National Partnership for Women & Families

Journal Review

Women's Contraceptive Method Selection Associated With Risk of Pregnancy
For this study, researchers examined contraceptive use among privately insured women who wanted to avoid pregnancy for at least 12 months. They found that, "[c]ontrary to [their] hypothesis, pregnancy intentions were not the strongest predictors of using prescription contraceptives that are covered without cost-sharing: current pregnancy risk exposure variables were more strongly associated with using [long-acting reversible contraception] and other prescription contraception, compared with no contraception."

Study Assesses How Community Health Centers Organize, Deliver Family Planning Services
In this study, the authors investigate organizational factors that influence family planning services at community health centers. They found that while the centers "play an integral role in delivering primary care and family planning services," improving access to such services "will require a combination of additional direct funding, technical assistance, and policies that emphasize how health centers can incorporate quality family planning as a fundamental element of primary care."

Association Between Adolescent Pelvic Exam and Contraceptive Use Dropping Amid Changes to Cervical Cancer Screening Guidelines
In this study, the authors looked at the association between adolescents' receipt of pelvic exam and/or Pap test and their use of effective or highly effective contraception before and after cervical cancer screening guidelines were changed in 2008 to postpone routine screening until age 21. They wrote that while they found an "apparent decreasing link between pelvic exams and receipt of effective contraception ... it seems plausible that as clinical practice continues to change around the screening pelvic examination, consequent changes in utilization of reproductive health services among adolescents, both in frequency and in source of services, warrant continued monitoring."

Study: Text Message Reminders Help Ensure Teen's Adherence to Contraceptive Injections
In this study, researchers explored "the feasibility, acceptability, and preliminary effectiveness" of a text message reminder program, called DepoText, that aims "to improve moderately long-acting reversible contraception [MARC] appointment attendance among young urban adolescent girls and young adult women using Depo-Provera." They found that using cell phone technology "for person-based communication may further improve the effectives of MARCs," which are a major contributor to "reducing unplanned pregnancy among adolescent and young adult women."

Increased Use of LARCs Could Help Women Avoid Closely Spaced Pregnancies
In this study, researchers examined patterns of women's contraceptive use following delivery, as well as the association between which contraceptives they used and pregnancy risk within the first year and a half. They found that "many U.S. women rely on less-effective contraceptive methods -- or use no method -- in the 18 months after delivery" and urged the implementation of "programs and policies that remove barriers to initiating effective contraception" to help "reduce adverse maternal and neonatal health outcomes associated with closely spaced births."

Commentary: SCOTUS Could Soon Re-Examine Antiabortion-Rights Laws That Make 'Mockery' of Informed Consent
In this commentary, the authors write that a recent federal court ruling striking down a North Carolina antiabortion-rights law could provide "a potential vehicle for a new Supreme Court examination" of state laws that "make a mockery of informed consent and patient autonomy." They argue that "[p]rotection of patients' rights should not be used as a pretext to promote partisan political purposes in the examining room."

Most Women Prefer Using Women's Health Specialists for Reproductive Health Services, Study Finds
In this study, researchers look at the relationship between women's preferred providers for reproductive health services and their actual use of such providers and find that many women prefer and use women's health specialists for such services. According to the authors, the findings help confirm the importance of women's health specialists as a source of reproductive health care and provide support for developing integrated care models.