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16. Barriers to contraceptive use in product labeling and practice guidelines

Author

Grossman, Daniel, Ellertson, Charlotte, Abuabara, Katrina, Blanchard, Kelly, and Rivas, Francisco T.

Subjects
Contraceptives -- Usage, Contraceptives -- Labeling, Evidence-based medicine -- Analysis, Women -- Health aspects, Government, Health care industry
Abstract

Many contraceptives are encumbered with potentially unnecessary restrictions on their use. Indeed, fear of side effects, fostered by alarmist labeling, is a leading reason that women do not use contraceptives. In the United States, hormonal methods currently require a prescription, although research suggests that women can adequately screen themselves for contraindications, manage side effects, and determine an appropriate initiation date, leaving little need for routine direct physician involvement. Sizing, spermicidal use, and length-of-wear limits burden users of cervical barriers and may be unnecessary. Despite recent changes in the labeling of intrauterine devices, clinicians commonly restrict use of this method and in some countries may limit the types of providers authorized to insert them. Although in some cases additional research is necessary, existing data indicate that evidence-based demedicalization of contraceptive provision could reduce costs and improve access. (doi:10.2105/AJPH.2004.040774)

Published
2006

17. Emergency contraception and morality: reflections of health care workers and clients

Author

Simonds, Wendy and Ellertson, Charlotte

Subjects
Contraception -- Surveys, Contraception -- Analysis, Contraceptives, Postcoital -- Ethical aspects, Contraceptives, Postcoital -- Surveys, Health, Social sciences
Abstract

In this study, we explore the retrospective reports of 21 US Planned Parenthood clients about their use of emergency contraception pills (ECPs) and the views of ten Planned Parenthood health care workers at two clinics about providing ECPs. We elucidate the sociological phenomena that frame emergency contraception usage: cultural ideology about contraception, sexuality, unintended pregnancy, and abortion. We focus on the ways in which interactions between health care workers and clients both mediate and reinforce such cultural ideology. Our research indicates that the distinctions between fertilization and pregnancy, between contraception and abortion, between responsible and irresponsible procreative behavior, are not hard and fast boundaries upon which everyone agrees. We illuminate the dividing lines and continuities our participants invoked, affirmed, and questioned when contemplating the continuum from potential fertility to realized (and unwanted) pregnancy. Keywords: Abortion; Contraception; Contraceptive counseling: Emergency contraception; USA

Published
2004

22. Contraceptive emergency: Catholic hospitals overwhelmingly refuse to provide EC

Author

Nunn, Amy, Miller, Kate, Alpert, Hilary, and Ellertson, Charlotte

Subjects
Contraception -- Laws, regulations and rules, Contraception -- Social aspects, Government regulation, Family and marriage, Philosophy and religion, Women's issues/gender studies, American Medical Association -- Research, Catholic Church -- Laws, regulations and rules
Abstract

AT LEAST FIVE MILLION TIMES this year, (1) American women will need emergency contraception (EC) to reduce the chance of pregnancy after unprotected intercourse. Whether because of a broken condom, [...]

Published
2003

28. Condom Promotion in Microbicide Trials

Author

van de Wijgert, Janneke, Elias, Christopher, Ellertson, Charlotte, McGrory, Elizabeth, Blanchard, Kelly, Friedland, Barbara, Winikoff, Beverly, and Brown, George

Published
2000

31. Emergency contraception

Author

Ellertson, Charlotte, Blanchard, Kelly, Webb, Anne, Bigrigg, Alison, and Haskell, Sue

Published
1998

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