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  1. Article ; Online: "ContraceptED": A Multidisciplinary Framework for Emergency Department-Initiated Contraception.

    Liang, Amy C / Sanders, Noah S / Anderson, Erik S / Heeney, Megan E / Hirschmann, Claire M / Kane, Amy R / Wills, Charlotte P

    Annals of emergency medicine

    2023  Volume 81, Issue 5, Page(s) 630–636

    Abstract: Emergency departments (EDs) are common access points for patients who are at high risk for unintended pregnancy. Low-barrier access to effective contraception represents a crucial and low-cost intervention to address this public health need. Same-day ... ...

    Abstract Emergency departments (EDs) are common access points for patients who are at high risk for unintended pregnancy. Low-barrier access to effective contraception represents a crucial and low-cost intervention to address this public health need. Same-day initiation of contraception during an ED visit is a unique opportunity to provide reproductive health care for high-risk patients with otherwise limited health care access. We collaborated with our obstetrics and gynecology (OB/GYN) department, pharmacists, and a team of community health advocates to support emergency clinicians (namely, emergency physicians and advanced practice providers) in assessing pregnancy and contraceptive readiness, increasing proficiency in contraception counseling, prescribing hormonal contraception, counseling on barrier and emergency contraception, and inserting (and removing) the Nexplanon implant, a form of long-acting reversible contraception. With this novel approach, we found that emergency clinicians voluntarily participated in trainings on contraception, including low-threshold long-acting reversible contraception initiation; and, after completing these trainings, clinicians integrated these skills into their workflow in the ED. We report our results after screening 38 patients during our current Pilot Phase of implementing this program.
    MeSH term(s) Pregnancy ; Female ; Humans ; Contraception, Postcoital ; Contraceptive Agents ; Health Services Accessibility ; Counseling ; Emergency Service, Hospital
    Chemical Substances Contraceptive Agents
    Language English
    Publishing date 2023-03-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 603080-4
    ISSN 1097-6760 ; 0196-0644
    ISSN (online) 1097-6760
    ISSN 0196-0644
    DOI 10.1016/j.annemergmed.2023.01.002
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

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    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  2. Article ; Online: Midurethral slings for stress urinary incontinence.

    Kane, Amy R / Nager, Charles W

    Clinical obstetrics and gynecology

    2008  Volume 51, Issue 1, Page(s) 124–135

    Abstract: Midurethral synthetic slings for female stress urinary incontinence are minimally invasive polypropylene mesh tapes, which are inserted under the midurethra with trocars. In the last decade this new technology has become the most commonly performed ... ...

    Abstract Midurethral synthetic slings for female stress urinary incontinence are minimally invasive polypropylene mesh tapes, which are inserted under the midurethra with trocars. In the last decade this new technology has become the most commonly performed procedure for female stress urinary incontinence, replacing the traditional open procedures. Using only 3 small incisions, these outpatient procedures can be performed under local anesthesia with conscious sedation. Retropubic and transobturator approaches will be reviewed along with a review of efficacy, comparative studies, complications, and use in many different clinical situations.
    MeSH term(s) Anesthesia, Local ; Conscious Sedation ; Female ; Humans ; Intraoperative Complications/epidemiology ; Minimally Invasive Surgical Procedures ; Obesity/complications ; Postoperative Complications/epidemiology ; Prosthesis Implantation/methods ; Recurrence ; Risk Factors ; Suburethral Slings ; Treatment Outcome ; Urinary Incontinence, Stress/surgery ; Urologic Surgical Procedures/methods ; Vagina/surgery
    Language English
    Publishing date 2008-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 391207-3
    ISSN 1532-5520 ; 0009-9201
    ISSN (online) 1532-5520
    ISSN 0009-9201
    DOI 10.1097/GRF.0b013e318161e687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Um I Zs.240: Show issues Location:
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    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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