2.50
Hdl Handle:
http://hdl.handle.net/10755/161088
Type:
Presentation
Title:
Efficacy of Hormonal Fertility Monitoring to Avoid Pregnancy
Abstract:
Efficacy of Hormonal Fertility Monitoring to Avoid Pregnancy
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Fehring, Richard, DNSc, MSN, BSN, RN
P.I. Institution Name:Marquette University
Title:Professor
Contact Address:College of Nursing, P.O. Box 1881, Milwaukee, WI, 53226, USA
Contact Telephone:414-288-3838
Co-Authors:Mary Schneider, MSN, RN, CFNP, Research Assistant; Kathleen Raviele, MD, FACOG; and Mary Lee Barron, MSN, RN, CFNP
Problem: There is a need for accurate and effective methods of natural family planning. The purpose of this study was to determine effectiveness of hormonal monitoring plus cervical mucus observations as a means to avoid pregnancy. Theoretical Base: The fertile phase of the menstrual cycle begins when a follicle develops and estrogen levels rise. Ovulation, the release of an egg from the follicle, is preceded by a surge in luteinizing hormone (LH). Cervical mucus increases when estrogen levels rise and peaks at the time of the LH surge. Measuring the rise in estrogen, the LH surge, and changes in cervical mucus provides an accurate estimate of the fertile phase. Accurately estimating the fertile phase and avoiding intercourse during that time is the basis for this method of family planning. Participants: 180 women (mean age 29.8) and their male partner (mean age 31.2) seeking to avoid pregnancy by use of a fertility awareness based method. Methods: Each participant was taught to track fertility by self observation of cervical mucus and with a fertility monitor that measures urinary levels of estrogen and (LH). Couples consented to use the method to avoid pregnancy for 12 months. Outcomes: Pregnancy rates over 12 months of monitoring as determined by Life Table analysis. Pregnancies were confirmed by two health professionals. Results: There were a total of 10 unintended pregnancies, 4 with correct use. The 12 month correct use pregnancy rate was 4.0 % (with a 95% CI=3.6-4.4). Typical use (total pregnancy) rate was 10% (95% CI= 6.0 -16.0). The continuation rate was 96%. Conclusion: When used correctly the use of hormonal monitoring with cervical mucus observations is a very effective means of family planning that can be provided by professional nurses trained in this method.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEfficacy of Hormonal Fertility Monitoring to Avoid Pregnancyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161088-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Efficacy of Hormonal Fertility Monitoring to Avoid Pregnancy</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Fehring, Richard, DNSc, MSN, BSN, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Marquette University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, P.O. Box 1881, Milwaukee, WI, 53226, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">414-288-3838</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">richard.fehring@marquette.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mary Schneider, MSN, RN, CFNP, Research Assistant; Kathleen Raviele, MD, FACOG; and Mary Lee Barron, MSN, RN, CFNP</td></tr><tr><td colspan="2" class="item-abstract">Problem: There is a need for accurate and effective methods of natural family planning. The purpose of this study was to determine effectiveness of hormonal monitoring plus cervical mucus observations as a means to avoid pregnancy. Theoretical Base: The fertile phase of the menstrual cycle begins when a follicle develops and estrogen levels rise. Ovulation, the release of an egg from the follicle, is preceded by a surge in luteinizing hormone (LH). Cervical mucus increases when estrogen levels rise and peaks at the time of the LH surge. Measuring the rise in estrogen, the LH surge, and changes in cervical mucus provides an accurate estimate of the fertile phase. Accurately estimating the fertile phase and avoiding intercourse during that time is the basis for this method of family planning. Participants: 180 women (mean age 29.8) and their male partner (mean age 31.2) seeking to avoid pregnancy by use of a fertility awareness based method. Methods: Each participant was taught to track fertility by self observation of cervical mucus and with a fertility monitor that measures urinary levels of estrogen and (LH). Couples consented to use the method to avoid pregnancy for 12 months. Outcomes: Pregnancy rates over 12 months of monitoring as determined by Life Table analysis. Pregnancies were confirmed by two health professionals. Results: There were a total of 10 unintended pregnancies, 4 with correct use. The 12 month correct use pregnancy rate was 4.0 % (with a 95% CI=3.6-4.4). Typical use (total pregnancy) rate was 10% (95% CI= 6.0 -16.0). The continuation rate was 96%. Conclusion: When used correctly the use of hormonal monitoring with cervical mucus observations is a very effective means of family planning that can be provided by professional nurses trained in this method.</td></tr></table>en_GB
dc.date.available2011-10-26T23:15:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:15:42Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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