Contraceptive research, introduction, and use lessons from Norplant
Contains an examination of Norplant's efficacy and safety, its user populations, training for insertion and removal, consumer perspectives - quality of care, informed decisionmaking, and consumer involvement - and approaches to contraceptive development and introduction. This book's append...
Autores Corporativos: | , |
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Otros Autores: | , |
Formato: | Libro electrónico |
Idioma: | Inglés |
Publicado: |
Washington, D.C. :
National Academy Press
1998.
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Edición: | 1st ed |
Materias: | |
Ver en Biblioteca Universitat Ramon Llull: | https://discovery.url.edu/permalink/34CSUC_URL/1im36ta/alma991009820330506719 |
Tabla de Contenidos:
- Contraceptive Research, Introduction, and Use
- Copyright
- Acknowledgments
- Contents
- 1 Introduction
- 2 Workshop Report
- EFFICACY AND SAFETY
- Efficacy
- Safety
- Major Health-Related Events
- Significant Health-Related Problems
- Silicone Biocompatibility
- Progestin Effects on Vaginal HIV Transmission
- WHO USES NORPLANT AND HOW
- User Populations
- Method Continuation and Discontinuation
- Side Effects as Factors
- User Satisfaction
- Barriers to Discontinuation
- Cost and Cost-Effectiveness
- Effects of Media Coverage and Litigation on Norplant Use
- INSERTION AND REMOVAL: EXPERIENCE AND IMPLICATIONS
- Technical Aspects
- Case Experiences
- Rates of Complicated Removals
- Implications
- CONSUMER PERSPECTIVES
- Communication and Quality of Care
- Quality of Care
- Informed Decision-Making
- Importance
- Content
- Special Challenges
- Potential for Abuse
- Consumer Involvement
- NEW APPROACHES
- Reproductive Health Technologies Project's "Boom and Bust Initiative
- The WHO Strategic Approach to Contraceptive Introduction
- A ''Government Standards Defense
- 3 Workshop Summary and Analysis
- DATA REVIEW
- Efficacy
- Safety
- User Profiles
- Side Effects
- Continuation and Discontinuation
- User Satisfaction
- Postmarketing Surveillance
- Cost-Effectiveness
- LESSONS LEARNED
- NEXT STEPS: AREAS FOR CONSIDERATION AND ACTION
- Areas for Strengthening or Expansion
- 1. Clinical Research
- 2. Market Research
- 3. "Pre-introduction
- 4. Informed Decision-Making
- 5. Postmarketing Surveillance
- Areas for New Initiative
- 6. Credentialing
- 7. Core Guidelines for Long-Acting Contraceptives
- 8. Costs
- 9. Product Liability
- FINAL COMMENT
- ENDNOTES
- Appendixes
- A Presentation Summaries
- Presentation 1
- Background
- Methodology
- Findings
- Age and Educational Levels.
- Major Health-Related Events
- Significant Health-Related Problems
- Continuation and Removals
- Efficacy
- Conclusions
- Presentation 2
- Background
- Methodology
- Findings
- Pregnancy and Continuation Rates
- Reasons for Discontinuation
- Removal Difficulties
- Mortality and Hospitalization
- Conclusions
- Presentation 3
- Background
- Methodology
- Findings
- Conclusions
- Presentation 4
- Background
- Findings
- Composition
- Inflammatory Wound Healing Reaction and Blood Protein Absorption
- Conclusions
- Presentation 5
- Background
- Methodology
- Findings
- Conclusions
- Presentation 6
- Background and Methodology
- Findings
- Conclusions
- Presentation 7
- Background
- Findings
- Conclusions
- Presentation 8
- Background
- Methodology
- Findings and Conclusions
- Sample Characteristics
- Continuation and Discontinuation
- Media Effects
- Norplant and Coercion
- Presentation 9
- Background
- Methodology
- Findings
- Sample Characteristics
- Continuation and Discontinuation
- The Question of Coercion
- Postdiscontinuation Experience
- Conclusions
- Presentation 10
- Background
- Methodology
- Findings
- Conclusions
- Presentation 11
- Background
- Removal Techniques
- Standard Technique
- Pop-Out Technique
- U Technique
- Removal Difficulties and Training
- Conclusions
- Presentation 12
- Background
- Methodology
- Findings
- Conclusions
- Presentation 13
- Background
- Methodology
- Findings
- Conclusions
- Presentation 14
- Background
- Findings
- Choice
- Removal on Demand
- Tracking Capacity
- Conclusions
- Presentation 15
- Background
- Discussion
- The Role of the FDA
- The Potential Role of a Federal Standards Defense
- ENDNOTES
- B Norplant: Historical Background
- THE TECHNOLOGY
- HISTORY
- ENDNOTES
- C Workshop Agenda.
- Implant Contraceptives: An Illuminating Case Study in Current Dilemmas and Possibilities 7-8 April 1997
- NATIONAL ACADEMY OF SCIENCES INSTITUTE OF MEDICINE
- WORKSHOP
- PARTICIPANTS.