC), was recruited through seven general practices in South East England. Themes arising from qualitative interviews were used to construct a quantitative survey, completed by a pragmatic sample of 1195 women, aged 18–49 years, attending 32 general practices in the same region, between February and August 2015.ResultsQualitative themes were concerns about the long-acting nature of IUC, concerns about body boundaries, and informal knowledge of IUC, especially ‘friend of a friend’ stories. Women were not sure if the devices can be removed before their full 5- or 10-year duration of use, and felt that these timeframes did not fit with their reproductive intentions. Quantitative survey data showed that the most commonly endorsed concerns among never-users were painful fitting (55.8%), unpleasant removal of the device (60.1%), and concern about having a device ’inside me' (60.2%).ConclusionsTo facilitate fully informed contraceptive choice, information provided to women considering IUC should be tailored to more fully address the concerns expressed by never-users, particularly around the details of insertion and removal, and concerns about the adverse, long-term effects of the device. Women need to be reassured that IUC can be removed and fertility restored at any time following insertion.Trial registrationTrial registration NIHR CRN portfolio; 15912.
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101798
      Issue No: Vol. 44, No. 2 (2018)
  • Community sexual health providers views on immediate postpartum provision
           of intrauterine contraception
    • Authors: Cooper, M; Boydell, N, Heller, R, Cameron, S.
      Pages: 97 - 102
      Abstract: BackgroundIncreasing access to effective postpartum contraceptive methods can reduce the risk of unintended pregnancy and short inter-birth intervals. The need for an additional postpartum visit can be a barrier to women accessing intrauterine contraception after childbirth. Immediate postpartum intrauterine contraception (PPIUC) provision is known to be safe, but is not routinely available in the UK. Establishing this service requires multidisciplinary support, including from community and maternity stakeholders. The aim of this study was to determine the views of community sexual health providers towards PPIUC implementation.MethodsA questionnaire was distributed to attendees at two UK sexual health conferences. Research questions focused on (1) views on PPIUC (2) perceived role of the sexual health provider in PPIUC service and (3) potential challenges anticipated in providing PPIUC aftercare. Free-text boxes were provided for further comment. Analysis was by a mixed methods approach.ResultsA total of 240 questionnaires were distributed with 156 completed (response rate 65%). Some 128 respondents (82%) felt ‘positive’ towards the PPIUC implementation. Most respondents (67.9%) indicated they would be happy to promote PPIUC and provide thread checks. Perceived challenges in providing PPIUC aftercare included staff time, experience in managing clinical issues, and access to ultrasound.ConclusionsCommunity sexual health providers were positive towards PPIUC implementation, and perceived their role predominantly in the aftercare of women. Several clinical and practical challenges were identified, some of which differ from those previously expressed by other groups. Stakeholder involvement is key to successful implementation of PPIUC, and wider recognition of potential barriers can assist in developing strategies to overcome these.
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101905
      Issue No: Vol. 44, No. 2 (2018)
  • Centering contraception: postpartum contraceptive choices of women
           enrolled in Centering group prenatal care versus traditional prenatal care
    • Authors: Smith E.
      Pages: 103 - 108
      Abstract: ObjectiveTo assess postpartum contraceptive choices of women participating in group versus traditional prenatal care.MethodsThis is a retrospective cohort study assessing postpartum contraceptive choices of women participating in group versus traditional prenatal care. Patients were derived from a database of all deliveries from 1 January 2009 to 31 December 2014 at Christiana Hospital in Newark, Delaware, USA. Within this database, group prenatal care patients were identified and a two-to-one matched set of similar traditional prenatal care patients was created. Contraceptive methods utilised by these women were ascertained via chart review. The proportion of women using each method in each care model was calculated. Multinomial logistic regression was carried out for statistical analysis.ResultsIncluded in the final analysis were 867 patients: 289 group and 587 traditional prenatal care participants. Groups were similar in selection of sterilisation, condoms, injection, and other short-acting hormonal contraceptive methods (a composite of patch, vaginal ring, and pills). Group prenatal care patients were more likely to utilise contraception postpartum (as measured by use of no method with AOR 0.50, 95% CI 0.32 to 0.78, P=0.002), particularly long-acting reversible contraceptives (LARCs) (OR 1.67, 95% CI 1.16 to 2.40, P=0.005). This difference was most pronounced for women aged 20–24 years (AOR 1.98, 95% CI 1.10 to 3.56).ConclusionParticipation in group prenatal care as opposed to traditional prenatal care increases use of postpartum contraception and increases uptake of LARCs. The association of group prenatal care participation with LARC use is particularly apparent for women aged 20–24 years.
