The British journal of family planning最新文献

英文中文

Personal hormone monitoring for contraception. 个人避孕激素监测。

The British journal of family planning

Pub Date : 2000-07-01

J Bonnar, G Freundl, R Kirkman

引用次数: 0

Breast and pelvic examinations in women taking oral contraceptives 口服避孕药妇女的乳房和骨盆检查

The British journal of family planning

Pub Date : 2000-07-01 DOI: 10.1783/147118900101194427

引用次数: 0

Repeated use of hormonal emergency contraception by younger women in the UK. 在英国，年轻女性反复使用激素紧急避孕。

The British journal of family planning

Pub Date : 2000-07-01 DOI: 10.1783/147118900101194562

S Rowlands, H Devalia, R Lawrenson, J Logie, B Ineichen

A cohort of women aged 14-29 in 1993 was identified from the General Practice Research Database and followed up for a period of 4 years. Patient files were searched for evidence of use of emergency contraception and regular contraception. Of the 95 007 women, 15 105 (16%) had received emergency contraception during the study period (an average of 5% per annum). There was a small year on year increase in uptake of emergency contraception between 1994 and 1997. Only 4% of emergency contraception users received emergency contraception more than twice in any year. More than 70% of those who had no previous record of use of regular contraception had used regular contraception within 1 year of using emergency contraception. Teenagers were more likely than other age groups to use emergency contraception, to be repeat users of emergency contraception and to fail to start regular contraception after first use of emergency contraception until later in the study period. These results disprove the notion of widespread repeated use of emergency contraception. They show that provision of an emergency contraception service does not result in failure to initiate regular contraception or abandonment of regular contraception; rather they show many women using regular contraception for the first time after use of emergency contraception.

1993年从一般实践研究数据库中确定了一组14-29岁的妇女，并进行了4年的随访。检索患者档案，寻找使用紧急避孕和常规避孕的证据。在95007名妇女中，15105名(16%)在研究期间接受了紧急避孕(平均每年5%)。1994年至1997年期间，采取紧急避孕措施的人数逐年小幅增加。只有4%的紧急避孕药使用者在任何一年接受了两次以上的紧急避孕药。在没有常规避孕记录的患者中，超过70%的人在使用紧急避孕后1年内使用了常规避孕。与其他年龄组相比，青少年更有可能使用紧急避孕措施，反复使用紧急避孕措施，并且在首次使用紧急避孕措施后直到研究期间后期才开始定期避孕。这些结果反驳了普遍重复使用紧急避孕的观点。它们表明，提供紧急避孕服务不会导致不能开始常规避孕或放弃常规避孕;相反，它们显示了许多妇女在使用紧急避孕措施后第一次使用常规避孕措施。

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引用次数: 68

What if the audit commission visited you? 如果审计委员会来找你怎么办?

The British journal of family planning

Pub Date : 2000-07-01 DOI: 10.1783/147118900101194607

E S Searle

Readers will be familiar with high profile media items, like the Audit Commission investigating national public institutions, and publicising rigorous critiques of their ‘value for money’. Family planning (FP) services may be interested to learn that the Audit Commission also perform ‘district audits’ (nothing to do with ‘clinical audit’) and that these can analyse broader concerns to do with quality of patient care and acceptability of services, not just efficiency. ‘Out of the blue’ our service was the focus of such a district audit conducted over just 3 weeks. We were asked what areas, apart from ‘value for money’, we would like investigated. We were keen to measure if our efforts of collaboration with Primary Care and other agencies had been effective. We learned that there is a national system (DATIS) to compare each FP service's expenditure per thousand patients. We also learned that being the subject of such an investigation need not be a threatening experience, and can be an opportunity to review quality of care and demonstrate our cost effectiveness. This account is the report of the district audit team of our service and our attempts at collaboration.

