Tuesday, November 27th, 2012
The American Academy of Pediatrics is revising its policy on contraception, now recommending that pediatricians should discuss safe sex and contraceptive options including the “morning-after” pill Plan B with teenaged patients and their parents. Further, the AAP is recommending pediatricians prescribe a “just-in-case” Plan B prescription teens can carry in their wallets. More from CNN.com:
The United States has one of the highest rates of teen pregnancy among developed countries. Nearly 80% of teen pregnancies are unplanned, a result of contraception failure or nonuse, according to the AAP.
The use of emergency contraception has been around since the 1970s, when doctors often advised patients to double up on their regular birth control pills in a method called “Yuzpe.” Since then several products have been approved for use by prescription and over-the-counter. Yet lead author Dr. Cora Beurner said there are still many people who don’t know about emergency contraception or have unfounded fears about using it.
Emergency contraception is designed to prevent pregnancy after unprotected sex. It works by inhibiting ovulation and disrupting the production of key cells needed in a woman’s body to conceive. It works best if taken up to 24 hours after intercourse, although it lowers pregnancy risk if taken within 120 hours (five days). It will not work if you are already pregnant.
Emergency contraception is available with a prescription for all patients and available over-the-counter for women over the age of 17. The pills cost around $80.
Image: Teenage girl with doctor, via Shutterstock
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Monday, October 8th, 2012
A new large-scale study has found that access to free contraceptive pills is part of the explanation for well-documented drops in the rates of both teen pregnancy and abortions. The finding comes just before the Obama administration’s health care law takes effect, including provisions that will offer birth control coverage to women nationwide. The Associated Press has more:
When price wasn’t an issue, women flocked to the most effective contraceptives — the implanted options, which typically cost hundreds of dollars up-front to insert. These women experienced far fewer unintended pregnancies as a result, reported Dr. Jeffrey Peipert of Washington University in St. Louis in a study published Thursday.
The effect on teen pregnancy was striking: There were 6.3 births per 1,000 teenagers in the study. Compare that to a national rate of 34 births per 1,000 teens in 2010.
There also were substantially lower rates of abortion, when compared with women in the metro area and nationally: 4.4 to 7.5 abortions per 1,000 women in the study, compared with 13.4 to 17 abortions per 1,000 women overall in the St. Louis region, Peipert calculated. That’s lower than the national rate, too, which is almost 20 abortions per 1,000 women.
In fact, if the program were expanded, one abortion could be prevented for every 79 to 137 women given a free contraceptive choice, Peipert’s team reported in the journal Obstetrics & Gynecology.
Image: Birth control pills, via Shutterstock
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Wednesday, September 26th, 2012
Thirteen public high schools in New York City offer “morning-after” contraceptive pills to girls in a program that has not gotten a lot of attention. NBC News reports:
The program, called CATCH, or Connecting Adolescents To Comprehensive Healthcare, is aimed at reducing unplanned teen pregnancy. It began in January 2011, but wasn’t publicized until the New York Post reported it over the weekend.
“In any given every year there are about 7,000 pregnancies to girls ages 15 to 17 in New York City, about 90 percent of those are unintended,” said Deborah Kaplan, assistant commissioner at the city health department’s Bureau of Maternal, Infant and Reproductive Health. “We wanted to make sure young people who are sexually active have easy access to contraceptive services and general reproductive health services.”
Oral contraceptives, including the morning-after Plan B pill, have been available to students at most of the 40 schools that have school-based health centers for the last one to four years, depending on the school, Kaplan said. The centers, which serve about one-quarter of New York City’s public high school students, provide primary care health services and are run privately by separate institutions like hospitals.
For the first time, with the CATCH program, the Health Department is making the contraceptives available in schools without the private health centers. The program began in January 2011 in five schools, and is now in 13 schools. The schools were chosen because they are in neighborhoods with high teen pregnancy rates or with limited resources for young people to get contraception. City high schools have long provided condoms.
Image: Girl with nurse, via Shutterstock
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Wednesday, July 11th, 2012
A new study by researchers at Johns Hopkins University has found that worldwide maternal deaths could drop by at least a third if steps were taken to meet the contraception needs of women in developing countries. From The New York Times:
The study, published on Tuesday in The Lancet, a British science journal, comes ahead of a major family planning conference in London organized by the British government and the Bill and Melinda Gates Foundation that is an attempt to refocus attention on the issue. It has faded from the international agenda in recent years, overshadowed by efforts to combat AIDS and other infectious diseases, as well as by ideological battles.
The proportion of international population assistance funds that went to family planning fell to just 6 percent in 2008, down from 55 percent in 1995, while spending on H.I.V./AIDS represented 74 percent of the total in 2008, up from just 9 percent in 1995, according to Rachel Nugent, a professor of global health at the University of Washington, who cited figures from the United Nations Population Fund.
But population growth has continued to surge, with the United Nations estimating last year that the world’s population, long expected to stabilize, will instead keep growing. Population experts warn that developing countries, particularly those in sub-Saharan Africa, where fertility continues to be high and shortages of food and water are worsening, will face deteriorating conditions if family sizes do not shrink.
Image: Young girl, via Shutterstock.
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Wednesday, August 3rd, 2011
The Obama administration has announced a number of preventative care measures that health insurance companies will be required to cover under the new health care laws. Among them are several that affect women. According to a press release from the US Department of Health and Human Services, the measures include:
- well-woman visits;
- screening for gestational diabetes;
- human papillomavirus (HPV) DNA testing for women 30 years and older;
- sexually-transmitted infection counseling;
- human immunodeficiency virus (HIV) screening and counseling;
- FDA-approved contraception methods and contraceptive counseling;
- breastfeeding support, supplies, and counseling; and
- domestic violence screening and counseling.
Religious institutions that offer health insurance to their employees will have the option of whether to cover birth control, citing the Constitutional precedents of religious accommodation.
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