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A systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes

PURPOSE: No recommendations exist for routine reproductive intention screening in primary care. The objective of this systematic review is to assess the effect of reproductive intention screening in primary care on reproductive health outcomes (PROSPERO CRD42015019726). METHODS: We performed a syste...

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Autores principales: Burgess, Carolyne K, Henning, Paul A, Norman, Wendy V, Manze, Meredith G, Jones, Heidi E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892170/
https://www.ncbi.nlm.nih.gov/pubmed/28973668
http://dx.doi.org/10.1093/fampra/cmx086
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author Burgess, Carolyne K
Henning, Paul A
Norman, Wendy V
Manze, Meredith G
Jones, Heidi E
author_facet Burgess, Carolyne K
Henning, Paul A
Norman, Wendy V
Manze, Meredith G
Jones, Heidi E
author_sort Burgess, Carolyne K
collection PubMed
description PURPOSE: No recommendations exist for routine reproductive intention screening in primary care. The objective of this systematic review is to assess the effect of reproductive intention screening in primary care on reproductive health outcomes (PROSPERO CRD42015019726). METHODS: We performed a systematic search in Ovid Medline, PubMed, CINAHL, Embase, CDR/DARE databases, Web of Science, ISRCTN registry, Clinicaltrials.gov and Cochrane Library. Studies published in English between 2000 and 2017 and whose population was patients of reproductive age (15–49) were included. Studies without a comparison group were excluded. Two independent reviewers assessed eligibility, study quality and abstracted data. RESULTS: Of 24 780 titles and/or abstracts reviewed, nine studies met inclusion criteria: four randomized controlled trials (RCTs) and five observational studies. Two RCTs and one quasi-experimental cohort study showed a statistically significant increase in knowledge related to healthier pregnancy, such as the benefits of folic acid supplementation, and increased risk profiles for those with chronic conditions. Among studies measuring contraceptive use, only one cohort study showed any increase while the RCT and retrospective cohort did not show a statistically significant effect. Neither of the two RCTs that assessed the provision of contraception by primary care providers for those not desiring pregnancy found increased access to contraception, although one found increased documentation of contraception in electronic medical records. Acceptability of reproductive intention screening was measured in seven studies, and participant satisfaction was high in all seven studies. CONCLUSIONS: More research is needed to determine whether routine inclusion of reproductive intention screening in primary care is warranted.
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spelling pubmed-58921702018-04-13 A systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes Burgess, Carolyne K Henning, Paul A Norman, Wendy V Manze, Meredith G Jones, Heidi E Fam Pract Systematic Reviews PURPOSE: No recommendations exist for routine reproductive intention screening in primary care. The objective of this systematic review is to assess the effect of reproductive intention screening in primary care on reproductive health outcomes (PROSPERO CRD42015019726). METHODS: We performed a systematic search in Ovid Medline, PubMed, CINAHL, Embase, CDR/DARE databases, Web of Science, ISRCTN registry, Clinicaltrials.gov and Cochrane Library. Studies published in English between 2000 and 2017 and whose population was patients of reproductive age (15–49) were included. Studies without a comparison group were excluded. Two independent reviewers assessed eligibility, study quality and abstracted data. RESULTS: Of 24 780 titles and/or abstracts reviewed, nine studies met inclusion criteria: four randomized controlled trials (RCTs) and five observational studies. Two RCTs and one quasi-experimental cohort study showed a statistically significant increase in knowledge related to healthier pregnancy, such as the benefits of folic acid supplementation, and increased risk profiles for those with chronic conditions. Among studies measuring contraceptive use, only one cohort study showed any increase while the RCT and retrospective cohort did not show a statistically significant effect. Neither of the two RCTs that assessed the provision of contraception by primary care providers for those not desiring pregnancy found increased access to contraception, although one found increased documentation of contraception in electronic medical records. Acceptability of reproductive intention screening was measured in seven studies, and participant satisfaction was high in all seven studies. CONCLUSIONS: More research is needed to determine whether routine inclusion of reproductive intention screening in primary care is warranted. Oxford University Press 2017-09-08 /pmc/articles/PMC5892170/ /pubmed/28973668 http://dx.doi.org/10.1093/fampra/cmx086 Text en © The Author(s) 2017. Published by Oxford University Press. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Systematic Reviews
Burgess, Carolyne K
Henning, Paul A
Norman, Wendy V
Manze, Meredith G
Jones, Heidi E
A systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes
title A systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes
title_full A systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes
title_fullStr A systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes
title_full_unstemmed A systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes
title_short A systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes
title_sort systematic review of the effect of reproductive intention screening in primary care settings on reproductive health outcomes
topic Systematic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5892170/
https://www.ncbi.nlm.nih.gov/pubmed/28973668
http://dx.doi.org/10.1093/fampra/cmx086
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