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...

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Detalles Bibliográficos
Autores Corporativos: Institute of Medicine (U.S). Committee on Contraceptive Research and Development (-), Institute of Medicine (U.S.). Subcommittee for Workshop on Implant Contraceptives : an Illuminating Case Study in Current Dilemmas and Possibilities
Otros Autores: Harrison, Polly F. (-), Rosenfield, Allan
Formato: Libro electrónico
Idioma:Inglés
Publicado: Washington, D.C. : National Academy Press 1998.
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.