title: TwoDay Method: a quick-start approach.
abstract: BACKGROUND
  Requiring that women wait until the onset of menses to initiate a family planning method is a medical barrier that can result in unintended pregnancies. In the efficacy study of the TwoDay Method, a new fertility awareness-based method of family planning, women were taught the method in the first seven days of their cycles. This study tested a quick-start approach (providing the method at any time in the cycle) to TwoDay Method delivery.
  
  
  METHODS
  In Peru, 167 women were counseled in TwoDay Method use (regardless of cycle day) and followed for up to 7 months. They were interviewed periodically to assess their use of and satisfaction with the method. Simulated clients gauged providers' ability to correctly counsel in method use at different times of the cycle.
  
  
  RESULTS
  No significant differences were observed in correct use, continuation rates, and acceptability of the method among women who were counseled at different points in the cycle; quality of counseling was not undermined by the quick-start approach.
  
  
  CONCLUSIONS
  There is no need to limit delivery of the TwoDay Method to the first seven days of the menstrual cycle.
authors.affiliation: Institute for Reproductive Health, Georgetown University, Washington, DC 20008, USA.
authors.forename: Victoria
authors.initials: V
authors.lastname: Jennings
authors.forename: Irit
authors.initials: I
authors.lastname: Sinai
authors.forename: Luisa
authors.initials: L
authors.lastname: Sacieta
authors.forename: Rebecka
authors.initials: R
authors.lastname: Lundgren
mesh_terms: D000328:Adult; D002582:Cervix Mucus / Q000378:metabolism; D005260:Female; D006282:Health Personnel; D006801:Humans; D012252:Natural Family Planning Methods / Q000379:methods* / Q000706:statistics & numerical data; D010349:Patient Compliance / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D016353:Self-Examination