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Barriers and Misperceptions Limiting Widespread Use of Intrauterine Contraception Among Canadian Women.
J Obstet Gynaecol Can 2015; 37(7):606-616JO

Abstract

Unintended pregnancy is a major social and public health problem with adverse effects on neonatal and developmental outcomes, as well as maternal health and wellbeing. Traditionally, family planning policies have focused on increasing contraceptive uptake in non-users; however, rates of non-use are low in many developed nations. A high proportion of unintended pregnancies are attributable to contraceptive failure, particularly when using barrier and short-acting hormonal contraceptives. Intrauterine contraceptive devices (IUCDs) are highly effective and have been shown to reduce unintended pregnancy rates. Despite this, global utilization rates are low, and IUCD uptake in Canada has been particularly low. In this review we explore why IUCDs are not more widely used, and specifically focus on barriers and misperceptions that may influence IUCD uptake, particularly in Canada. We reviewed relevant articles published in English between 1990 and 2014, through searches of PubMed and Medline, including primary studies of any design containing information on the knowledge and attitudes of health care providers and women. Providing education to care providers, women, and policy makers may help overcome misperceptions about the use of IUCDs, and may facilitate greater use. Increased support from federal and provincial health programs may also encourage the use of IUCDs in Canadian women, and help to reduce unintended pregnancy rates.

Authors+Show Affiliations

Department of Obstetrics and Gynaecology, Foothills Medical Centre, Calgary AB.Department of Obstetrics and Gynaecology, McMaster University, Hamilton ON.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Review

Language

eng

PubMed ID

26366817

Citation

Hauck, Brian, and Dustin Costescu. "Barriers and Misperceptions Limiting Widespread Use of Intrauterine Contraception Among Canadian Women." Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstetrique Et Gynecologie Du Canada : JOGC, vol. 37, no. 7, 2015, pp. 606-616.
Hauck B, Costescu D. Barriers and Misperceptions Limiting Widespread Use of Intrauterine Contraception Among Canadian Women. J Obstet Gynaecol Can. 2015;37(7):606-616.
Hauck, B., & Costescu, D. (2015). Barriers and Misperceptions Limiting Widespread Use of Intrauterine Contraception Among Canadian Women. Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstetrique Et Gynecologie Du Canada : JOGC, 37(7), pp. 606-616. doi:10.1016/S1701-2163(15)30198-5.
Hauck B, Costescu D. Barriers and Misperceptions Limiting Widespread Use of Intrauterine Contraception Among Canadian Women. J Obstet Gynaecol Can. 2015;37(7):606-616. PubMed PMID: 26366817.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Barriers and Misperceptions Limiting Widespread Use of Intrauterine Contraception Among Canadian Women. AU - Hauck,Brian, AU - Costescu,Dustin, PY - 2015/9/15/entrez PY - 2015/9/15/pubmed PY - 2015/10/28/medline KW - contraception KW - intrauterine device KW - intrauterine system KW - long-acting reversible contraception KW - unintended pregnancy SP - 606 EP - 616 JF - Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC JO - J Obstet Gynaecol Can VL - 37 IS - 7 N2 - Unintended pregnancy is a major social and public health problem with adverse effects on neonatal and developmental outcomes, as well as maternal health and wellbeing. Traditionally, family planning policies have focused on increasing contraceptive uptake in non-users; however, rates of non-use are low in many developed nations. A high proportion of unintended pregnancies are attributable to contraceptive failure, particularly when using barrier and short-acting hormonal contraceptives. Intrauterine contraceptive devices (IUCDs) are highly effective and have been shown to reduce unintended pregnancy rates. Despite this, global utilization rates are low, and IUCD uptake in Canada has been particularly low. In this review we explore why IUCDs are not more widely used, and specifically focus on barriers and misperceptions that may influence IUCD uptake, particularly in Canada. We reviewed relevant articles published in English between 1990 and 2014, through searches of PubMed and Medline, including primary studies of any design containing information on the knowledge and attitudes of health care providers and women. Providing education to care providers, women, and policy makers may help overcome misperceptions about the use of IUCDs, and may facilitate greater use. Increased support from federal and provincial health programs may also encourage the use of IUCDs in Canadian women, and help to reduce unintended pregnancy rates. SN - 1701-2163 UR - https://www.unboundmedicine.com/medline/citation/26366817/Barriers_and_Misperceptions_Limiting_Widespread_Use_of_Intrauterine_Contraception_Among_Canadian_Women_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1701-2163(15)30198-5 DB - PRIME DP - Unbound Medicine ER -