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101828
      Issue No: Vol. 44, No. 2 (2018)
  • Blended learning on family planning policy requirements: key findings and
           implications for health professionals
    • Authors: Limaye, R. J; Ahmed, N, Ohkubo, S, Ballard, A.
      Pages: 109 - 113
      Abstract: BackgroundTo address unmet needs for family planning and advance women’s rights, US federal foreign aid recipients must ensure compliance with the family planning legislative and policy requirements. Because many health providers work in rural and remote settings, blended learning, which combines in-person and online experiences, is a promising approach for strengthening their compliance knowledge.MethodsThis cross-sectional study examined the effect of blended learning that included three components (online course, in-person training and conference call) on retention of family planning compliance knowledge. A total of 660 learners from 44 countries completed the online survey (8% response rate). Study participants were asked about their knowledge of family planning compliance and suggestions to improve their learning experiences.FindingsKnowledge retention was higher in the group that utilised all three learning approaches compared with the online course plus conference call group (P
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101752
      Issue No: Vol. 44, No. 2 (2018)
  • Telephone or integrated contraception counselling before abortion: impact
           on method choice and receipt
    • Authors: Lohr, P. A; Aiken, A. R. A, Forsyth, T, Trussell, J.
      Pages: 114 - 121
      Abstract: BackgroundIncorporating thorough contraception counselling into an abortion consultation is challenging. We compared contraceptive choices and methods received between two counselling models: (1) telephone counselling separate from the abortion consultation and (2) face-to-face counselling integrated into the consultation.MethodsWe obtained de-identified data on demographic characteristics and contraceptive methods that had been chosen and received by women who had an abortion at British Pregnancy Advisory Service between 2011 and 2014 and had a choice of counselling models. We compared the characteristics of women who chose each model of counselling and the contraceptive methods they chose and received using Fisher’s exact test, and used logistic regression to explore associations between counselling model and choice and receipt of Tier 1 contraceptive methods (intrauterine contraception, implant, sterilisation), controlling for covariates.ResultsThe sample included 18 573 women. Women choosing telephone counselling were more likely to be non-White (34% vs 22%, P
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101818
      Issue No: Vol. 44, No. 2 (2018)
  • 'Abortion or 'termination of pregnancy' Views from abortion care
           providers in Scotland, UK
    • Authors: Kavanagh, A; Wielding, S, Cochrane, R, Sim, J, Johnstone, A, Cameron, S.
      Pages: 122 - 127
      Abstract: BackgroundThe phrase ‘termination of pregnancy’ has recently been adopted by a number of British medical institutions as a preferred descriptor of induced abortion. How it is used by abortion care providers is unclear, although the ongoing stigmatisation of abortion may play a role.MethodsA mixed methods study of the views of abortion care providers in Scotland, UK. Self-administered anonymous questionnaires were distributed to abortion care providers at a national conference (Scottish Abortion Care Providers). The main outcomes measured were the proportion of respondents reporting that they found the terms ‘abortion’ and ‘termination of pregnancy’ to be distressing, and their preferred terminology for use in consultations with women. In-depth interviews were conducted with 19 providers from a single clinic in Scotland to contextualise use of the terminology.ResultsThe questionnaire was completed by 90/118 delegates (76%). More respondents indicated they found the term ‘abortion’ distressing (28%), compared with those who found ‘termination of pregnancy’ distressing (6%; P
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101925
      Issue No: Vol. 44, No. 2 (2018)
  • Assessing the impact of TRAP laws on abortion and womens health in the
           USA: a systematic review
    • Authors: Austin, N; Harper, S.
