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  1. Abi Berger
  1. 35 Fitzroy Road, London , UK
  1. Correspondence to ; abi{at}abiberger.net

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LARC use decreases as perceived barriers to use increase

Perceived barriers are the strongest predictor of women’s use of long-acting forms of reversible contraception (LARC), with use decreasing as barriers increase. In one Welsh qualitative study barriers included fear and embarrassment. Ironically, increases in “health motivation to reduce pregnancy” and “perceived behavioural control” reduced the odds of a woman using LARC – which might seem counterintuitive until one considers that women who score highly on these parameters probably see themselves as able to manage the use of non-LARC methods.

Womens Health 2016;12:507–512. doi: 10.1177/1745503716678231

Positive outcomes with low-dose mifepristone/self-administered misoprostol regimen

In a study of the efficacy, safety and acceptability of low-dose mifepristone combined with self-administered misoprostol for ultra-early medical abortion (EMA), 744 women were followed up for complete abortion. Secondary endpoints were rates of unscheduled re-attendance, time required for and cost of hospital observation and follow-up, vaginal bleeding, adverse effects, menstrual disturbance in the post-treatment period, and satisfaction. Satisfaction and follow-up compliance were higher in the self-administration group, and cost to women lower. There were no differences in the rates of complete abortion, …

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