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Query: UMLS:C0598853 (forgetting)
 3,232 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Australian women face compliance, availability, and cost problems with contraceptives. In reality, oral contraceptives (OCs) have a high failure rate. An abortion survey in New South Wales in 1992 found that 14.4% of women were using OCs at the time of conception. Complete compliance with OCs is uncommon (28-40%). Abrupt cessation of OC use and forgetting to use pills at either end of the pill cycle are major reasons for noncompliance. Leading reasons for abrupt cessation of OCs are concerns about OCs, poor cycle control, weight gain, and headaches. Some ways to improve OC compliance are improved packaging, uniform missed pill instructions, clearer and more readable package inserts, improved verbal and written counseling, and detailed instructions on how to take the pills and what to do when one misses a pill. The abortion survey found that 22% of women seeking an abortion were using condoms at the time of conception. Many report a broken or slipped condom, both of which are generally caused by incorrect usage. Women who use the diaphragm only when they have intercourse have a higher failure rate than those who keep it in place for 24 hours, even though the latter do not use spermicides. Women are less likely to use their contraceptive method if the instructions are difficult and complicated. The vaginal ring has potential because it does not require action every day and can be left in place. The mass media and attitudes of providers influence women's choice of contraceptives. In New South Wales, only 50% of general practitioners discuss IUDs when they talk to women about contraception. 11% of women in the abortion survey could not obtain postcoital contraception from their physicians. A postcoital contraceptive and low dose OCs should be readily available in Australia. Contraceptives are expensive in Australia. Some contraceptives which are unavailable in Australia are OCs with gestodene, postcoital contraceptives, the levonorgestrel-releasing IUD, Norplant, the vaginal sponge, the female condom, and RU-486.
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PMID:Practical problems which women encounter with available contraception in Australia. 784 7

Approximately 4 million Indonesian women received Norplant contraceptive implants in 1987-97. Concerns have been raised about the timely removal of the implants within a few days of the user's request or at the end of the 5-year recommended period of use. According to some estimates, a backlog of 467,000-650,000 overdue removals exists. To assess the validity of these concerns, 2979 Indonesian women from 14 provinces who had Norplant inserted five or more years earlier (1987-91) were interviewed in 1996. 27% had undergone removal and had a second implant inserted, 41% had undergone removal and switched to another contraceptive method, 25% had undergone removal and were currently not using any method, and 8% had not yet undergone removal. Major reasons for not having the implants removed included forgetting the recommended removal date, fear of the removal process, and the high cost of removal. Given the finding that 66% of removals were performed by nurses or midwives and 23% occurred in safari camps, it is possible that a sizable number of removals were not recorded in the service statistics system. Although many women may use Norplant past the recommended time for removal, these findings suggest that there is no large backlog of removal cases, particularly after the 6th year of use. Creating service delivery conditions that allow women their right to easy access to removal is essential, however.
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PMID:An assessment of Norplant removal in Indonesia. 943 51