      Pages: 128 - 134
      Abstract: IntroductionTargeted Regulation of Abortion Providers (TRAP) laws impose extensive and sometimes costly requirements on abortion providers and facilities, potentially leading to barriers to care. Understanding the impact of these laws is important given their prevalence in the USA, but no review to date has summarised the available evidence. We conducted a systematic review of literature on TRAP laws and their impact on abortion trends and women’s health.MethodsWe searched MEDLINE, PubMed and EconLit for original, quantitative studies where the exposure was at least one TRAP policy and the outcome was abortion and/or any women’s physical or mental health outcome.ResultsSix articles met our inclusion criteria. The most common outcome was population-level abortion trends; studies also assessed the effect of TRAP laws on gestational age at presentation and measures of self-perceived burden. While certain TRAP laws (eg, admitting privilege requirements) appeared to have an effect on abortion outcomes, the impact of other laws – or combinations of laws – was unclear, due in part to heterogeneity between studies with respect to study design, geography, and exposure definition.ConclusionsTRAP laws may have an impact on the experience of obtaining an abortion in the USA. However, our review revealed a paucity of empirical research on their population and individual-level impact, as well as some disagreement about the effect of different TRAP laws on subsequent abortion outcomes. Future research should prioritise the specific TRAP laws that may have a uniquely strong effect on state-level abortion rates and other outcomes.
      Keywords: Editor''s choice
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101866
      Issue No: Vol. 44, No. 2 (2018)
  • Abortion politics: do TRAP laws have an impact on womens health'
    • Authors: Acharya, G; Liang, H.
      Pages: 134 - 135
      Abstract: Abortion is regulated by law in most (if not all) countries, with a view to preventing abortion except under defined circumstances, and ensuring that abortions are performed safely. Abortion is allowed in 97% of the United Nations member states in order to save pregnant women’s lives.1 Today abortions are increasingly provided by healthcare personnel other than doctors, in community settings or even at home rather than in hospitals,2 3 and have become very safe in most countries where they are legal and accessible.2 4 However, regulations vary significantly around the world.1 In considering what legal position should be advocated and how regulation affects women’s health, it should be remembered that provision of safe abortion services was driven by the public health necessity to reduce maternal mortality, not as a primary human rights issue. The proportion of unsafe...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-200042
      Issue No: Vol. 44, No. 2 (2018)
  • Telephone counselling for subdermal implants and intrauterine
    • Authors: Gorman, C. D; Dennis, J, Heathcote, J. A.
      Pages: 136 - 138
      Abstract: What initiated the change' The rate of unintended pregnancies remains high in the UK, at an estimated 16%.1 Long-acting reversible contraceptives (LARC) provide a highly effective alternative to the widely used contraceptive pills and condoms, which depend heavily on user reliability.2 3 There is a clear need to increase the uptake of LARC by reducing barriers to access and removing obstacles in the process. The requirement of a separate counselling appointment prior to insertion is a key factor in deterring women from LARC use.4 5 Additionally, clinicians at East Cheshire Centre for Sexual Health have noted that women often comment that they do not require a counselling appointment as they feel they have already been given the information elsewhere. However, if a counselling appointment is not arranged, at insertion women are often found to be unsuitable for a...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101883
      Issue No: Vol. 44, No. 2 (2018)
  • A criminal and fitness to practice investigation following a newspaper
    • Authors: Womersley, K; Domoney, C.
      Pages: 139 - 141
      Abstract: In 2012, Claudine Domoney, a London teaching hospital gynaecologist and sexual and reproductive health (SRH) specialist of 25 years standing, received a text message asking if she offered sex-based terminations in her private clinic. She replied that she did not, but offered the patient an appointment to come in to talk. It was a consultation that would result in criminal investigation and a General Medical Council (GMC) fitness to practice hearing. Following the recent case of Dr Hadiza Bawa-Garba, a paediatrician convicted of gross negligence manslaughter and subsequently struck off the medical register,1 I spoke with Claudine about her own experience. A British-Asian woman, Neha, came to that consultation at Claudine’s practice accompanied by a white woman who introduced herself as Neha’s advocate. Claudine described how the advocate dominated the room, vocally as well as physically, and sat at an odd angle which, it was later revealed, was due...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2018-200100
      Issue No: Vol. 44, No. 2 (2018)
  • Achieving sexual and reproductive health and rights through universal
           health coverage
    • Authors: Sundewall, J; Poku, N. K.
