Contraception (Birth Control) and Family Planning PubHealthInfo

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PubHealth.info® (a subsidiary of PakMed) presents scientific information mainly based on abstracts of articles published on a variety of public health issues/topics, particularly encompassing population planning, disease prevention, maternal and child health, and communicable and non-communicable diseases (like HIV AIDS, malaria, etc) that are affecting a significant portion of population in developing and developed countries. Here you can find abstracts of articles published on a variety of public health topics under category "Contraception (Birth Control) and Family Planning". Contraception (birth control) is a regimen of one or more actions, devices, or medications followed in order to deliberately prevent or reduce the likelihood of a woman becoming pregnant or giving birth. Therefore contraception is the utilization of various and sundry surgical procedures, devices, practices, agents, or drugs with the intention of preventing conception or impregnation (pregnancy). Methods and intentions typically termed birth control may be considered a pivotal ingredient to family planning. Birth control is a controversial political and ethical issue in many cultures and religions, and although it is generally less controversial than abortion specifically.

YEAR: 2004

CATEGORY: Contraception (Birth Control) and Family Planning

TITLE

Intrauterine contraceptive devices and risk of pelvic inflammatory disease:

standard of care in high STI prevalence settings.

AUTHORS

Steen R; Shapiro K

SOURCE

Reproductive Health Matters. 2004 May;12(23):136-143.

ABSTRACT

The intrauterine contraceptive device (IUD) is highly effective and cost-effective. IUD use is limited in some regions,

however, due to concerns about increased risk of pelvic inflammatory disease (PID) and subsequent complications

such as infertility and ectopic pregnancy. Recent reviews suggest that the overall risk of PID with modern IUDs is

lower than previously thought, at least in regions with a low prevalence of sexually transmitted infections (STIs). Risk

of PID may be higher, however, in places where gonorrhoea and chlamydia are prevalent, where screening for STIs is

limited and where aseptic conditions for insertion are difficult to ensure. A World Health Organization multi-centre

study and other studies have confirmed regional differences in STI prevalence, and the WHO study established that

PID risk is temporally related to IUD insertion procedures. Studies of the effectiveness of antibiotic prophylaxis to

prevent infectious complications are inconclusive due at least in part to use of sub-therapeutic regimens for

pathogens commonly implicated in PID. In summary, the IUD can be safe and effective if inserted under aseptic

conditions in women free of cervical infection. Further study is needed to define appropriate standards of care for IUD

insertion where STI prevalence is high and ability to rule out infection is limited. Even with safe insertion, IUD

promotion in areas of high STI/HIV prevalence must address women's needs for dual protection from infection and

unwanted pregnancy. (PubHealth.info Document ID: CONT1T 575-06)

PubHealth.info NOTE: The author(s) of this article titled, "Intrauterine contraceptive devices and risk of pelvic

inflammatory disease: standard of care in high STI prevalence settings.", is(are) Steen R; Shapiro K. The source of

this article is "Reproductive Health Matters. 2004 May;12(23):136-143.". This article was published in 2004 in

English language(s). (PubHealth.info® Document ID: CONT1T 575-06. All rights reserved with PubHealth.info) PIN:

575

This article is peer-reviewed.

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