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Background
Modern intrauterine contraception (IUC) is safe and highly effective, but is used by fewer than 4% of women in the United States. Once recommended only for women with at least one child, it is now recommended for most women regardless of parity or age.Methods
This study used data representative of California women from 10 years of the California Women’s Health Survey (1997–2007) to describe how IUC users differ from women using other contraceptives, and assess changes in IUC users’ characteristics over time.Findings
Overall 4.9% of women in California used IUC. Multivariable logistic regression modeling showed IUC users were more likely to be born outside the United States (odds ratio [OR], 1.7), have a college degree (OR, 1.5) or postgraduate degree (OR, 2.2), and be married (OR, 2.6) or in an unmarried partnership (OR, 2.4). IUC users were 71% less likely to be nulliparous (OR, 0.29). Use of IUC almost doubled over the study period from 4.0% to 7.2%, and this growth was accompanied by significant changes in user characteristics: Young women, women born in the United States, women without a college degree, and Asian women experienced the greatest increases. IUC use among nulliparous women did not increase.Conclusion
IUC use in California is higher than the national average and growing. We found higher IUC use among ever-married women and foreign-born women, and disproportionately low use among nulliparous women. Efforts to inform women of IUC’s high effectiveness and safety, as well as efforts to ensure that health care providers have the necessary clinical skills, are timely and important. 相似文献Areas covered: In this review, the authors consider, in detail, the antihypertensives commonly used today in the emergency care of women with severe preeclampsia. They also review less common anti-hypertensive agents and discuss the role of magnesium sulphate in the management of preeclampsia and the prevention of eclampsia. Finally, they explore novel therapeutics for the acute management of preeclampsia.
Expert opinion: The rapid control of maternal hypertension will, and must, remain the mainstay of emergency treatment for women with severe preeclampsia. The role of magnesium sulphate as a primary prevention for eclampsia is context dependant and should not displace a focus on correcting blood pressure safely. The exploration of novel adjuvant therapies will likely allow us to prolong pregnancy longer and improve perinatal outcomes safely for the mother. 相似文献