      Pages: 142 - 143
      Abstract: The 2030 Agenda for Sustainable Development was adopted by the United Nations general assembly in September 2015. The agenda encompasses internationally agreed development aspirations – the Sustainable Development Goals (SDGs). The health targets of the SDGs are not merely ambitious in themselves; they are configured with a very considerable range of other, hugely expensive global issues: 17 goals and 169 targets covering nearly every important aspect of human well-being, both physical and relational.  Within the health sphere, by the end of the SDGs in 2030, the ambition is that the AIDS epidemic and other communicable diseases should have been ended, child and infant mortality should be significantly reduced, and universal health coverage with financial protection should be in place for all. But the Joint United Nations Programme on HIV/AIDS (UNAIDS) 5-year ‘Fast Track’ plan for front-loading resources in order to build on progress against the HIV/AIDS pandemic is already faltering...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-200035
      Issue No: Vol. 44, No. 2 (2018)
  • Listening to the patient, especially when things have gone wrong
    • Authors: Berger A.
      Pages: 144 - 144
      Abstract: I was investigating a complaint a few weeks ago, not one specifically related to sexual and reproductive health, but one which could have come from any area of my practice. The patient had complained to the practice, the hospital and her consultant. Her complaint to us was about investigations we undertook in primary care which she thought had delayed a referral to secondary care. The complaint I was handling took many hours of work to investigate because the patient was unhappy about something that had happened several years ago and all the general practitioners (GPs) she had seen since then had moved on. Because of this, I felt a huge burden of responsibility to all concerned to ensure that my conclusions were fair and founded on fact. I had to rely on my analysis of screeds of medical notes and I then sought a review of our care from...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101932
      Issue No: Vol. 44, No. 2 (2018)
  • The FSRH guideline on conscientious objection disrespects patient rights
           and endangers their health
    • Authors: Arthur, J. H; Fiala, C.
      Pages: 145 - 145
      Abstract: We write to offer feedback on the new Faculty of Sexual & Reproductive Healthcare (FSRH) guideline1 on conscientious objection (CO) that was the subject of an editorial2 in the January 2018 issue of this journal. Our position, for which we have a clear evidence base, is set out below. Essential parts of the new FSRH guideline,1 as well as the reasoning behind it, contradict the available evidence around the practice of CO, so we predict that the guideline will largely fail in practice. We have written extensively on the problem of so-called CO in reproductive healthcare.3 The available evidence clearly shows that CO is a violation of medical ethics and patients’ rights, has no place in reproductive healthcare, and has misleadingly been co-opted from military CO. CO in healthcare is about imposing one’s religious or personal beliefs, including any negative consequences,...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2018-200104
      Issue No: Vol. 44, No. 2 (2018)
  • Patients at a London integrated sexual health clinic are concerned at
           redirection of contraceptive prescriptions
    • Authors: Bull, L; Jones, R, Rayment, M, Cohen, C.
      Pages: 146 - 147
      Abstract: The drive for integrated sexual and reproductive healthcare (SRH) services in the UK has greatly improved access for women, and has demonstrable benefits.1 2 Services are now under unprecedented strain, having been affected by large budget cuts in the face of increasing demand. Some local authorities have said that Level 3 (specialist) services should provide only the initial contraceptive prescription, thereafter redirecting women to either primary care or community pharmacies. Our clinic is in inner London where local rates of sexually transmitted infections and unintended pregnancy remain high, despite a large decrease in teenage pregnancy during the past 10 years.3 We were concerned about the potential effect of changing channels of contraceptive provision and sought the opinion of female service users. Women who were prescribed the contraceptive pill, patch or ring or progesterone injection during the period February to April 2017 were invited to complete...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2018-200083
      Issue No: Vol. 44, No. 2 (2018)
  • Response to The FSRH guideline on conscientious objection disrespects
           patient rights and endangers their health'
    • Authors: Hatfield, J; Kasliwal, A.
      Pages: 146 - 146
      Abstract: We are grateful that the authors of this letter1 have taken the time to critique the guideline2 published recently by the Faculty of Sexual & Reproductive Healthcare (FSRH) on personal beliefs for those undertaking Faculty qualifications. One of the lessons we have learned over the last 2 years of discussing this issue with our members is that it deserves to be debated far more openly than is currently the case in the UK. We hope that correspondence and debate about the guidelines in BMJ SRH will encourage this. The first point we would make is that the authors' letter1 appears to be based on a misunderstanding of the role of the FSRH. The Faculty is not a regulatory body. We have no power or right "to impose necessary sanctions such as termination of employment, demotion, or loss of licence". We are a charity...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2018-200103
      Issue No: Vol. 44, No. 2 (2018)
  • Womens recall of requirements for oral contraception prescription in Italy
    • Authors: Mulas, F; Parazzini, F, Bulfoni, A, Motta, T.
