TY  - BOOK
AU  - Sombi, E.
TI  - An audit of the offer and uptake of long acting reversible contraception in young women under age 25 attending an urban integrated sexual and reproductive health clinic
PY  - 2018///
N1  - NMUH Staff Publications; EMBASE; 23
N2  - <span style="font-size: 10pt;">Objective: * The National Institute for Clinical Effectiveness (NICE) Clinical Guideline CG30 (2005), estimates 30% of pregnancies in the United Kingdom are unplanned and increasing the uptake of long acting reversible contraception (LARC) will reduce the numbers of unintended pregnancies. * The effectiveness of the barrier method and oral contraceptive pills depends on their correct and consistent use while the effectiveness of LARC methods does not depend on daily concordance, and all LARC are more cost effective than the combined oral contraceptive pill even at 1 year of use. * As a local sexual and reproductive health service delivering contraceptive services in a deprived area of a large city, this audit was undertaken to assess how well the service meets relevant NICE guidelines and other standards in the offer and uptake of LARC in young women under age 25. Method: The first 42 new female patients seen at any of our integrated contraception and sexual health clinics over a 10-day period were identified retrospectively. Data were collected from the electronic patient record system (EPR) and analysed using Excel. Results: * There was a 74% (31/42) attendance by young women living locally. 99% (41/42) of all attendees were assessed for current contraceptive use, with 52% using condoms as their main form of contraception. Contraception was offered in up to 80% of service users who were either not using any method or using only condoms. * In the <18 age group (n=15), condom use as the only contraception was 73% compared to 48% in the 18-25 age category. Just 5/22 (22%) of condom users had a record of consistent use. Although 100% of under 18 attendees were eligible for LARC, just 33% had a documented offer of LARC. The overall offer of LARC in non LARC users was 45%. Conclusions: * The audit highlights young local women access the service and contraception use was assessed in almost all cases but there were missed opportunities to promote the use of LARC particularly in the under 18 age group. Although over half of young women used condoms for contraception only about a fifth used condoms correctly greatly increasing their risk of unplanned pregnancies. Action taken to improve on this include training more staff in LARC, revising the EPR and promoting LARC offer through text messaging. A re-audit is planned to assess for improved offer and uptake of LARC. [Conference abstract]</span&gt
UR  - https://www.tandfonline.com/doi/pdf/10.1080/13625187.2018.1442911?needAccess=true
ER  -