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Contraceptive research, introduction, and use : lessons from Norplant / Polly F. Harrison and Allan Rosenfield, editors ; Subcommittee for Workshop on Implant Contraceptives: An illuminating case study in current dilemmas and possibilities, Committee on Contraceptive Research and Development, Division of Health Sciences Policy, Institute of Medicine.
- Format:
- Book
- Language:
- English
- Subjects (All):
- Contraception--Research--Congresses.
- Contraception.
- Birth control--Research--Congresses.
- Birth control.
- Physical Description:
- 1 online resource (vii, 120 pages) : illustrations
- Edition:
- 1st ed.
- Place of Publication:
- Washington, D.C. : National Academy Press, 1998.
- Language Note:
- English
- Summary:
- 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 appendix contains summaries of 17 workshop presentations.
- Contents:
- 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
- User Profiles
- Side Effects
- Continuation and Discontinuation
- 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
- Continuation and Removals
- Conclusions
- Presentation 2
- Pregnancy and Continuation Rates
- Reasons for Discontinuation
- Removal Difficulties
- Mortality and Hospitalization
- Presentation 3
- Presentation 4
- Composition
- Inflammatory Wound Healing Reaction and Blood Protein Absorption
- Presentation 5
- Presentation 6
- Background and Methodology
- Presentation 7
- Presentation 8
- Findings and Conclusions
- Sample Characteristics
- Media Effects
- Norplant and Coercion
- Presentation 9
- The Question of Coercion
- Postdiscontinuation Experience
- Presentation 10
- Presentation 11
- Removal Techniques
- Standard Technique
- Pop-Out Technique
- U Technique
- Removal Difficulties and Training
- Presentation 12
- Presentation 13
- Presentation 14
- Choice
- Removal on Demand
- Tracking Capacity
- Presentation 15
- Discussion
- The Role of the FDA
- The Potential Role of a Federal Standards Defense
- B Norplant: Historical Background
- THE TECHNOLOGY
- HISTORY
- 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.
- Notes:
- Based on a workshop held in April 1997.
- Includes bibliographical references.
- ISBN:
- 9786610186822
- 9780309174428
- 0309174422
- 9781280186820
- 1280186828
- 9780309591539
- 0309591538
- 9780585024080
- 0585024081
- OCLC:
- 42329048
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