      Pages: 147 - 148
      Abstract: In Italy the use of oral contraceptives (OCs) is low in comparison with other countries,1 possibly because bimanual pelvic examination and laboratory tests are required before they can be prescribed. Such requirements may stop OCs being used, particularly by teenagers and young women, and so should be considered only in selected cases.2–4 We investigated the recall of these requirements by teenagers and young women in an online anonymous questionnaire on Facebook. Duplicate responses were ignored. A total of 842 women (mean age 21.5 (SD 1.7) years) completed the questionnaire; 236 smoked cigarettes, 177 had graduated from university, and 13 were parous. Table 1 shows the procedures required before prescription in the whole series, by prescribing doctor and by age of the woman. Overall, medical history was required in 58% of cases (95% CI 53.1 to 63.5), blood pressure in 20%...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101843
      Issue No: Vol. 44, No. 2 (2018)
  • Exploring adolescents current sources and learning preferences about
           contraception in a US paediatric emergency department
    • Authors: Vayngortin, T; Tanaka, D, Liu, D, Wilkinson, T.
      Pages: 148 - 149
      Abstract: In the USA, adolescents who seek care in emergency departments have been shown to be a group at increased risk of pregnancy and sexually transmitted infections because of misuse or non-use of contraception.1 Schools are often their traditional source of sexual health education, but school curricula vary greatly, are not always medically accurate, and may focus on abstinence-only education.2 In addition, adolescents are less likely to have primary care providers and thus may miss opportunities to receive contraceptive counselling,the emergency department being their only contact with a clinician.1 Several studies have shown that adolescent females are interested in being educated about contraception in emergency departments.3 4 We assessed male and female adolescents’ current and most trusted sources of contraception education, as well as their interest and preferences for contraception education in the emergency department. We surveyed a convenience sample...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-200045
      Issue No: Vol. 44, No. 2 (2018)
  • Adolescent pregnancy: high risk of recurrence despite access to
           intrauterine devices
    • Authors: Costa, G. P. O; Cabral, R. P, Herculano, T. B, Costa, G. P. O.
      Pages: 149 - 150
      Abstract: Unplanned teenage pregnancy and its recurrence is a challenge for family planning. Long-acting reversible contraception (LARC) is an important resource for adolescents who are vulnerable to pregnancy because of its high efficacy and high continuation rate.1 In Brazil, the intrauterine device (IUD) is a LARC method that is made available by public health providers and is therefore accessible free of charge to women who are interested in using it. In order to evaluate the behaviour of adolescents who have become pregnant in relation to IUD information and access to the method at no cost, we carried out an observational study in a university hospital in the northeast of Brazil. Participants were adolescents and young adults who were in obstetric care (delivery, abortion, obstetric incidents) and who received verbal IUD information by trained medical students during their hospital stay. Information given included the mechanism of action, efficacy, side...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101787
      Issue No: Vol. 44, No. 2 (2018)
  • Venus
    • Authors: Berger A.
      Pages: 152 - 152
      Abstract: Attending to one’s own pleasure, as well as a partner’s, is helpful for women with vulvodynia If you have vulvodynia and are focused on pleasing your partner completely at the expense of your own sexual needs, both of you may suffer. A survey of couples in the USA reports that being motivated to meet a partner’s sexual needs was associated with less pain and anxiety for women with vulvodynia, but when this motivation excluded a focus on their own sexual needs, both parties reported more depressive symptoms and women reported more vulval pain. J Psychosom Res 2018;doi:10.1016/j.jpsychores.2018.01.006 Emergency caesarean section is linked to postpartum depression Emergency caesarean section does not directly lead to postnatal depression, according to a Swedish longitudinal study following almost 4000 pregnancies. Emergency caesarean section and vacuum extraction were indirectly associated with increased risk of postpartum depression, by leading to complications, self-reported physical symptoms,...
      PubDate: 2018-04-12T08:06:01-07:00
      DOI: 10.1136/bmjsrh-2017-101931
      Issue No: Vol. 44, No. 2 (2018)
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