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Postpartum contraception: a missed opportunity to prevent unintended pregnancy (Record no. 76397)

MARC details
000 -LEADER
fixed length control field 02849cam a2200217 4500
001 - CONTROL NUMBER
control field NMDX7540
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 120401t2016 xxu||||| |||| 00| 0 eng d
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Tvarozkova, K.
240 ## - UNIFORM TITLE
Uniform title <a href="BJOG">BJOG</a>
245 ## - TITLE STATEMENT
Title Postpartum contraception: a missed opportunity to prevent unintended pregnancy
260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT)
Date of publication, distribution, etc. 2016
500 ## - GENERAL NOTE
General note NMUH Staff Publications
500 ## - GENERAL NOTE
General note EMBASE
500 ## - GENERAL NOTE
General note 123
520 ## - SUMMARY, ETC.
Summary, etc. &lt;span style="font-size: 10pt;"&gt;Introduction In our unit, we felt there was a 'missed' opportunity to educate and supply contraception to postnatal patients. We therefore carried out a face-to-face survey of 50 women in the week after delivery. Results The hospital serves a culturally and ethnically diverse area of London, with 5300 deliveries annually and where 44% (n = 20) of patients do not have English as their first language. The median age of women completing the survey was 30 years (range 17- 43 years) with 72% (n = 36) having a higher education qualification. The average parity following the index pregnancy was two, with 64% (n = 32) having delivered vaginally, 4% (n = 2) had instrumental delivery and 32% (n = 16) had caesarean births. We asked women what method of contraception they had used previously and found that 36% (n = 18) had not used any contraception method, 18% (n = 9) were using barrier methods and 30% (n = 15) either the progesterone-only pill, or combined pill or patch. Only 16% (n = 8) of women surveyed had previously used a long acting reversible contraception (LARC) method, well below the country average of 37%. With regard to the immediate fitting of an IUS/IUD; 16% (n = 8) were 'very likely' to accept, 6% (n = 3) 'likely' and 78% (n = 39) said they were 'not likely' to accept. When the same question was asked with regard to immediate fitting of the implant; 18% (n = 9) said they were 'very likely' to accept, 10% (n = 5) 'likely' and 72% (n = 36) 'not likely' to accept. Some of the comments patients made as to why they would not accept these methods included; 'too early', 'don't feel need for it', 'not heard of either', and 'no information (provided)'. Conclusion This small survey has highlighted a significant need for patient education regarding contraception and as a result, we are keen to work collaboratively on training and education opportunities with the Community SRH teams.&amp;nbsp;&lt;/span&gt;
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Killicoat, K.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Munro, H.
700 ## - ADDED ENTRY--PERSONAL NAME
Personal name Govind, A.
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.14447/abstract;jsessionid=C6660875D25EE1DE3C1437B78FB15EE8.f03t01?systemMessage=Wiley+Online+Library+usage+report+download+page+will+be+unavailable+on+Friday+24th+November+2017+at+21%3A00+EST+%2F+02.00+GMT+%2F+10%3A00+SGT+%28Saturday+25th+Nov+for+SGT+">http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.14447/abstract;jsessionid=C6660875D25EE1DE3C1437B78FB15EE8.f03t01?systemMessage=Wiley+Online+Library+usage+report+download+page+will+be+unavailable+on+Friday+24th+November+2017+at+21%3A00+EST+%2F+02.00+GMT+%2F+10%3A00+SGT+%28Saturday+25th+Nov+for+SGT+</a>
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.14447/epdf">http://onlinelibrary.wiley.com/doi/10.1111/1471-0528.14447/epdf</a>
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Withdrawn status Lost status Damaged status Not for loan Collection code Home library Current library Shelving location Date acquired Total Checkouts Date last seen Price effective from Koha item type
        Staff publications for NMDX Ferriman Information and Library Service (North Middlesex) Ferriman Information and Library Service (North Middlesex) Online 07/06/2022   07/06/2022 07/06/2022 UNKNOWN