读者应该熟悉一些高调的媒体报道，比如审计委员会对国家公共机构的调查，以及对这些机构“物有所值”的严厉批评。计划生育服务部门可能有兴趣了解到，审计署也进行“地区审计”(与“临床审计”无关)，这些审计可以分析更广泛的问题，包括病人护理的质量和服务的可接受性，而不仅仅是效率。在短短3周的时间里，我们的服务成为了地区审计的重点。我们被问到，除了“物有所值”之外，我们还希望调查哪些领域。我们渴望衡量我们与初级保健和其他机构合作的努力是否有效。我们了解到，有一个国家系统(DATIS)来比较每个计划生育服务每千名患者的支出。我们还了解到，成为这种调查的对象不一定是一种威胁的经历，而是一个审查护理质量和证明我们的成本效益的机会。这个账户是我们服务的地区审计组的报告和我们合作的尝试。

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引用次数: 0

fpa 70th Anniversary fpa成立70周年

The British journal of family planning

Pub Date : 2000-07-01 DOI: 10.1783/147118900101194580

引用次数: 0

Clinical performance of the Nova-T380 IUD in routine use by the UK Family Planning and Reproductive Health Research Network: 12-month report. 英国计划生育和生殖健康研究网络常规使用Nova-T380宫内节育器的临床表现:12个月报告

The British journal of family planning

Pub Date : 2000-07-01 DOI: 10.1783/147118900101194599

M Cox, S E Blacksell

Doctors working in general practice and at family planning clinics throughout the UK who collaborate in the UK Family Planning and Reproductive Health Research Network were responsible for the fitting of 572 Nova-T380 intra-uterine contraceptive devices (IUDs). The Nova-T (and formerly the identical Novagard) IUDs have copper with a surface area of 200 mm(2). The device used in this study, the Nova-T380, has copper with a surface area of 380 mm(2). The purpose of the study was to evaluate the pregnancy and complication rates of this new device, with its increased area of copper, in comparison with other published results, in the clinical setting of British general practice and family planning clinics. The 12-month cumulative life-table event rates were: pregnancy 0.8, expulsion 5.6, removal for bleeding or bleeding and pain 11.0. The continuation rate was 73.4. The pregnancy rate at 12 months showed good contraceptive performance. The increased surface area of copper was not associated with a reduced pregnancy rate, but as this was not a direct comparative study with the Nova-T, the influence of the increased area of copper must remain somewhat uncertain. This study found the discontinuation rate for bleeding problems and pain with bleeding to be higher than in other published studies. Other event rates were consistent with other published studies.

在英国计划生育和生殖健康研究网络合作的全科医生和计划生育诊所的医生负责安装572个Nova-T380宫内避孕器(iud)。Nova-T(和以前相同的Novagard)宫内节育器的表面积为200毫米(2)的铜。在这项研究中使用的装置Nova-T380采用表面积为380毫米(2)的铜。这项研究的目的是评估这种新装置的妊娠率和并发症率，与其他已发表的结果相比，它增加了铜的面积，在英国的一般实践和计划生育诊所的临床环境中。12个月累积生命表事件发生率为:妊娠0.8，排出5.6，因出血或出血和疼痛而切除11.0。延续率为73.4。12个月妊娠率表现出良好的避孕效果。铜表面积的增加与怀孕率的降低无关，但由于这不是与Nova-T的直接比较研究，因此铜面积增加的影响一定程度上仍不确定。该研究发现，出血问题和出血疼痛的停药率高于其他已发表的研究。其他事件发生率与其他已发表的研究结果一致。

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引用次数: 10

The clinical enquiry service; benign intracranial hypertension. 临床谘询服务;良性颅内高压。

The British journal of family planning

Pub Date : 2000-07-01 DOI: 10.1783/147118900101194445

J Walsh, C Smith

Considering how uncommon the condition is (3.3 cases per 100 000 women aged 15 to 44 years) the CEU has received a surprising number of enquiries about contraceptive options for women with a diagnosis of idiopathic benign interacranial hypertension.

考虑到这种情况是多么罕见(每10万名15至44岁的妇女中有3.3例)，CEU收到了关于诊断为特发性良性颅间高压的妇女的避孕选择的惊人数量的咨询。

引用次数: 1

Greater understanding for Depo Provera® 加深对Depo Provera®的了解

The British journal of family planning

Pub Date : 2000-04-01 DOI: 10.1783/147118900101194184

引用次数: 0

Emergency contraception 紧急避孕法

The British journal of family planning

Pub Date : 2000-04-01 DOI: 10.1783/147118900101194337

P. Davis

引用次数: 0

Psychological effects of sterilization in India. 印度绝育对心理的影响。

The British journal of family planning

Pub Date : 2000-04-01

M Puri

引用次数: 0

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