{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T16:31:47Z","timestamp":1757608307308,"version":"3.44.0"},"reference-count":15,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2014,1,7]]},"published-print":{"date-parts":[[2014,7]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Widespread and increased availability of oral emergency contraception (EC) over the past 10\u2005years has made little difference to rates of unintended pregnancy, abortion and repeat abortion amongst teenagers. The insertion of an intrauterine device for EC (EC-IUD) is 98\u201399% effective compared with 85% for oral methods and can be used for ongoing, long-term reversible contraception. However this method is seldom used for teenagers, a group with a high risk of unintended pregnancy, and there is little published data on the use of EC-IUD in this group.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>An anonymous case note review of EC-IUD use in teenagers in three centres in the UK was conducted to quantify provision, to identify insertion difficulties and short-term complications and to ascertain compliance with national guidance concerning sexually transmitted infection (STI) risk assessment and prophylaxis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 103 cases was identified over 4\u2005years (2007\u20132010) from the three centres (London, Liverpool and Aberdeen). The results show that the majority of fittings were straightforward (94%) with few complications. Antibiotic prophylaxis was deemed necessary in 64% of attenders.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The authors recommend that with STI screening and appropriate antibiotic prophylaxis, use of IUDs in women under the age of 20\u2005years should be unrestricted both for long-term contraception and for EC.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2013-100813","type":"journal-article","created":{"date-parts":[[2014,3,4]],"date-time":"2014-03-04T00:54:19Z","timestamp":1393894459000},"page":"196-199","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Emergency intrauterine device insertion in teenagers: an informal retrospective study"],"prefix":"10.1136","volume":"40","author":[{"given":"Hannat","family":"Akintomide","sequence":"first","affiliation":[{"name":"Specialty Doctor, NHS Camden Provider Services \u2013 Sexual & Reproductive Health, Margaret Pyke Centre, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suganthi","family":"Vinayagam","sequence":"additional","affiliation":[{"name":"Clinical Fellow, Reproductive Medicine, Old St Mary's Hospital, Central Manchester University Hospitals NHS Foundation Trust, Manchester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Sch\u00fcnmann","sequence":"additional","affiliation":[{"name":"Consultant in Sexual and Reproductive Health, Contraception & Sexual Health (CASH) Clinic, Norwich, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2014,3,3]]},"reference":[{"key":"2025090221184688000_40.3.196.1","unstructured":"Public Health Outcomes Framework for England 2013\u20132016. http:\/\/www.uk.gov.uk\/publications\/healthylives [accessed 20 October 2013]."},{"key":"2025090221184688000_40.3.196.2","unstructured":"Sexual Health & Blood Borne Virus Framework 2011\u20132015. http:\/\/www.scotland.gov.uk\/Publications\/2011\/08\/2408570 [accessed 20 October 2013]."},{"key":"2025090221184688000_40.3.196.3","unstructured":"Health & Social Care Information Centre. NHS Contraceptive Services \u2013 England, 2011\u20132012, Community contraceptive clinics. Table\u00a07. http:\/\/www.hscic.gov.uk [accessed 20 October 2013]."},{"key":"2025090221184688000_40.3.196.4","unstructured":"Faculty of Sexual & Reproductive Health Care Clinical Effectiveness Unit. Clinical Guidance. Emergency Contraception. 2011 (updated January 2012). http:\/\/www.fsrh.org\/pdfs\/CEUguidanceEmergencyContraception11.pdf [accessed 20 October 2013]."},{"key":"2025090221184688000_40.3.196.5","unstructured":"Faculty of Sexual & Reproductive Health Care Clinical Effectiveness Unit. Clinical Guidance. Intrauterine Contraception. 2007. http:\/\/www.fsrh.org\/pdfs\/CEUGuidanceIntrauterineContraceptionNov07.pdf [accessed 20 October 2013]."},{"key":"2025090221184688000_40.3.196.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.12.009"},{"key":"2025090221184688000_40.3.196.7","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/j.contraception.2008.12.001","article-title":"A nationwide cohort study of the use of the levonorgestrel intrauterine device in New Zealand adolescents","volume":"79","author":"Paterson","year":"2009","journal-title":"Contraception"},{"key":"2025090221184688000_40.3.196.8","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.jpag.2010.07.001","article-title":"Intrauterine contraception in adolescents and young women: a descriptive study of use, side effects and compliance","volume":"24","author":"Lara-Torre","year":"2011","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2025090221184688000_40.3.196.9","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1016\/j.contraception.2009.09.004","article-title":"Intrauterine contraception for adolescents aged 14\u201318 years: a multicentre randomised pilot study of levonorgestrel-releasing intrauterine system compared to the copper T380A","volume":"81","author":"Godfrey","year":"2010","journal-title":"Contraception"},{"key":"2025090221184688000_40.3.196.10","doi-asserted-by":"crossref","first-page":"71","DOI":"10.1016\/j.jpag.2010.07.010","article-title":"Use of the copper T380 intrauterine device by adolescent mothers: continuation and method failure","volume":"24","author":"Patchem","year":"2011","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"2025090221184688000_40.3.196.11","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1089\/jwh.2010.2462","article-title":"Menstrual concerns and intrauterine contraception among adolescent bariatric surgery patients","volume":"20","author":"Hillman","year":"2011","journal-title":"J Womens Health"},{"key":"2025090221184688000_40.3.196.12","doi-asserted-by":"crossref","first-page":"489","DOI":"10.3109\/01443615.2010.484107","article-title":"Effectiveness and tolerability of levonorgestrel intrauterine system in adolescents","volume":"30","author":"Aslam","year":"2012","journal-title":"J Obstet Gynaecol"},{"key":"2025090221184688000_40.3.196.13","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2009.02372.x"},{"key":"2025090221184688000_40.3.196.14","doi-asserted-by":"crossref","first-page":"833","DOI":"10.1097\/AOG.0b013e31819c856c","article-title":"Interest in intrauterine contraception among seekers of emergency contraception and pregnancy testing","volume":"113","author":"Bimla Schwarz","year":"2009","journal-title":"Obstet Gynecol"},{"key":"2025090221184688000_40.3.196.15","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.jpag.2009.09.012","article-title":"Effect of a brief educational intervention on the attitudes of young women toward an intrauterine device","volume":"23","author":"Whitaker","year":"2010","journal-title":"J Pediatr Adolesc Gynecol"}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2013-100813","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T04:19:03Z","timestamp":1756873143000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2013-100813"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,3,3]]},"references-count":15,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2014,6,17]]},"published-print":{"date-parts":[[2014,7]]}},"alternative-id":["10.1136\/jfprhc-2013-100813"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2013-100813","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"type":"print","value":"1471-1893"},{"type":"electronic","value":"2045-2098"}],"subject":[],"published":{"date-parts":[[2014,3,3]]}}}